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Found 122 results
  1. Content Article
    Key takeaways A core strategy for organisational leaders to establish safe environments for both patients and staff members is taking responsibility for creating and nurturing a culture of safety. Leaders can strive to reach this goal in their facilities by implementing a just culture – a model and framework in which staff members are empowered to share concerns, near misses, or errors freely without fear of punishment. In a just culture, leaders focus not only on why a mistake occurs, but also on the individual’s intent, and then hold that individual accountable for the behaviour.
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    In September 2020, the Scottish Government formally announced as part of its Programme for Government 2020-21 that it would establish a Patient Safety Commissioner for Scotland.[1] This was one of the key recommendations set out in the First Do No Harm report, published earlier that year by the Independent Medicines and Medical Devices Safety Review (more commonly known as the Cumberlege Review).[2] Here we will briefly provide the background to this proposal before outlining the key elements of our response to the public consultation on this under the following headings: Initial re
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    The following guideline will help to support a consistent and fair approach to the management of staff following events involving healthcare associated harm. It is based on the following premises: Healthcare is a complex and high risk activity prone to healthcare associated harm. Weak systems create the conditions for and the inevitability of human error. Latent conditions preceding adverse events include poor decisions, poor designs, poor supervision, inadequate tools and equipment, and the cumulative actions of individuals. Capturing, tracking and learning from health
  5. Community Post
    The Academy of Medical Royal Colleges have published the first National patient safety syllabus that will underpin the development of curricula for all NHS staff as part of the NHS Patient Safety Strategy: https://www.pslhub.org/learn/professionalising-patient-safety/training/staff-clinical/national-patient-safety-syllabus-open-for-comment-r1399/ Via the above link you can access a ‘key points’ document which provides some of the context for the syllabus and answers to some frequently asked questions. AOMRC are inviting key stakeholders to review this iteration of the syllabus (1.0)
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    Healthcare is inherently a messy business. It is complex and filled with hazards. If I asked you to list the things that could potentially go wrong, I suspect you would be there for a while... So, how do you even begin to bring some consistency and safety into a system such as healthcare? How do you ‘head off’ incidents at ‘the pass’ before they occur? My experience of healthcare in the last 30 years, and of investigating complaints, incidents and errors in the last 10 years, is that we often immediately check if the appropriate policy has been followed. The ‘horror of horrors’
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    The first presentation draws on a recent National Institute for Health Research (NIHR) funded mixed-methods evaluation of the translation into practice of several ‘post-Francis’ policies that have aimed to improve openness in the NHS, and identifies key conditions necessary for policies to make sustainable impact on culture and behaviour. The second presentation reflects on material from a forthcoming book which will offer unfiltered accounts from patients, carers and healthcare professionals about their good and bad experiences of how care is organised, from birth up to the end of life.
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    Prerana Issar is the Chief People Officer of NHS England and NHS Improvement. She was appointed in February 2019 to this post, which was created after senior leaders in the NHS and Department of Health and Social Care realised that a new approach was needed to a number of serious workforce issues which had become apparent. Among these is the complex, and hugely important, issue of speaking up (sometimes referred to as whistleblowing or raising concerns). Prerana recently retweeted a message from NHS England and NHS Improvement that "It's so important (for NHS staff) to feel able to spea
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    Vince Clarke is a paramedic and a senior lecturer at the University of Hertfordshire. He has worked in education since 2001, first as a Practice Educator, then with the London Ambulance Service and in higher education, while continuing to practise at the same time. He is also a Health and Care Professions Council (HCPC) partner and Head of Endorsements for the College of Paramedics.
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    Every healthcare professional must be open and honest with patients when something that goes wrong with their treatment or care causes, or has the potential to cause, harm or distress. This means that healthcare professionals must: tell the patient (or, where appropriate, the patient’s advocate, carer or family) when something has gone wrong apologise to the patient (or, where appropriate, the patient’s advocate, carer or family) offer an appropriate remedy or support to put matters right (if possible) explain fully to the patient (or, where appropriate, the patient’s a
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