Included in the blog are several resources to help Allied Health Professionals (AHPs) feed in to the process.
The graphic below has been developed to support AHPs to consider the different ways they may be able to evidence the impact of new working practices. It includes a section on safety, encouraging people to reflect and report on any errors or any actions that have either resulted in harm or improved safety.
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 fairly no matter what their staff group, profession or background. This has similarities with the approach being taken by a number of NHS trusts to reduce disproportionate disciplinary action against black and minority ethnic staff.
This guide should not be used routinely. It should only be used when there is already suspicion that a member of staff requires some support or management to work safely, or as part of an individual practitioner performance/case investigation. Remember, you have moved into individual practitioner performance investigation when it is suggested a single individual needs support to work safely (including training, supervision, reflective practice, or disciplinary action), as opposed to where a whole cohort of staff has been identified, which would be examined as part of a safety investigation.
The guide does not replace the need for patient safety investigation and should not be used as a routine or integral part of a patient safety investigation. This is because the aim of those investigations is system learning and improvement. As a result decisions on avoidability, blame, or the management of individual staff are excluded from safety investigations to limit the adverse effect this can have on opportunities for system learning and improvement.
This guide reflects our best current understanding on how to apply the principles of a just culture in practice, in what is a live area of both academic and practical debate.
This project will involve an action research, whole team approach to effective management of fatigue in theatre and labour ward teams during the night shift. The interventions will involve educating night shift workers about the impact of fatigue on work performance, and holding focus groups to explore experiences of fatigue, and suggested ways of mitigating night shift tiredness. Ideas will then be tested out, before the strategy is finalised and implemented.
During the testing, staff will use wearable activity monitors and an app, which will help demonstrate the impact of new processes.
This participatory approach and the interventions should improve team working at night, with breaks and powernaps built into the work schedule. This may improve decision-making, the management of emergencies, patient and staff safety, and staff morale.
This project is currently underway and will be completed in March 2020.
This study confirmed that the most influential factors in the decision to use assistive devices for patient transfers are time constraints and difficult patient-handling situations. These factors lead to infrequent use of assistive devices, especially mechanical devices that are difficult to retrieve or not readily available.
This editorial by Dr Michael Farquhar, published in Anaesthesia, explains the importance of taking breaks while on shift and ensuring a good sleep between shifts and the inextricable link between sleep and patient safety.
This toolkit includes:
The Productive Leader
The Productive Ward
The Productive Mental Health Ward
The Productive Operating Theatre
Productive Community Services
The Productive Community Hospital
If you work in the NHS or social care you can access online (downloadable PDF) versions of the boxsets free of charge. To get your copy, email firstname.lastname@example.org.