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Found 187 results
  1. Content Article
    Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust Patient Safety Team's values became a golden thread to improve patient safety by 'Sharing How We Care' – a monthly patient safety newsletter and annual conference.
  2. Content Article
    This leaflet by NHS Employers (Wales) explains what bullying in the workplace is, how it can affect people and what to do about it.
  3. 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. 
  4. Content Article
    Strengthening a safety culture necessitates interventions that simultaneously enable, enact and elaborate in a way that is attuned to the existing culture. Through a literature review of more than 60 resources, a Patient Safety Culture Bundle has been created and validated through interviews with Canadian thought leaders. The 'Bundle' is based on a set of evidence-based practices that must all be applied in order to deliver good care. All components are required to improve the patient safety culture.
  5. Content Article
    The Royal College of Emergency Medicine has developed The Safety Toolkit which aims to describe the structures, processes and skills required for a ‘safe’ department. There are resources identified within each section to stimulate, provoke and challenge, as well as guide personal development. There are overlapping references and differing perspectives but the vision is of a resource for change and development.
  6. Content Article
    Second part of a blog by Mark Hellaby on how simulation can be used to support some of the emerging patient safety concepts.
  7. 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.
  8. Content Article
    In this article published in Harvard Business Review, Frost and Robinson discuss toxic handlers – managers who voluntarily shoulder the sadness, frustration, bitterness and anger of others so that high-quality work continues to get done. Managing the pain of others is hard work. Toxic handlers save organisations from self-destructing, but they often pay a high price – emotionally, professionally and sometimes physically. Some toxic handlers experience burnout; others suffer far worse consequences, such as ulcers and heart attacks. This article discusses burn out within healthcare and other industries, how it can happen and offers solutions. Free full text on sign up and registration.
  9. Content Article
    In this BMJ blog, Drs Blair Bigham and Amitha Kalaichandran discuss hospital culture of bullying and a culture of not speaking up. When hospitals fail to create a culture where doctors and nurses can speak up, patients pay the price.
  10. Content Article
    This paper from Kneebone et al, published in BMC's Advances in Simulations proposes simulation-based enactment of care as an innovative and fruitful means of engaging patients and clinicians to create collaborative solutions to healthcare issues.
  11. Content Article
    The Faculty of Medical Leadership and Management (FMLM) have developed a self-assessment tool for multi-professional healthcare teams, irrespective of their background or sector. Individuals, teams and organisations need clarity and support on how to establish and sustain high performing multi-professional healthcare teams. This self-assessment tool offers a simple and accessible measure of team performance to facilitate this process.
  12. Content Article
    The Center for Creative Leadership (CCL) in the United States has developed a model that health systems can use to adapt and thrive in uncertain times by creating direction, alignment and commitment.
  13. Content Article
    This guide, by NHS Improvement, contains key questions for chairs, chief executives and senior leaders about common barriers to clinicians taking part in senior organisational management. It addresses the NHS Long Term Plan priority around nurturing the next generation of leaders and supporting all those with the capability and ambition to reach the most senior levels of the service. It was developed in response to the 2018 recommendations to the Secretary of State for Health and Social Care to ensure more clinicians from all professional backgrounds take on strategic leadership roles.
  14. Content Article
    The Director of Medical Education (DME) at Oxford University NHS Foundation Trust developed a range of forums for junior doctor engagement with the trust, via representative groups, which meet, individually, with senior executives 10-12 times a year. These forums include a foundation year group, core medical trainee group, medical registrar group and more recently a surgical and anaesthetic group. Each group is chaired by a junior doctor, who sets the agenda and is responsible for organising the meetings. This structure emphasises that the forum’s agenda is focused on the needs and concerns of trainees, and encourages attendance and discussion.
  15. Content Article
    Dr George Findlay, Medical Director at Western Sussex Hospital NHS Foundation Trust, talks on the theme of 'Becoming well-led' and how leadership can deliver quality improvement through engaging and empowering staff.
  16. Content Article
    Inclusion is core to the NHS Constitution, yet it remains one of the biggest challenges that health systems face globally, nationally and systemically. In the face of a growing body of evidence, which demonstrates the critical role that inclusive leadership plays in ensuring that health and care systems operate most effectively for patients and public, it is incumbent upon us to ensure that leaders at all levels are equipped and capable of leading inclusively and effectively. 
  17. Content Article
    Nikki Davey, Clinical Human Factors Group Trustee, talks about how we might measure if a human factors intervention has been implemented on an operational basis.
  18. Content Article
    This paper, by Michael West, Regina Eckhart, David Altman and Bill Pasmore, from the King's Fund, written in partnership with the Center of Collective Leadership, shows how collective leadership can be implemented to deliver a sustainable culture change in improving patient care.
  19. Content Article
    Safety culture can be described as our: 1. Values (what is important) 2. Behaviours (the way we do things around here) 3. Beliefs (how things work). Safety culture has been shown to be a key predictor of safety performance in several industries. It is the difference between a safe organisation and an accident waiting to happen. Thinking and talking about our safety culture is essential for us to understand what we do well, and where we need to improve. NHS Education for Scotland (NES) has adapted these safety culture discussion cards (designed by EUROCONTROL) to help us to do this. Follow the link below to download the cards.
  20. Content Article
    The world today is highly complex and fast changing. New technologies become available and change the way we work, communicate and live our lives. The complex socio-economic and socio-political systems can make it difficult to anticipate the needs and requirements of tomorrow. This article discusses issues organisations have to deal with and the benefit of becoming more human-centred with help of a model aiming to influence organisations on policy level.
  21. Content Article
    Author Hugh MacLeod host's this fourth episode in the ISQua Podcast series. "We do not make stuff in healthcare, we deliver care to people through people. When the relationship patterns between people are connected and healthy quality and patient safety magic happens, when they are not connected nor healthy, things fall through the cracks and patient harm and death occurs."
  22. Content Article
    This one-hour webinar considers the redesign of the patients journey and experience. Using theories that rethink the relationship between provider and ‘customer or client’, it explores co-producing better care relevant to any speciality, environment or healthcare system. This will include some practical examples learners can adapt to their own situation. By the end of the session learners will be familiar with a framework that can enable teams to work with patients to build safer, more effective and efficient care that is focused on what matters to patients and families as well as excellent performance from the team.
  23. Content Article
    Strengthening a safety culture necessitates interventions that simultaneously enable, enact and elaborate in a way that is attuned to the existing culture. Through a literature review of more than 60 resources, a Patient Safety Culture Bundle has been created and validated through interviews with Canadian thought leaders. The Bundle is based on a set of evidence-based practices that must all be applied in order to deliver good care. All components are required to improve the patient safety culture. The Patient Safety Culture "Bundle" for CEOs and Senior Leaders encompasses key concepts of safety science, implementation science, just culture, psychological safety, staff safety/health, patient and family engagement, disruptive behavior, high reliability/resilience, patient safety measurement, frontline leadership, physician leadership, staff engagement, teamwork/communication, and industry-wide standardisation/alignment.
  24. Content Article
    Helen is a Consultant Anaesthetist at the Oxford University Hospitals NHS Foundation Trust (OUHFT) and a Senior Clinical Research Fellow in the Nuffield Department of Clinical Neurosciences, University of Oxford. Here, Helen highlights the importance of support and training and gives an example of how the OxSTaR team are transforming staff teamworking skills and improving patient safety.
  25. Content Article
    This is part 5 of a series of blogs about human factors and investigations in healthcare. The theme is ‘when’ and that covers ‘when’ to investigate and ‘when’ to try any remedies or interventions your investigation data suggests might prevent the incident occurring again. As this blog can be explained by a photo and a graph, we have some time to recap the story so far and, perhaps, predict a bit of the future. 
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