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Showing results for tags 'Work / environment factors'.
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News Article
Hospital turns away patients as heatwave forces critical incident
Patient Safety Learning posted a news article in News
Patients may be turned away at A&E in Portsmouth as the UK’s heatwave drives extreme hospital pressures. Staffing pressures coupled with additional strain from the current heatwave have forced Portsmouth Hospitals University Foundation Trust to declare a critical incident. The trust said it only had space in its emergency department for patients with life-threatening illnesses and critical conditions and so would be forced to redirect other patients elsewhere. In a statement, Portsmouth Hospitals University FT said: “Our emergency department remains full with patients and we have very limited space to treat emergency patients. We are only able to treat patients with life-threatening conditions and injuries, so anyone patients who arrive at ED without a life-threatening condition or injury, will be redirected to alternative services that can help... “Our immediate priority is to ensure there are beds available to admit our most seriously ill patients into and we are focusing on safely discharging as many patients as possible. We ask that families and loved ones support us with this and collect patients as soon as they are ready to be discharged.” Read full story Source: The Independent, 11 July 2022- Posted
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- Patient safety incident
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Content ArticleThis month an inquiry will deliver its verdict on the failures of maternity care at the Shrewsbury and Telford Hospital NHS Trust, the largest maternity scandal in NHS history, involving 1,862 families. The result of this inquiry will highlight how we may need to reconfigure maternity services to ensure the highest standard of care. But what does good really look like? Is there really a way to be a safe maternity unit? At last year's Patient Safety Congress, one of the sessions aimed to answer these questions. The panel discussed behaviours and practices that constitute safe care in hospital-based maternity units, and how organisations can take practical steps to make these features a reality. Click on the video below to watch the full session.
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Content ArticleThis article, published in PLoS One, explores how occupational worker wellness and safety climate are key determinants of healthcare organisations' ability to reduce medical harm to patients while supporting their employees. A longitudinal study was carried out to evaluate the association between work environment characteristics and the patient safety climate in hospital units, and concludes that improvements in working conditions are needed for enhancing patient safety.
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- Workforce management
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Content ArticleThere is great disparity in the way we think about and address different sources of environmental infection. Governments have for decades promulgated a large amount of legislation and invested heavily in food safety, sanitation, and drinking water for public health purposes. By contrast, airborne pathogens and respiratory infections, whether seasonal influenza or COVID-19, are addressed fairly weakly, if at all, in terms of regulations, standards, and building design and operation, pertaining to the air we breathe. We suggest that the rapid growth in our understanding of the mechanisms behind respiratory infection transmission should drive a paradigm shift in how we view and address the transmission of respiratory infections to protect against unnecessary suffering and economic losses. It starts with a recognition that preventing respiratory infection, like reducing waterborne or foodborne disease, is a tractable problem.
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Content ArticleWhen COVID-19 struck, many doctors helped out by willingly changing the way they worked. The BMJ hears some of their stories, including from Michael Farquhar, Paediatric sleep consultant at the Evelina London Children’s Hospital, and Alice Findlay, Retired former emergency medicine consultant at Dartford and Gravesham NHS Trust.
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Content ArticleA new BMJ Open study from Grimmond et al. compared global warming potential of hospitals converting from single-use sharps containers to reusable sharps containers. The study reveals that, on average, the 40 NHS trusts studied when converting from single use to reusable sharps containers reduced their sharps waste stream carbon footprint by 84%.
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Content ArticleThis webinar from the Chartered Institute of Ergonomics & Human Factors is about boosting organisational and personal performance by recognising, measuring and promoting wellness. It describes the development and application of indices to measure wellness using a 'Whole Life - Whole Organisation' approach. Topics include: Ways for organisations to improve key performance indicators such as sales, productivity, customer service, reduction in accidents, quality, safety/liability, people retention, absence, presenteeism and levels of engagement/motivation Access to new software and management intelligence to support and implement a 3D next generation organisational improvement approach New certifications such as Certificate in Personal Performance - Wellness Management Global Wellness Indices for Healthcare, Hybrid Workers, Hazardous Industries and Universities (staff and students) New research and development and the growing international community of organisations and people active in Performance – Wellness – Health
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News Article
Trust served with CQC warning notice over ‘culture’ and governance concerns
Patient-Safety-Learning posted a news article in News
Nottingham University Hospitals Trust has been served with a section 29a warning notice by the Care Quality Commission requiring it to ensure a ‘more positive culture’. A CQC spokeswoman confirmed: “The trust was issued with a warning notice requiring it to take action to improve corporate and clinical governance and oversight of risk, and to ensure a more positive, open and supportive culture across the organisation. We will report on the full findings from the inspection as soon as we are able to.” Although it is still not clear why the warning was issued, the trust is currently engaged in concerns over their accident and emergency department and maternity services. “We accept the CQC’s comments and work is already underway to learn from the findings and make improvements so that the organisation is led as effectively as possible and we continue to provide world class care for our patients.” Nottingham University Hospitals Trust acting chief executive and chief finance officer Rupert Egginton has said. Read full story (paywalled). Source: HSJ, 18 August 2021- Posted
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News Article
Fifty senior doctors ask CEO for protection against bullying
Patient-Safety-Learning posted a news article in News
Fifty senior consultants from a minority ethnic background at University Hospitals North Midlands have written to Tracy Bullock and trust chair David Wakefield asking for action to ‘protect’ staff from bullying behaviours following an internal survey in which 348 medics claimed to have experienced bullying and harassment. In a subsequent letter on 5 August, seen by HSJ, 50 doctors have now said: “We are forced to express our concerns over the prevailing poor culture within our organisation with most senior medical staff presently reporting they have suffered or witnessed first-hand discrimination, bullying, harassment, or victimisation. We… ask for urgent action by the executive and non-executive boards to immediately implement measures to protect senior medical staff from unacceptable ill-treatment.” A separate external review is now understood to have been commissioned amid concerns over bullying within ophthalmology services. Read full story (paywalled). Source: HSJ, 19 August 2021- Posted
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News Article
Senior trust medics complain of ‘excessively authoritarian’ management
Patient-Safety-Learning posted a news article in News
Senior doctors in the radiology services at the University Hospitals North Midlands Trust have reported a ‘toxic’ culture and feelings that managers had been ‘excessively authoritarian’. In a letter sent by medical director John Oxtoby on 13 July, consultants who had been interviewed as part of an external review, have reported the culture within the department was “unhealthy and even toxic, and that this was impacting to some degree nearly all of the consultants interviewed” “It is clear from this work that as well as the need to tackle working relationships and some behaviours in the department, there is a huge amount of collective pride in the services delivered by the department.” Said Mr Oxtoby. Read full story (paywalled). Source: HSJ, 3 August 2021- Posted
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News Article
‘We went from heroes to zeroes’: US nurses strike over work conditions
Patient-Safety-Learning posted a news article in News
In April of last year, many people in America came out and cheered for the healthcare workers fighting to save lives during the height of the coronavirus pandemic, but now, nurses across the US are holding strikes due to staff shortages and inadequate equipment amid the pandemic. “Most of us felt like we went from heroes to zeroes quickly,” says Dominique Muldoon, a nurse for more than 20 years at Saint Vincent’s hospital in Worcester, Massachusetts. Muldoon, co-chair of the local bargaining unit has also said nurses are going home crying in their cars, working through breaks and staying up late just to get the work done as demand for patient care has increased. “You’ll end up staying late or working through your break trying to fit the workload all in, but ultimately become so frustrated, because eventually you keep trying to overcompensate and cannot keep up with it." Muldoon has said. Read full story. Source: The Guardian, 30 July 2021- Posted
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Content Article
RCOG: Workplace Behaviour Toolkit
Patient-Safety-Learning posted an article in Good practice
A resource developed in collaboration with RCOG, Royal College of Midwives and Civility Saves Lives. The toolkit comprises of 8 modules and includes tools to: support the development of positive workplace culture support you when you encounter poor workplace behaviours strengthen your skills and confidence in 'speaking up' promote an understanding of what poor workplace behaviour looks like and its impact on individuals, teams, organisations and importantly the women and families we care for. -
News Article
Senior doctors may take industrial action if 1% pay rise offer is not improved
Patient-Safety-Learning posted a news article in News
England's senior doctors may take industrial action if the offer of 1% pay rise is not improved. Paid and unpaid overtime may be stopped if the figure is not increased to at least 4% says the British Medical Association. The BMA have also said industrial action may impact patient clinics and attempts to shorten waiting lists if it goes ahead. The Department of Health has said the government was committed to a wage rise for NHS staff, including consultants. Read full story. Source: BBC, 2 July 2021 -
News Article
RCN insists pay rise for NHS staff would help morale
Patient-Safety-Learning posted a news article in News
A letter signed by the Royal College of Nursing, UNISON and Royal College of Midwives have called for a higher pay rise for NHS staff. In their letter, they explain that currently, staff are experiencing high levels of exhaustion, and that a pay rise would help convince staff members to stay in their roles and raise morale after facing the challenges of the pandemic. According to the article, the Royal College of Nursing is calling for a 12.5% pay increase for NHS staff on Agenda for Change contracts. Read full story. Source: Royal College of Nursing, 29 June 2021- Posted
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- Work / environment factors
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News Article
New flexible working rights for NHS staff first day in post
Patient-Safety-Learning posted a news article in News
NHS staff will now be able to request flexible working arrangements from the first day in post. Previously, staff had to be in service for at least 6 months before they could put in a request. It has been found a lack of work-life balance was a significant cause of why staff left the healthcare service. The new rule will come into effect on 13 September 2021 and staff will be allowed to make an unlimited number of flexible working applications and submit them without justification or provide specific reasons. Read full story. Source: Royal College of Nursing, 29 June 2021- Posted
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Content ArticleAs a team, this worksheet can be used as a prompt to highlight the various system-wide factors that contribute to the issue at hand (e.g. implementing a new way of working; managing change or learning from a safety incident); seek to understand how these factors relate and interact to produce outcomes (desirable or undesirable).
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- Human factors
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EventuntilThroughout the COVID-19 pandemic health and care staff have been working in different ways and designing new ways to meet the needs of patients and service users, all while under a huge amount of pressure. This event from the King's Fund will take a look at some examples of those changes and how people working in health and care have been working remotely, flexibly and in an agile way to meet the demands created by the pandemic and to develop new and improved ways of working for the future. Sign up now to hear about: the role of visible, collaborative and inclusive leadership to support staff and allow innovation how to keep staff health and wellbeing a priority while also delivering change how teams across health and care were able to be upskilled and remain flexible for these new ways of working. Register
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- Work / environment factors
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Content ArticleHave you ever come across a ‘problematic solution’ that was implemented in your workplace, and wondered, “How did this come to be?” Wherever you sit in an organisation, the chances are that you have. Many problematic solutions emerge from a top-down process that Steven Shorrock in this blog will call work-as-imagined solutioneering. In this post, he outlines a typical process of 10 steps by which problematic solutions come into being. Some of the steps may be skipped, but with the same outcome: a problematic solution. At the end of the post, you will find 10 ‘solutions’ from healthcare, provided by healthcare practitioners.
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Content ArticleOrganisations expect to see consistency in the decisions of their employees, but humans are unreliable. Judgments can vary a great deal from one individual to the next, even when people are in the same role and supposedly following the same guidelines. And irrelevant factors, such as mood and the weather, can change one person’s decisions from occasion to occasion. This chance variability of decisions is called noise, and it is surprisingly costly to companies, which are usually completely unaware of it.
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- Decision making
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News ArticleNHS workers are at breaking point after months of upheaval and high pressure during the coronavirus outbreak with hospital leaders warning the health service is facing a “perfect storm” of workforce shortages and a second wave of COVID-19. In a survey of 140 NHS trust leaders almost all of them said they were worried about their staff suffering burnout ahead of winter. They also sounded the alarm over concerns there had not been enough investment into social care before this winter. NHS Providers, which carried out the survey ahead of its annual conference of hospital leaders, warned the first wave of COVID-19 had made a lasting impact on the health service which had yet to fully recover. Chris Hopson, chief executive of NHS Providers, which represents NHS trusts, said there had been “no let-up in the pressure” during the pandemic, which followed a difficult winter for staff. “And while the response to the spring surge in COVID-19 cases showed the NHS at its best, the pressures took their toll on staff who gave so much,” he said. “The worry is that the sustained physical, psychological and emotional pressure on health staff is threatening to push them beyond their limits of endurance.” Almost all those who responded to the survey, 99 per cent, said they were either extremely or moderately concerned about the current level of burnout across the workforce. Read full story Source: The Independent, 6 October 2020
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Content ArticleA lower recruitment and high turnover rate of registered nurses have resulted in a global shortage of nurses. In the UK, prior to the COVID-19 epidemic, nurses’ intention to leave rates were between 30 and 50% suggesting a high level of job dissatisfaction. In this study, published in BMC Nursing, Senek et al. analysed data from a cross-sectional mixed-methods survey developed by the Royal College of Nursing and administered to the nursing workforce across all four UK nations, to explore the levels of dissatisfaction and demoralisation – one of the predictors of nurses’ intention to leave.
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- Research
- Recruitment
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Content ArticleRIDDOR puts duties on employers, the self-employed and people in control of work premises (the Responsible Person) to report certain serious workplace accidents, occupational diseases and specified dangerous occurrences (near misses). There is no requirement under RIDDOR (The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013) to report incidents of disease or deaths of members of the public, patients, care home residents or service users from COVID-19. The reporting requirements relating to cases of, or deaths from, COVID-19 under RIDDOR apply only to occupational exposure, that is, as a result of a person’s work.
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Content ArticleThe objective of this review from Alani et al. is to draw attention to the risk factors, causes and prevention of surgical fires in facial plastic and reconstructive surgery performed under local anaesthesia and sedation using a review of the literature.
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- Surgery - Oral and maxillofacial
- Oxygen / gas / vapour
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Content Article
Occupational health and safety ISO 45001
Patient Safety Learning posted an article in Applying standards
ISO 45001, Occupational health and safety management systems – Requirements with guidance for use, is the world’s first International Standard for occupational health and safety (OH&S). It provides a framework to increase safety, reduce workplace risks and enhance health and well-being at work, enabling an organisation to proactively improve its OH&S performance- Posted
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- Occupational medicine
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Content ArticleThe purpose of this Global Framework for National Occupational Health Programmes for Health Workers, as directed by the WHO Global Plan of Action (GPA) on Workers’ Health (2008–17) and consistent with the ILO Promotional Framework for Occupational Safety and Health Convention, 2006 (No. 187), is to strengthen health systems and the design of healthcare settings with the goal of improving health worker health and safety, patient safety and quality of patient care, and ultimately support a healthy and sustainable community with links to Greening Health Sector and Green Jobs initiatives.
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- Staff safety
- Health and safety
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