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Showing results for tags 'Work / environment factors'.
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Content ArticlePhysicians, particularly trainees and those in surgical subspecialties, are at risk for burnout. Mistreatment (i.e., discrimination, verbal or physical abuse, and sexual harassment) may contribute to burnout and suicidal thoughts. In a study published in NEJM, Hu et al. carried out a cross-sectional national survey of general surgery residents administered with the 2018 American Board of Surgery In-Training Examination assessed mistreatment, burnout (evaluated with the use of the modified Maslach Burnout Inventory), and suicidal thoughts during the past year. They found mistreatment occurs frequently among general surgery residents, especially women, and is associated with burnout and suicidal thoughts.
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- Fatigue / exhaustion
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Content Article
Caring for doctors, caring for patients (November 2019)
Claire Cox posted an article in Workforce and resources
Patient safety depends on doctors’ well-being. Medicine is a tough job, but it's made it far harder than it should be by neglecting the simple basics in caring for doctors’ well-being. The well-being of doctors is vital because there is abundant evidence that workplace stress in healthcare organisations affects quality of care for patients as well as doctors’ own health. In 2018 the General Medical Council asked Professor Michael West and Dame Denise Coia to carry out a UK-wide review into the factors which impact on the mental health and well-being of medical students and doctors. The detailed practical proposals in this report provide a road map to health service leaders faced with the challenge of developing healthy and sustainable workforces. -
Content ArticleIncreased concern for patient safety has put the issue at the top of the agenda of practitioners, hospitals, and even governments. The risks to patients are many and diverse, and the complexity of the healthcare system that delivers them is huge. Yet the discourse is often oversimplified and underdeveloped. Written from a scientific, human factors perspective, Patient Safety: A Human Factors Approach delineates a method that can enlighten and clarify this discourse as well as put us on a better path to correcting the issues.
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- Human error
- Organisation / service factors
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Content ArticleEvery clinical laboratory devotes considerable resources to Quality Control (QC). Recently, the advent of concepts such as Analytical Goals, Biological Variation, Six Sigma and Risk Management have generated a renewed interest in the way to perform QC. The objective of this book is to propose a roadmap for the application of an integrated QC protocol that ensures the safety of patient results in the everyday lab routine.
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- Tests / investigations
- Workspace design
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Re-ACT Talks – child deterioration: human factors (March 2015)
Claire Cox posted an article in Paediatrics
Child deterioration: human factors is a presentation by Peter-Marc Fortune, Consultant Paediatric Intensivist, Associate Clinical Head, Royal Manchester Children’s Hospital.- Posted
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- Work / environment factors
- Deterioration
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Content Article
Museum of failure
Claire Cox posted an article in Miscellaneous
Museum of Failure is a collection of failed products and services from around the world. The majority of all innovation projects fail and the museum showcases these failures to provide visitors a fascinating learning experience. Every item provides unique insight into the risky business of innovation.The idea for the museum was born out of frustration. ‘I was so tired of reading and hearing the same boring success stories, they are all alike’ says the museum’s curator, Samuel West. ‘It is in the failures we find the interesting stories that we can learn from.’ Innovation and progress require an acceptance of failure. The museum aims to stimulate discussion about failure and inspire us to have the courage to take meaningful risks.Could we learn from our 'failures' in healthcare in the same way?- Posted
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- Perception / understanding
- Physical environment
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The ‘C’ word (May 2017)
Claire Cox posted an article in Other countries and national agencies
The ‘c’ word, 'cost' is often used to defend the status quo in patent safety. This article, published by PatientSafe Network, highlights the importance of assessing the financial loss in not introducing the safety intervention. It includes examples on how to overcome barriers like 'we don't have the money for that' when it comes to delivering safer care. After all, the price of safer care is priceless- Posted
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- Organisation / service factors
- Skills gap
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Why is psychological safety being ignored?
Claire Cox posted an article in Motivating staff
John Dobbin is the editor of Thinking Digitally. Here he has written a blog on some of the barriers to psychological safety and why it is being ignored in the work place.- Posted
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- Communication problems
- Stress
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Content ArticleFollowing a reported death, the National Patient Safety Agency (NPSA) commissioned the Health and Safety Executive to undertake fire hazard testing with white soft paraffin on a variety of bandages, dressings and clothing. The results showed the ability to reproduce the fire hazard in a controlled environment. This risk was not previously well recognised.
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- Health and safety
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Content ArticleOperating theatre fires remain an uncommon but real safety risk for patients undergoing nearly all types of procedures, and despite ongoing safety initiatives, occur more commonly than wrong-site surgeries. One of the most compelling cases for safety improvement in the surgical setting is within this area. Combining the simple steps of operating theatre team education; improving lines of communication between surgeons, anaesthetists, and operating theatre nurses or practitioners; and the deliberate separation of the elements of the fire triangle can almost completely eliminate the incidence of surgical fires. In this brief review, Cowles Jr and Culp Jr hope that readers will be able to reduce the risk of surgical fires effectively by the application of the safety principles described.
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- Surgery - General
- Health hazards
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Content ArticleA surgical fire is potentially devastating for a patient. Fire has been recognised as a potential complication of surgery for many years. Surgical fires continue to happen with alarming frequency. Yardley and Donaldson present a review of the literature and an examination of possible solutions to this problem.
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- Surgery - General
- Risk management
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Content ArticleOver the last two decades, safety improvements have flat-lined (as measured in fatalities and serious injury rates, for instance) despite a vast expansion of compliance and bureaucracy. The cost of compliance and bureaucracy can be mind-boggling – up to 10% of GDP, with every person working some 8 weeks per year just to cover the cost of compliance, paperwork and bureaucratic accountability demands. This is non-productive time. It has also stopped progressing safety.
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- System safety
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WHO: From cooks to counsellors: keeping patients safe from harm
Claire Cox posted an article in WHO
With people living longer and with multiple chronic conditions, medical care has become more complex and is being offered in diverse settings. Over the last decades, healthcare workers have had to adapt to this changing landscape and continuously learn to improve patient safety. This article from the World Health Organization (WHO) demonstrates that it is not just healthcare workers that need to think about patient safety, it is everyone's business, from cooks to janitors.- Posted
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Content ArticleHealthcare systems are under stress as never before. An ageing population, increasing complexity and comorbidities, continual innovation, the ambition to allow unfettered access to care and the demands on professionals contrast sharply with the limited capacity of healthcare systems and the realities of financial austerity. This tension inevitably brings new and potentially serious hazards for patients and means that the overall quality of care frequently falls short of the standard expected by both patients and professionals. The early ambition of achieving consistently safe and high-quality care for all1 has not been realised and patients continue to be placed at risk. In this paper published in BMJ Quality & Safety, Amalberti and Vincent discuss the strategies we might adopt to protect patients when healthcare systems and organisations are under stress and simply cannot provide the standard of care they aspire to.
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- Work / environment factors
- System safety
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Content Article
Work as is done, work as imagined
Anonymous posted an article in Florence in the Machine
This blog highlights: The juxtaposition of how work is carried out by healthcare staff compared to the work that policy makers are 'imagining' healthcare workers are doing. The need for healthcare staff to be part of patient safety solutions.- Posted
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- Near miss
- Hospital ward
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Content Article
Healthcare for offenders (last updated October 2019)
Patient Safety Learning posted an article in Prison setting
How offender healthcare is managed in prisons and in the community.- Posted
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- Prison
- Prison warden
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Community Post
Bricks and Mortarboards
Pete Smith posted a topic in Patient engagement
- Workspace design
- User-centred design
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When you enter a hospital, be it as a patient or a member of staff, an interesting thing happens. The glass doors close behind you and you are irretrievably in a different existential space. Outside, beyond that threshold is the material world. But inside you are a new Jonah having been swallowed by a mammoth whale I’m interested in exploring that existential space in the interests of quantifying the healing environment.- Posted
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- Workspace design
- User-centred design
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Content Article
Thinking, fast and slow, by Daniel Kahneman
Claire Cox posted an article in Recommended books and literature
International bestseller by Daniel Kahneman, about making decisions.- Posted
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- Confirmation bias
- Decision making
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Content ArticleDr Michael Farquhar, Consultant in Sleep Medicine at Evelina London Children's Hospital, gives an ARIES talk on how fatigue affects the body and the potential impact on anaesthetists and patients.
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- Anaesthetist
- Nurse
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Content ArticleISO 45001 is an international standard for health and safety at work developed by national and international standards committees independent of government. Introduced in March 2018, it replaces the current standard (BS OHSAS 18001) which will be withdrawn. Businesses have a three-year period to move from the old standard to the new one. You're not required by law to implement ISO 45001 or other similar management standards, but they can help provide a structured framework for ensuring a safe and healthy workplace.
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- Standards
- Health and safety
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Content Article
Human error: models and management
Claire Cox posted an article in Improving patient safety
In this BMJ article, James Reason discusses how the human error problem can be viewed in two ways: the person approach and the system approach. Each has its model of error causation and each model gives rise to quite different philosophies of error management. Understanding these differences has important practical implications for coping with the ever present risk of mishaps in clinical practice.- Posted
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- Cognitive tasks
- Distractions/ interruptions
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Content Article
Professor Peter Brennan's top ten tips for making life work better
Claire Cox posted an article in Motivating staff
Professor Brennan gives his ten top tips to improve wellbeing, team working and improved patient safety. Professor Brennan is an Honorary Fellow of the Royal College of Physicians and Surgeons of Glasgow and a Consultant Surgeon at Queen Alexandra Hospital Portsmouth.- Posted
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- Fatigue / exhaustion
- External factors
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Content ArticleThis improvement resource set out by the National Quality Board is to help standardise safe, sustainable and productive staffing decisions in maternity services. This is an improvement resource to support staffing in maternity settings. It describes the principles for safe maternity staffing across the multiprofessional team to ensure women and their families receive joined-up care appropriate to their needs and wishes. The purpose of this resource is to help providers of NHS-commissioned services, boards and executive directors to support their head/director of midwifery and other lead professionals in implementing safe staffing for maternity settings. NHS provider boards are accountable for ensuring their organisation has the right culture, leadership and skills for safe, sustainable and productive staffing.
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Content ArticleIn 2016, thirteen organisations from health, social care and local government came together to create the Developing People Improving Care framework, an evidence-based national framework to guide action on improvement skill-building, leadership development and talent management for people in NHS-funded roles. One year on, NHS Improvement highlight some of the work taking place, demonstrating the steps people are already taking to ensure systems of compassion, inclusion and improvement are at the core of the health and care system. They also set out plans for the year ahead and some of the steps you can take to learn more about the framework.
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- Staff factors
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Content ArticleThe 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.
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- Hospital ward
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- Post-op period
- Follow up
- ED admission
- Diagnosis
- Monitoring
- Routine checkup
- Reports / results
- Clinical process
- Work / environment factors
- Competence
- Caldicott Guardian
- Accountability
- Communication
- Culture of fear
- Duty of Candour
- Organisational development
- Organisational culture
- Leadership style
- Just Culture
- Organisational Performance
- Safety culture
- Safety management
- Team culture
- Workforce management
- Hierarchy
- Standards
- Clinical governance