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Found 139 results
  1. Content Article
    Over the last five years, teams at Spectrum Health Helen DeVos Children’s Hospital in Grand Rapids, Michigan, had completed at least four different improvement projects focused on increasing adherence to the independent double check (IDC) process. An IDC is when two registered nurses independently check a medication to ensure it is correct prior to administering it to the patient. Like other institutions, the hospital did not require this process for all medications but did require it for a select group of medications considered higher risk if given in incorrect doses, routes or times.
  2. Content Article
    What can you learn from the Nimrod disaster? At a superficial level, the specifics of this event were unique, but by delving deeper into the ‘why?’, the Review team revealed that history does in fact repeat itself. Nimrod XV230: Parallels with healthcare. By discussing the relevance of the Nimrod XV230 event to healthcare, Martin aims to illustrate that the organisational lessons from this event are applicable to almost any industry. There are parallels with several major healthcare events. Success, complacency and failure. The track record of the Nimrod aircraft led to a high level
  3. News Article
    76 people were unintentionally exposed to ionising radiation in Irish hospitals in 2020, according to the Health and Information Quality Authority (HIQA). This figure represents an 11% increase on the total reported in 2019. HIQA today published an overview report on the 'increase in accidental and unintended exposure to ionising radiation events notified to HIQA in 2020. Under the European Union (Basic Safety Standards for Protection against dangers arising from Medical Exposure to Ionising Radiation) Regulations 2018 and 2019, HIQA is the competent authority for patient protection
  4. Content Article
    Further reading HIQA: Annual report of accidental or unintended exposures to ionising radiation in 2019 CQC reports on safe use of radiation in healthcare settings (19 December 2019)
  5. Event
    Instead of striving to avoid mistakes, we could simply turn it around and reinforce the positive aspects of our successes. Something that Ernst Mach (1838-1916) also knew: Success and failure come from the same source. Only in the result can they be distinguished from each other. Christiane Heuerding and Jörg Leonhardt strongly believe that reflecting on and investing in things which go well are vital for proactive safety management. Christiane therefore had the idea of using the well-known term the “dirty dozen” for it and converting it to a “clean dozen”. Gordon Dupont developed this idea in
  6. Content Article
    'To support all prescribers in prescribing safely and effectively, a single prescribing competency framework was originally published by the National Prescribing Centre/National Institute for Health and Care Excellence (NICE) in 2012. NICE and Health Education England approached the Royal Pharmaceutical Society (RPS) to manage the update of the framework on behalf of all the prescribing professions in the UK. A Competency Framework for all Prescribers was first published by the RPS in July 2016. Going forward, the RPS will continue to maintain and publish this framework in collabora
  7. Event
    Leadership in the NHS is the responsibility of all staff. Understanding human factors will allow healthcare to enhance performance, culture and organisation. It can be used to assess why things go wrong and how to implement change to prevent it from happening again or mitigate the risks. This virtual masterclass, facilitated by Mr Perbinder Grewal, General Vascular Surgeon, will guide you in how to use Human Factors in your workplace. For full programme content, speaker line-up and to book visit www.healthcareconferencesuk.co.uk/conferences-masterclasses/human-factors-workplace hub
  8. Content Article
    Once upon a time there was a little boy. Let’s call him Albert. Little Albert had grown up in the hospitals until one day, when he was just 9 months of age, he was taken by a couple who gave him lots of interesting and friendly objects to play with. One by one, Albert was shown bunnies, puppies and little white rats amongst other fascinating objects. He was intrigued by these soft play things and enjoyed exploring the shapes and textures that were new to the enquiring infant. One day as he was about to play with his favourite rat, Houdini (poetic licence employed here), there came from be
  9. Event
    until
    Professor Pascale Carayon, the author of the Systems Engineering Initiative for Patient Safety (SEIPS), will talk about the development, history and use of SEIPS in healthcare. SEIPS is one of the most widely recognised and used human factors and ergonomics (HFE) approaches within the field of patient safety. The model is widely used to understand how complex socio-technical systems such as healthcare work. SEIPS places the patient at the centre of the system. It enables the description of the parts of the system (people, environments, tools, tasks, processes and outcomes), and ho
  10. Event
    Leadership in the NHS is the responsibility of all staff. Understanding human factors will allow healthcare to enhance performance, culture and organisation. It can be used to assess why things go wrong and how to implement change to prevent it from happening again or mitigate the risks. This virtual masterclass, facilitated by Mr Perbinder Grewal, General Vascular Surgeon, will guide you in how to use Human Factors in your workplace. Programme and registration hub members receive a 20% discount. Please email info@pslhub.org for discount code
  11. Event
    Aimed at Clinicians and Managers, this national virtual conference will provide a practical guide to human factors in healthcare, and how a human factors approach can improve patient care, quality, process and safety. This conference will enable you to: Network with colleagues who are working to embed a human factors approach. Learn from outstanding practice in using human factors and ergonomics to improve patient safety and quality. Reflect on national developments and learning. Understand the tools and methodology. Develop your skills in training and educ
  12. Event
    We live in a world marked by massive global changes, moving us rapidly into rather unprecedented and unknown directions. It has never been so vital for us to understand the interactions among humans and other system elements. This necessitates the creation and adoption of theories, principles, data, and methods of design, as well as new capabilities, technologies, skills, procedures, policies, strategies to find new ways of engaging with a rapidly changing world and optimise wellbeing and performance. Find out more at the Human Factors & Ergonomics Society of Australia (HFESA) virtual conf
  13. Content Article
    What are the safety challenges of intubation? Intubation is a highly committing procedure. After we induce anaesthesia, our patient stops breathing, and we must rapidly secure the airway and establish ventilation in order to maintain oxygen levels. If oxygen levels drop major organs are rapidly unable to function, in particular the heart, which will stop within minutes. Particularly for our critically ill patients, forward planning and communication are crucial. Anaesthetic drugs and mechanical ventilation are life-saving, but do come at an immediate cost to the overall stability o
  14. Content Article
    Human factors that could reduce the risk of wrong tooth extraction: Lower team authority gradients - anyone can speak up if concerned irrespective of grade or positionImprove situational awareness - ask the team to confirm the tooth (teeth) to be extractedAvoid miscommunication error: if there is potentially conflicting information (often in relation to molar teeth), seek advice from the prescribing practitioner or another colleague if possibleCheck and double-check radiographs, consent, and clinical examination findingsIf in doubt, do NOT proceed.
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