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Showing results for tags 'Civility'.
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EventThe next LFE conference is booked for 14 Nov 2025, in the same venue as last year - the Rep Theatre, Birmingham. Following on from the theme of our last event "Hope", we have chosen to theme this event "Wonder". We already have several amazing guests lined up to share their wisdom and inspiration with us, more to follow. Topics for the day will include forgiveness, charity, wellbeing, compassion, safety-II and much more. Once again, we will be working in partnership with Civility Saves Lives Please indicate if you are interested to attend by registering on this link. Further details will follow later in the year.
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EventuntilJoin leaders in patient safety, resident doctors, and medical students for an event that will leave you feeling inspired with fresh ideas and practical solutions to implement within your organisation and team. The event will showcase a diverse range of projects from delegates, covering various medical fields with a central focus on patient safety. Themed talks and workshops will highlight the importance of clinician safety and well-being as fundamental to providing the safest patient care. You will have the chance to compete for prizes, including awards for the best oral presentation and an audience vote for the best poster. The submission deadline for abstracts for the poster competition has now been extended to 26 September. This year's conference theme focuses on the critical connection between clinician self-care and patient safety. We will explore topics such as psychological safety and workplace civility, and gain insights from a wide array of patient safety projects presented by our delegates. Don't miss this opportunity to be part of a transformative experience dedicated to enhancing patient safety through the well-being of healthcare providers. The Patient Safety Section: Students and trainees prize will also be presented and awarded in this event. Register
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Event
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Content ArticleThe aim of this study in the journal Pediatrics was to explore the impact of rudeness on the performance of medical teams. Twenty-four NICU teams participated in a training simulation involving a preterm infant whose condition acutely deteriorated due to necrotizing enterocolitis. Participants were informed that a foreign expert on team reflexivity in medicine would observe them. Teams were randomly assigned to either exposure to rudeness (in which the expert’s comments included mildly rude statements completely unrelated to the teams’ performance) or control (neutral comments). The videotaped simulation sessions were evaluated by three independent judges (blinded to team exposure) who used structured questionnaires to assess team performance, information-sharing and help-seeking. The authors concluded that rudeness had adverse consequences on the diagnostic and procedural performance of NICU team members. Information-sharing mediated the adverse effect of rudeness on diagnostic performance, and help-seeking mediated the effect of rudeness on procedural performance.
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Content ArticleAt a recent Patient Safety Management Network meeting, Hester Wain, Head of Patient Safety Policy at NHS England, and Dr Matt Hill, Consultant Anaesthetist, University Hospitals Plymouth NHS Trust & National Clinical Advisor on Safety Culture at NHS England, presented slides on patient safety culture. Download the presentation slides from the attachment below.
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Content ArticleImproving patient safety culture – a practical guide, developed in association with the AHSN Network, brings together existing approaches to shifting safety culture as a resource to support teams to understand their safety culture and how to approach improving it. It is intended to be used across health and social care to support everyone to improve the safety culture in their organisation or area. The guide specifically focuses on: teamwork communication just culture psychological safety promoting diversity and inclusive behaviours civility. Teams should use the guide to find a way to start to improve their culture that is most relevant to their local context. It will support teams to explore different approaches to help them to create windows into their daily work to help them to understand their local safety culture.
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Content ArticleIncivility in the workplace, school and political system in the United States has permeated mass and social media in recent years and has also been recognized as a detrimental factor in medical education. This scoping review in BMC Medical Education identified research on incivility involving medical students, residents, fellows and faculty in North America to describe multiple aspects of incivility in medical education settings published since 2000. The results of the review highlight that incivility is likely to be under-reported across the continuum of medical education and also confirmed incidences of incivility involving nursing personnel and patients that haven't been emphasised in previous reviews.
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Content Article
Chris Turner: When rudeness in teams turns deadly (TEDx, 2019)
Patient-Safety-Learning posted an article in Culture
How we treat each other at work has an enormous impact on how teams perform—with potentially fatal consequences if you work in healthcare. Chris Turner, consultant in emergency medicine and founder of Civility Saves Lives, reveals the shocking impact of rudeness in the workplace. He highlights the importance of understanding the complex realities of practice and communication between healthcare professionals in different team environments, if we are to learn from patient safety incidents. -
Content ArticleThe NHS Resolution Just and learning culture charter has been developed as a resource to support the creation of a person-centred workplace that is compassionate, safe and fair when care in the NHS goes wrong. Most of the time, care received by patients in the NHS is safe. Sometimes, even with our best intentions, things can go wrong. When things go wrong, support, care and understanding for everyone involved must be a priority. At no time is there an excuse for incivility, bullying and harassment within the NHS. We accept the evidence that the NHS will provide safer care and be a healthier place to work if we address all of the components of a learning organisation and this underpins our charter. The hope is that this charter will act as a tool to help organisations take a consistent approach towards staff in relation to incidents and errors.
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Content Article
Kindness in healthcare website
Patient Safety Learning posted an article in Good practice
This 'Kindness in healthcare' website is the home for ‘conversation for kindness’, which is a monthly meeting that was set up in the summer of 2020 by a group of colleagues and friends working in healthcare across Sweden, the UK and the USA. The initial purpose of getting together was to have some time together to continue some initial conversations around kindness, and to explore its role at the ‘business end’ of healthcare. As the conversation has developed, interest in this work has grown and it now has contributors from almost 30 different countries across the globe. The monthly virtual call takes place the 3rd Thursday of every month (6-7pm GMT) and its focus is on listening, learning, thinking differently and mobilising for action It's an open culture of sharing of resources, energy and ideas. Eight themes have emerged from discussions to date: Kindness is a choice of action Kindness is a cycle – being kind stimulates more kindness There is a strong therapeutic role for kindness Challenging unkindness is a crucial part of the story Small acts of kindness can have a big impact Kindness has to be at the business end of healthcare Kindness links to (and leads to) so much else Leading with & for kindness – we can together grow kindness You can find presentations and resources from the monthly meetings, related publications and teaching materials on the Kindness in healthcare website. -
Content ArticleA just and learning culture is the balance of fairness, justice, learning–and taking responsibility for actions. It is not about seeking to blame the individuals involved when care in the NHS goes wrong, nor the absence of responsibility and accountability. This report by NHS Resolution aims to promote the value of a person-centred workplace that is compassionate, safe and fair.
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News Article
Leeds Teaching Hospitals launch patient and volunteer support fund
Clive Flashman posted a news article in News
Leeds Teaching Hospitals has launched a support fund for patients, their relatives and volunteers who may be struggling financially due to the coronavirus pandemic. The fund is intended to assist (but is not limited to): Bereaved relatives facing immediate financial pressures until their personal financial affairs are sorted eg having weekly bills to meet and no immediate access to bank accounts Patients isolating for 14 days in advance of admission to hospital and suffering income loss, excess cost or other financial hardship as a result Patients, their immediate families or volunteers who have experienced significant household income loss as a result of the pandemic and are struggling with financial obligations Those experiencing significant increases in costs as a direct result of the pandemic, eg increased childcare costs Read the full article here -
Content Article
What is civility?
Claire Cox posted an article in Stories from the front line
In this short video, Dr Michael Kaufmann discusses five fundamentals of civility and how to be civil in a healthcare workplace. Dr Michael Kaufmann is a Consultant in physician health and addiction medicine and Medical Director of the Physician Workplace Support Program (PWSP). -
Content Article
Make or Break: Incivility in the workplace (ESTH, 2019)
Claire Cox posted an article in Motivating staff
See how incivility affects all of us in the NHS and how that can impact patient safety. Join the staff of Epsom and St Helier University Hospitals NHS Trust on their journey as they reflect on the real-life effects of both incivility and active kindness. This video was devised, filmed and produced by the Elena Power Simulation Centre. -
Content ArticleCathe Gaskell, from The Results Company, presented at the recent Bevan Brittan Patient Safety Seminar on incivility in healthcare and the impact this has on patient safety. Attached are her presentation slides
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Content Article
Rethinking Patient Safety by Suzette Woodward
Claire Cox posted an article in Recommended books and literature
The vast majority of healthcare is provided safely and effectively. However, just like any high-risk industry, things can and do go wrong. There is a world of advice about how to keep people safe but this delivers little in terms of changed practice. Written by Suzette Woodward, a leading expert in the field with over two decades of experience, Rethinking Patient Safety provides readers with a critical reflection upon what it might take to narrow the implementation gap between the evidence base about patient safety and actual practice. This book provides important examples for the many professionals who work in patient safety but are struggling to narrow the gap and make a difference in their current situation. It provides insights on practical actions that can be immediately implemented to improve the safety of patient care in healthcare and provides readers with a different way of thinking in terms of changing behaviour and practices as well as processes and systems. Suzette Woodward shares lessons from the science of implementation, campaigning and social movement methods and offers the reader the story of a discovery. Her team has explored an approach which could profoundly affect the safety culture in healthcare; a methodology to help people talk to each other and their patients and to listen through facilitated safety conversations. This is their story. -
Content Article
Moral Injury: Podcast
Claire Cox posted an article in Motivating staff
Dr Esther Murray is a Health Psychologist working at Barts and the London School of Medicine and Dentistry. She has a keen interest in moral injury, the term used when people are witness to shocking or traumatic events that change their outlook on the world. In this podcast, from General Broadcast, the East England Ambulance Service Patient Safety Integration Lead talks to Esther about moral injury and how it can impact ambulance crews, as well as what we can all do to help each other. -
Content ArticleWhen it comes to communication, we rely on language at the expense of the rest of our communication toolbox. However, nonverbal communication is just as important as the words we use.1 In times of the COVID-19 pandemic, the use of face masks has become ubiquitous in many countries. Many facial expressions are the same across cultures, like happiness, sadness, anger and fear and our faces can express emotions without saying a word. Given widespread masking, this nonverbal communication has become increasingly difficult. This paper from Schlögl and Jones in the Journal of the American Geriatiric Society gives practical advice on how to communicate while having to wear a face mask to our most vulnerable patients during the pandemic.
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Content Article
The Kind Organisation (6 February 2025)
Patient-Safety-Learning posted an article in Culture
In this BMJ Leader article, Stephen Swensen outlines the concept of 'The Kind Organisation'—an organisation that prioritises the workforce’s mental, physical, social and spiritual wellbeing. He argues that when organisations help their people do better, patients get better experience and outcomes, and the organisation's financial results improve. The article describes how an integrated systems approach that cultivates staff agency, coherence, belonging and positivity is needed for the best work environment. It outlines nine validated actions that improve staff well-being are presented.- Posted
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Content ArticleWorkplace incivility is a pervasive complex problem within health care. Incivility manifests as subtle disrespectful behaviours, which seem inconsequential. However, evidence demonstrates that incivility can be harmful to targets and witnesses through negative emotions, poorer mental health, reduced job satisfaction, diminished performance and compromised patient care. It is unclear to what extent existing research critically explores how ethnicity, culture and racism influence how hospital staff experience incivility. This global scoping review systematically analysed existing research exploring the specific ways incivility manifests and impacts racially minoritised hospital workers.
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Content ArticleOnline reporting tools are a key component of professional accountability programmes as they allow hospital staff to report co-worker unprofessional behaviour. Ethos is a whole-of-hospital professional accountability programme that includes an online messaging system, which has now been implemented across multiple Australian hospitals. This study examined reported unprofessional behaviour that staff indicated created a risk to patient safety. It included 1310 Ethos submissions reporting co-worker unprofessional behaviour between 2017 and 2020 across eight Australian hospitals. The findings indicate that unprofessional behaviour was associated with risks to patient safety. Co-worker reports about unprofessional behaviour have significant value as they can be used by organisations to better understand how unprofessional behaviour can disrupt work practices and lead to risks to patient safety.
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Content ArticleIncivility or rudeness is a form of interpersonal aggression. Studies suggest that up to 90% of healthcare staff encounter incivility at work with it being considered ‘part of the job’. Interviews were undertaken between June and December 2019. Four themes were identified: paramedics reported a lack of respect displayed both verbally and non-verbally from other professional groups. The general public and interdisciplinary colleagues alike have unrealistic expectations of the role of a paramedic. In order to deal with incivility paramedics often reported taking the path of least resistance which impacts on ways of working and shapes subsequent clinical decision-making, potentially threatening best practice. Finally paramedics report using coping strategies to support well-being at work. They report that a single episode of incivility is easier to deal with but subsequent episodes compound the first. This study highlights the effect incivility can have on operational paramedics. Incivility from the general public and other health professionals alike can have a cumulative effect impacting on well-being and clinical decision-making.
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Content Article
The power of civility in healthcare (3 February 2020)
Patient Safety Learning posted an article in Culture
Dr Chris Turner, of Civility Saves Lives and consultant in emergency medicine, was invited by the NHS Highland Medical Education team to lead a series of lectures and workshops exploring the impact of our behaviour on our colleagues and workplace. -
Content ArticleHow can leaders move from understanding to taking actions? Listen to the Dementia UK podcast on moral injury in nursing.
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Content Article
Civility Saves Lives Infographics
Patient Safety Learning posted an article in Good practice
Civility Saves Lives have created a number of infographic each with a key message of civility. A selection are shown below and more can be found through the link at the bottom of the page.
