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Found 259 results
  1. Content Article
    Everyone should be treated with dignity and respect at work. Bullying and harassment is unacceptable and constitutes a violation of human and legal rights that can lead to criminal prosecution and civil law claims. Employers have a duty of care to provide a safe and healthy working environment for their staff, and this is an implied term of every contract of employment. Bullying and harassment undermines physical and mental health, frequently resulting in poor work performance. Possible consequences include: insomnia and inability to relax loss of confidence and self-doubt loss of appetite hypervigilance and excessive double-checking of all actions inability to switch off from work.
  2. Content Article
    In this article published in JAN Interactive, Catherine Best critiques the importance of understanding Human Factors in ensuring the delivery of safe and effective care.
  3. Content Article
    A bold, original book that sheds new light on our understanding of the role courage plays in healthcare. Critically analysing both the positive and negative implications of the presence of courage in delivering care, the authors present literature, theory, and detailed examples from practice, including whistleblowers' own accounts of courage-demanding situations.  With a view to promoting better patient outcomes, well-being for practitioners, and support for those who feel compelled to ‘speak out’ and challenge bad practice, Courage in Healthcare is an invaluable resource for any healthcare practitioner working in the NHS today, a rallying call and a practical guide.  
  4. Content Article
    The Care Quality Commission (CGC) is the independent regulator of health and adult social care in England. They make sure that health and social care services provide people with safe, effective, compassionate, high-quality care and encourage care services to improve.  Independent acute hospitals play an important role in delivering healthcare services in England, providing a range of services, including surgery, diagnostics and medical care. As the independent regulator, the CQC, hold all providers of healthcare to the same standards, regardless of how they are funded. 
  5. Content Article
    'Second victim' is the term used to refer to healthcare workers who are impacted by patient safety incidents. Whilst patients and families will always be the first priority following safety incidents, the well-being of the staff involved is often overlooked but can leave staff lacking confidence, unable to perform their job, requiring time off or leaving their profession.
  6. Content Article
    This report evaluates Schwartz Center Rounds® (rounds) in England. Rounds were introduced into the UK in 2009 to support healthcare staff to deliver compassionate care, something the Francis report (Mid Staffordshire NHS Foundation Trust Public Inquiry) identified as lacking. Rounds are organisation-wide forums that prompt reflection and discussion of the emotional, social and ethical challenges of healthcare work, with the aim of improving staff well-being and patient care.
  7. Content Article
    In this video, clinicians from Great Ormond Street Children's Hospital who are involved in the SAFE project talk about how the ‘huddle’ technique – a ten minute free, frank exchange of information between clinical and non-clinical professionals involved in a patient’s care every few hours – is helping them to improve their situation awareness, resolve risks to patient safety more quickly and reduce harm.
  8. Content Article
    Human factors expert Guy Hirst looks at checklist implementation in healthcare.
  9. Content Article
    In 2017, The Point of Care Foundation made a film of a Schwartz round at Ashford and St Peter’s Hospitals NHS Trust. The full session lasted one hour – this is an edited version which aims to show what happens in a round. Schwartz rounds often tackle difficult emotional situations. This film deals with a particular case about a sick baby, which some viewers may find upsetting.
  10. Content Article
    A case study on how Healthier Lancashire and Cumbria have been driving forward their digital strategy. This strategy includes how they are standardising and redesigning digital systems to improve patient safety (see Theme 4 - Manage the system more effectively).
  11. Content Article
    Potentially preventable adverse events remain a formidable cause of patient harm and health care expenditure despite advances in systems-based risk-reduction strategies. This quality improvement study from Suliburk et al., published in JAMA Network Open, analysed the incidence of human performance deficiencies during the provision of surgical care to identify opportunities to enhance patient safety.
  12. Content Article
    The NHS Long Term Plan highlighted several safety issues that need to be addressed: the fear of blame and retribution which curtails reporting and learning, lack of staff understanding of patient safety matters and workforce issues. This short article summarises what I have learnt about how After Action Review (AAR) can directly address the first two of these and indirectly impact on the third. 
  13. Community Post
    Here's a recent interesting blog post on leadership under pressure https://www.med-led.co.uk/2019/08/19/under-pressure/
  14. Content Article
    PatientSafe Network in Australia has been promoting the theatre cap challenge across the world. By wearing your name on your theatre cap it can improve team work and patient safety. The PatientSafe Network is a registered non for profit charity. It has been developed by front line healthcare staff and is for anyone to use – patients, relatives, doctors, nurses, pharmacists, healthcare managers, equipment and system developers, insurers – who wants to improve patient safety.
  15. Content Article
    This document provides guidance for nurses, midwives and nursing associates on raising concerns (which includes ‘whistleblowing’). It explains the processes you should follow when raising a concern, provides information about the legislation in this area, and tells you where you can get confidential support and advice.
  16. Content Article
    Policy to date has mostly focused on the role of 'whistleblowers' in raising concerns about quality and safety of patient care in healthcare settings. However, most opportunities for personnel to identify and act on these concerns are likely to occur much further upstream, in the day-to-day mundane interactions of everyday work. Using qualitative data from over 900 hours of ethnographic observation and 98 interviews across 19 English intensive care units (ICUs), Tarrant et al., in a paper published in Social Science & Medicine, studied how personnel gave voice to concerns about patient safety or poor practice.
  17. Content Article
    This short animation from the University of Western Australia highlights the importance of a multidisciplinary team briefing within the operating theatre environment.
  18. Content Article
    Designed and tested by the Institute of Healthcare Improvement (IHI)’s world-renowned safety experts, the Patient Safety Essentials Toolkit can help you improve teamwork and communication, understand the underlying issues that can cause errors, and create and maintain reliable systems. IHI's Vice President, Frank Federico, helped develop the contents of the new toolkit. In the following interview, he provides an overview of how to put the toolkit to good use.
  19. Content Article
    A video introducing Clinical Service Accreditation (CSA), how it can improve clinical care, how your hospital can become involved, and the resources, support and guidance available through the Healthcare Quality Improvement Partnership (HQIP). Presented by HQIP CSA Clinical Lead, Roland Valori. 
  20. Content Article
    Back in January 2019, we started a regular team newsletter. Initially this was aimed at only the critical care unit (CCU) team; however, very quickly it developed into an all trust audience.  In this post I discuss the multiple benefits the newsletter has offered as well as the challenges I came across. I want to share my experience on developing the newsletter to encourage other teams to consider writing a regular newsletter if they don’t already have one. This followed on from several outreach teams contacting me personally for assistance in writing their own newsletters. 
  21. Content Article
    This report by The Point of Care Foundation, looks at staff engagement in three NHS hospital trusts and provides insights into the views of staff and managers.
  22. Content Article
    This briefing highlights evidence on NHS staff, their experience at work, the pressures they face and the consequences for patients. The Point of Care Foundation believes that it’s critically important that NHS employers pay attention to staff and their experience at work because when staff feel positive and engaged with work it has a positive impact on patient experience.
  23. Content Article
    Th British Medical Association provide a number of services to help and advise doctors who are experiencing bullying at work but also to those who may have witnessed examples of bullying and wish to raise concerns. This video offers some advice for staff affected.
  24. Content Article
    Trent Simulation & Clinical Skills Centre has developed this short cartoon to introduce healthcare staff to human factors and ergonomics. The cartoon particularly focuses on individuals, teams and the wider system with sign-posting to find out more about Human Factors and the Trent Simulation and Clinical Skills Centre.
  25. Content Article
    In 2016, Merseycare NHS Foundation Trust embarked on a journey towards a just and learning culture. Since then, they have made great progress and achieved significant results. They have produced an excellent interactive online presentation for anyone who wishes to improve the culture of the healthcare organisation in which they work. It describes why they started on the journey, what they did and the kinds of results they have obtained. It is an overview of a substantial programme, and demonstrates that while changing from a retributive 'blame' culture to a restorative 'just' culture may be challenging, it can be done - to the benefit of patients and staff.
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