"I’d like to see health care make a significant effort to identify which processes are universally critical to the delivery of care and develop uniform standards — not just here in Massachusetts but across the country. That is why I think the Betsy Lehman Center and the Massachusetts Coalition for the Prevention of Medical Errors are so important. I wish every state had similar groups. A national coalition of these groups could join together and start doing this very important work."
"I’m convinced we can drive unnecessary variation out of health care, but it will take leadership to help
Safety-II is rapidly capturing the attention of the improvement world. However, there is very little guidance on how to apply it in practice. THIS Institute at the University of Cambridge have funded a study to explore how Safety-II (or Resilient Health Care) is being translated into healthcare policy and practice.
Ruth is looking for people to take part in a one-off interview. She wants to speak to people who:
work within the NHS to improve patient safety (whatever your role!)
have or are applying Safety-II principles to improve safety in either maternity, A&E, ICU or a
The authors found four key themes were derived from these interviews: trauma, communication, learning and litigation. They concluded that there are many advantages of actively involving patients and their families in adverse event reviews. An open, collaborative, person-centred approach which listens to, and involves, patients and their families is perceived to lead to improved outcomes.
For the patient and their family, it can help with reconciliation following a traumatic event and help restore their faith in the healthcare system. For the health service, listening and involving people
The report concludes with short, medium and long-term measures that support both immediate and future responses as the NHS continues to tackle the virus. The measures include eight national safety recommendations, safety observations and a tool that NHS trusts can use straight away to review their approach.
1: It is recommended that the Department of Health and Social Care, working with NHS England and NHS Improvement, Public Health England, and other partners as appropriate, develops a transparent process to co-ordinate the development, dissemination and implem