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Found 180 results
  1. Content Article
    Key points Language influences the perceptions of the accident process. The use of punishment can be harmful to individuals. Punishment does nothing to help achieve future safety. Accident analyses are not independent from the organisation politics.
  2. Content Article
    Malcolm's story was produced through the drive and determination of Karen Harrison. Karen knew that there was a huge amount of learning to be taken from this particular case, and wanted to create something positive from the mistakes made. Karen supported Malcolm and his family through the whole process, from building a relationship while Malcolm was an in-patient through to developing the video with the family. Karen showed care and compassion to Malcolm, his wife, and daughter throughout the whole process, and their trusting and warm relationship was evident through the video and when Malcolm
  3. Content Article
    The Trust values of WE CARE have been in place for several years. In 2018, they held their first 'sharing how we care conference' to include Trust staff in how they share learning from patient experience, incidents, inquests and claims across the Trust. This was followed by a monthly patient safety newsletter (started September 2018), pulled together by an editorial committee and sent to every single member of staff in the Trust (as well as Clinical Commissioning Group [CCG] and Care Quality Commission [CQC], governors and Nationwide Emergency Department Sample [NEDS]) . Soon, teams
  4. Content Article
    This guide supports a conversation between managers about whether a staff member involved in a patient safety incident requires specific individual support or intervention to work safely. it asks a series of questions that help clarify whether there truly is something specific about an individual that needs support or management versus whether the issue is wider, in which case singling out the individual is often unfair and counter-productive it helps reduce the role of unconscious bias when making decisions and will help ensure all individuals are consistently treated equally and
  5. Content Article
    The report concludes that rounds are a ‘slow intervention’ that develop their impact over time. They create a safe, reflective space for staff to talk together confidentially, and attending rounds increased staff’s empathy and compassion for colleagues and patients, supported them in their work and helped them to make changes in practice. The analysis highlights the necessary conditions for rounds to work.
  6. News Article
    An Essex maternity department has been served with further warnings by the Care Quality Commission (CQC) and again rated “inadequate”. Serious concerns were raised about the services at Basildon University Hospital in the summer, after several babies were found to have been starved of oxygen and put at risk of permanent brain damage. Despite the CQC issuing warning notices to Mid and South Essex Foundation Trust in June 2020, a subsequent visit on 18 September found multiple problems had persisted. The CQC’s findings at Basildon included: the service was short-staffed and
  7. Content Article
    What you'll get from this report Insights from doctors and medical students who have experienced bullying and harassment. Evidence of the impact of bullying and harassment in the workplace. Recommendations in three key areas to combat bullying and harassment.
  8. News Article
    The avoidable deaths of babies and mothers in Shrewsbury and Telford Hospital Trust’s maternity services are heartbreaking. What makes them a scandal, however, is that the problems have been known about for so long, and yet the instinct of managers was to deflect and minimise. The Healthcare Commission, a forerunner to the Care Quality Commission, was concerned about injuries to babies in the trust’s maternity units as long ago as 2007. It was not until Rhiannon Davies and Richard Stanton insisted on answers about the death of their baby Kate in 2009 that the Parliamentary and Health Ser
  9. Content Article
    In this short video, Dr Donna Prosser discusses these questions below. 1. Healthcare workers are under extreme stress these days as they deal with the COVID-19 pandemic. Can you share some insight about what they are dealing with right now? What are you hearing from the frontline? 2. What are some tips that hospitals can employ to mitigate some of this stress? 3. What are some ways that healthcare workers can better support each other at this time?
  10. Content Article
    This short video, by Abertawe Bro Morgannwg University Health Board, demonstrates the Soothing Patient Anxiety (SPA), a unique approach to co-production in meeting the needs of complex patients requiring a surgical intervention.
  11. Content Article
    Alberta Health Services (AHS) acknowledges that as a group, they are committed and intend to provide safe and healthy care and/or work environments. However, they also know that despite best efforts, things can sometimes go wrong. The AHS recognise that everyone has an important role to play in identifying, reporting and addressing issues or concerns about the health system and/or organisational processes, and to share what they learn, in support of continuous quality and safety improvement. These are Alberta Health Services Guiding principles to a Just Culture.
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