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Content ArticleCOVID-19 has disrupted many industries and reshaped the way most organisations operate. Healthcare organisations have been especially affected by the disruptive force of this global pandemic. Yet all hope is not lost. Gallup analytics discovered that business units experiencing disruption are at an increased advantage and more resilient than their peers when employee engagement is strong.
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- Organisational development
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Content ArticleGuy's and St Thomas' has shared a downloadable version of the 'Big 5'.
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EventuntilThis virtual conference from The King's Fund will share practical ideas about transforming work and workplace cultures. It will explore how leadership and teamworking influences people’s work experiences, releasing their full potential to drive improved outcomes for patients and citizens. Discuss with other local health and care leaders how to create compassionate cultures with improved support for staff to make sure that the NHS and social care organisations are good employers and great places to work. Register
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Content ArticleWhen an organisation stops innovating, it is only a matter of time before it fails. But what causes a company to cease coming up with new ideas? Over the last 20 years, Timothy Clark, founder and CEO of LeaderFactor, has studied many failed organisations and one of the things he consistently sees is an almost imperceptible erosion of intellectual bravery. Intellectual bravery is a willingness to disagree, dissent, or challenge the status quo in a setting of social risk in which you could be embarrassed, marginalised, or punished in some way. When intellectual bravery disappears, organisations develop patterns of willful blindness. Bureaucracy buries boldness. Efficiency crushes creativity. From there, the status quo calcifies and stagnation sets in. The responsibility for creating a culture of intellectual bravery lies in leadership. As a leader, you set the tone, create the vibe, and define the prevailing norms. Whether or not your company has a culture of intellectual bravery depends on your ability to establish a pattern of rewarded rather than punished vulnerability. Timothy share two examples in this blog.
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Community Post
Is the word 'Whistleblowing' taboo?
Steve Turner posted a topic in Speak Up Guardians
- Patient safety / risk management leads
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- Communication problems
- Perception / understanding
- Leadership
- Just Culture
- Leadership style
- Organisational culture
- Organisational learning
- Team culture
It's #SpeakUpMonth in the #NHS so why isn't the National Guardian Office using the word whistleblowing? After all it was the Francis Review into whistleblowing that led to the recommendation for Speak Up Guardians. I believe that if we don't talk about it openly and use the word 'WHISTLEBLOWING' we will be unable to learn and change. Whistleblowing isn’t a problem to be solved or managed, it’s an opportunity to learn and improve. So many genuine healthcare whistleblowers seem to be excluded from contributing to the debate, and yes not all those who claim to be whistleblowers are genuine. The more we move away for labelling and stereotyping, and look at what's happening from all angles, the more we will learn. Regardless of our position, role or perceived status, we all need to address this much more openly and explicitly, in a spirit of truth and with a genuine desire to learn and change.- Posted
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- Patient safety / risk management leads
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- Transparency
- Whistleblowing
- Communication problems
- Perception / understanding
- Leadership
- Just Culture
- Leadership style
- Organisational culture
- Organisational learning
- Team culture
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Content ArticleThis systematic review in The Journal of Advanced Nursing aimed to synthesise current knowledge about the impact of safety briefings on improving patient safety. The authors found that safety briefings achieved beneficial outcomes and can improve safety culture. Beneficial outcomes included: improved risk identification. reduced falls. enhanced relationships. increased incident reporting. ability to voice concerns. reduced length of stay.
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Content ArticleThis systematic review in BMJ Quality & Safety looks at existing research into the impact of hospital-based safety huddles. The authors found that while there are many anecdotal accounts of successful huddle programmes, there is not yet much high-quality peer-reviewed evidence regarding the effectiveness of hospital-based safety huddles. They suggest that additional rigorous research is needed to enhance collective understanding of how huddles impact patient safety and other outcomes. The review proposes a taxonomy and standardised reporting measures for future studies, to enhance comparability and evidence quality.
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- Safety culture
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Content ArticleThe COVID-19 pandemic is a traumatic event for many, particularly those in the caring professions. Experts are predicting a significant “second curve” of mental health problems among both healthcare workers and the public related to prolonged social isolation, loss of economic opportunity, grief from losing loved ones, among other causes. While there has been no shortage of resources and recommendations designed to help healthcare workers manage stress during the pandemic, there’s a tendency to place the burden on the individual. At a minimum, it is important that remedies acknowledge the shared responsibility of the healthcare system for creating the conditions for fear, anxiety, and burnout in the first place. In an effort to streamline, provide sensemaking, and support care teams during this critical time, the Institute for Healthcare Improvement (IHI) synthesised themes from several key publications, expert interviews, and five years of experience gained by partnering with health systems around the world to address staff well-being and joy in work. Three key areas to focus on have emerged, along with specific actions healthcare leaders can take to support their workforce and address the more immediate and longer-term effects of the pandemic.
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Content Article
David Oliver: Should doctors be on first name terms?
Patient Safety Learning posted an article in Culture
In this BMJ perspective, David Oliver, a consultant in geriatrics and acute general medicine, discusses whether doctors should keep with tradition of using their professional titles amongst colleagues and patients, or whether, as in his own hospital, first names should be used as part of a wider focus on patient safety and a human factors culture. Of course, professional roles and hierarchies remain important in healthcare. Different people have different training or experience, and it’s important to have clear team leadership and responsibilities, especially in emergency care. But first names are part of a push to build strong team working, flatten hierarchies, and improve patient safety by making it easier for less senior team members or different clinical professionals to question senior doctors and “stop the line” before avoidable harm occurs.- Posted
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EventuntilThis unique 1-day distance-learning course from Medled is delivered via Zoom by our expert trainers in a format designed to maximise learning retention and application of knowledge. You'll learn to: Understand the concept of systems thinking and models of safety – looking beyond the individual and the flawed concept of ‘Human Error’. Gain an introduction to human capabilities & limitations & how those influence quality and safety of care – how humans can be heroes and hazards. Be able to unpick the nature of human fallibility and why practice does not always make perfect. Have the knowledge to proactively contribute to the safety culture in your organisation. Be able to recognise error-provoking conditions and influence your systems of work. Understand the relationship between stress and performance/risk of error. Take away a tangible model for understanding the relationship between our physiological needs and performance – do we set ourselves up to fail? Understand strategies to optimise high-performance teamworking with ad hoc teams. Evidence-based, utilising cutting edge safety & performance science this course is suitable for all Healthcare Professionals, both clinical and non-clinical; it is applicable to all departments and multi-disciplinary teams. Accredited by Chartered Institute of Ergonomics & Human Factors, you'll take part in interactive actitvities and leave with practical tools to take away. Registration
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EventuntilThis is a global online event from the Royal College of Surgeons of Edinburgh, relevant to all who work in healthcare, with a focus on the role of the surgical team in delivering care. Everyone is invited to register for this free online event. The participants will be encouraged to use a smartphone or another second screen to actively participate and answer questions. This event will be delivered on Zoom – questions can be submitted, and the use of the chat room is encouraged. Registered participants will get a copy of the webinar recording, slides, questions and answers, chat room, Menti results and a Spotify playlist. The conference panel is formed of a diverse group of experts with a range of skills in healthcare, surgery, education, business, leadership, coaching, training, human factors, and situational awareness. They have experience working with high performance teams, global industries, firefighters, aircrews, and fighter pilots in theatres of operation, cockpits, and on oil rigs. All have worked in high performance teams and understand the critical importance of listening and communication. The conference is headlined by the global leader, Bob Chapman, CEO of Barry-Wehmiller and co-author of the bestselling book; ‘Everybody Matters – the extraordinary power of caring for your people like family’. Further information and registration
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- Surgery - General
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Content Article
The challenge of culture change in the NHS
Claire Cox posted an article in Culture
Connection, inclusion and compassion are certain, unchanging, and provide a safe refuge to deal with what feels frightening and isolating for so many. The challenge set by the Francis Inquiry Report – to create a compassionate, inclusive organisational culture – is now amplified in the COVID-19 era, which the NHS entered with pre-existing record levels of staff stress and chronic excessive workloads. This workshop from the University of Manchester, explores the problems and opportunities associated with changing healthcare organisation cultures.- Posted
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- Just Culture
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Content ArticleThe ideas and advice in this Improvement Leaders’ Guides from the Institute for Innovation and Improvement will provide a foundation for building and nurturing an improvement culture.
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Content ArticleDr Donna Prosser interviews Dr. Albert Wu on the emotional support that we can provide to healthcare workers during this concerning time of the COVID-19 pandemic.
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- Stress
- Staff safety
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Content Article
Effective team-working during the COVID-19 crisis
Claire Cox posted an article in Workforce and resources
Working with Professor Michael West, Affina OD are sharing key principles to support emerging teams and effective team working during this time of uncertainty and ambiguity. Here, he discusses 8 key principles to aid effective team working during the pandemic. -
Content ArticleIf psychological safety is the number one variable in team performance then how do you improve it? Where do you start? What are the key actions you can take to increase the level of psychological safety in your environment? This guide from Leader Factor has 120+ behaviours you can use to have a higher level of psychological safety. You can download the guide by filling in the online form.
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- Staff safety
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Content ArticleHuman factors understanding focuses on optimising human performance through better understanding the behaviour of individuals, their interactions, with each other and with their environment. Inhealth care, it underpins patient safety, offering an integrated approach to quality improvement and clinical excellence. In this episode, we are in conversation with Health Education England's deputy dean and physician Jo Szram, surgeon Peter Brennan, BA pilot Graham Shaw and Obs & Gynae trainee Ruth-Anna Macqueen to explore what human factors are, their importance in the health care setting and how knowledge of human factors can help both trainees and supervisors.
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Content Article
This is the US Military Health System
Claire Cox posted an article in Stories from the front line
Army, Navy and Air Force medical personnel care for Soldiers, Sailors, Airmen, Marines, Coast Guardsmen and all who come in harm's way – on and off the battlefield. This video, in less than 4.5 minutes, provides a glimpse of the unique mission and benefits of military medicine.- Posted
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- Team culture
- Emergency medicine
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Content Article
Briefs and huddles toolkit
Claire Cox posted an article in Improving patient safety
This toolkit is available by request to the Department of Defence Patient Safety Programme.- Posted
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Content ArticleThe rapid transmission of COVID-19 has resulted in an international pandemic with the cumulative death rate expected to further escalate in the months to come. The majority of deaths to date (May 2020) have been highly concentrated in certain geographic areas, placing tremendous stress on local healthcare systems and associated workforces. Healthcare is a fundamentally human endeavor; its reliability and the capacity to provide it are tested under stressful conditions and the COVID-19 pandemic is proving to be an especially difficult test for healthcare systems. Consideration of the humanness of care in the broader context of patient safety can raise awareness of how human weaknesses impact individual clinicians and care teams in ways that could degrade patient safety and quality of care and increase risk for both patients with COVID-19 and the staffs that care for them. These weaknesses are exacerbated by fatigue and burnout, absence of team trust, lack of time, medical illness, and poor psychological safety, each of which can result in reduced performance and contribute to failures such as misdiagnoses and adverse events. This article published on AHRQ's PSNet explores these weaknesses.
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Content Article
Understanding Schwartz Rounds (22 January 2018)
Patient Safety Learning posted an article in Good practice
A film about why Schwartz Rounds are needed.- Posted
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Content ArticleIs a focus on wellbeing a ‘nice thing to do’ in organisations, or are there more fundamental arguments? In this article in Hindsight, Suzanne Shale outlines ethical arguments for making wellbeing a priority.
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Content Article
Teamworking in an Acute Medical Unit during the COVID pandemic
Patient Safety Learning posted an article in Blogs
Calum McGregor shares with the Q Community practical tips and tools to help with team-working and staff wellbeing during the COVID-19 pandemic. Calum highlights some principles and examples which have helped with team-working in his Acute Medical Unit recently and in the past. -
Content ArticleMartin Bromiley, Clinical Human Factors Group, talks to Claire Cox, Critical Care Outreach Nurse and Associate Director at Patient Safety Learning. In this podcast, Claire talks about the importance of simulation for all, using different scenarios to help raise confidence. She further describes some techniques her team are using to improve performance and safety when treating COVID-19 patients. Claire has recently written a blog on Human factors and the ad hoc team during the pandemic for the hub.
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Content ArticleThis article from Zarzaur et al., in JAMA Surgery, shares an administrative restructuring approach building on military and emergency management experiences to make adjustments in surgery workforce and expertise availability to address complex shifts in care processes in response to the COVID-19 pandemic.
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- Surgery - General
- Resources / Organisational management
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