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Showing results for tags 'Work / environment factors'.
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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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Content Article
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 Article
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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- Work / environment factors
- Team culture
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(and 1 more)
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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 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
- Work / environment factors
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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
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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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
- Appointment
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(and 34 more)
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- Hospital ward
- Appointment
- Care assessment
- Care coordination
- Care goals
- Care navigation
- Care plan
- Pre-admission
- Treatment
- 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
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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
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 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 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
- Work / environment factors
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Content Article
PSNet: Systems Approach
Claire Cox posted an article in In health care
The Patient Safety Network (PSNet) discuss a case of a 65 year old who went in for one operation, but ended up having a completely different operation.- Posted
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- Surgery - General
- Patient harmed
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Content ArticleThis project is led by the Department of Anaesthesia at Newcastle upon Tyne NHS Foundation Trust, in partnership with Northumbria University Newcastle. The aim is to co-design a fatigue risk management strategy at the Trust to help teams effectively manage night shift fatigue.
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- Hospital ward
- AHP
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Content Article
Patient safety: common misunderstandings (IHI March 2017)
Claire Cox posted an article in Improving systems of care
What patient safety beliefs get in the way of preventing harm? In this video, the Institute for Healthcare Improvement's (IHI) Frank Federico lists some common misunderstandings, including the tendency to think of the Institute of Medicine’s six quality aims for improvement in silos.- Posted
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- Skills gap
- Competence
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Content Article
Releasing Time to care, The NHS Productive Series (NHS Improvement)
Claire Cox posted an article in Environmental
The successful NHS Productives series, from NHS Improvement, are about ‘the how not the what’ and use a learning by doing approach that builds knowledge and skills to support frontline teams to make real and lasting improvements for themselves.- Posted
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- Accident and Emergency
- Community care facility
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Content ArticleThe Safer Nursing Care Tool has been developed by the Shelford Group to help NHS hospital staff measure patient acuity and/or dependency to inform evidence-based decision making on staffing and workforce. The tool, when allied to Nurse Sensitive Indicators (NSIs), offers nurses a reliable method against which to deliver evidence-based workforce plans to support existing services or to develop new services. The Shelford Group is an organisation comprising Chief Executives of 10 of the leading NHS multi-specialty academic healthcare organisations in England. The Chief Nurses of each of these NHS Trusts belong to a subgroup of the organisation and they meet every two months to share best-practice, benchmark and work towards improving standards in nursing.
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- Work / environment factors
- Organisation / service factors
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Content Article
The Heinrich/Bird safety pyramid
Claire Cox posted an article in In health care
Herbert W. Heinrich was a pioneering occupational safety researcher, whose 1931 publication, Industrial Accident Prevention: A Scientific Approach [Heinrich 1931] was based on the analysis of accident data collected by his employer, a large insurance company.- Posted
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- Near miss
- Skills gap
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Content ArticlePatient Safety Learning speaks to Ben Tipney, Managing Director of MedLed and the hub topic lead in Human Factors, about how healthcare can achieve high performance and learn from other industries, including from the sports industry.
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- Communication problems
- Work / environment factors
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Content Article
Safer staffing - guidance from NHS Improvement
Patient Safety Learning posted an article in Safe staffing levels
NHS Improvement provide general guidance and a starting point towards delivering effective safer staffing.- Posted
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- Work / environment factors
- Organisation / service factors
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Content Article
WHO Safe Childbirth Checklist (December 2015)
Patient Safety Learning posted an article in WHO
Of the more than 130 million births occurring each year, an estimated 303 000 result in the mother’s death, 2.6 million in stillbirth, and another 2.7 million in a newborn death within the first 28 days of birth. The majority of these deaths occur in low-resource settings and most could be prevented. The World Health Organization (WHO) has produced a safe birth checklist. -
Content Article
Dirty Dozen and COVID-19 (webinar, May 2020)
Claire Cox posted an article in Coronavirus (COVID-19)
There are fears around maintaining personal safety whilst ensuring patient safety. Staff need to protect both themselves and their families at home. Equally, it is essential that staff feel supported in identifying risks and the potential for errors with a robust mechanism in place to reduce, eliminate or mitigate such risks. The Human Factors 'Dirty Dozen' is a concept developed by Gordon DuPont. He described elements that can act as precursors to accidents or incidents, or influence people to make mistakes. This webinar, from the Clinical Excellence Commission, looks at ways you can identify risks or 'hot spots' in your area of work and then discuss with your team at handover and huddles and plan strategies to reduce, eliminate or mitigate the risks- Posted
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- Staff safety
- Safety II
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Content Article
Association for Anaesthetists: Tips for night shifts
Claire Cox posted an article in Motivating staff
The Association for Anaesthetists have produced some 'top tips' for night shift workers. What tips do you have to keep you feeling well overnight?- Posted
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- Fatigue / exhaustion
- Job design
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