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Showing results for tags 'Just Culture'.
Found 116 results
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The problem with policies – a blog by Lynne Williams
Lynne Williams posted an article in Improving patient safety
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 right – and duty – of NHS staff to speak up
Hugh Wilkins posted an article in Whistle blowing
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- Posted
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Community PostIt's #SpeakUpMonth in the #NHS so why isn't the National Guardian Office using the word whistleblowing? After all it was the Francis Review into whistleblowing that led to the recommendation for Speak Up Guardians. I believe that if we don't talk about it openly and use the word 'WHISTLEBLOWING' we will be unable to learn and change. Whistleblowing isn’t a problem to be solved or managed, it’s an opportunity to learn and improve. So many genuine healthcare whistleblowers seem to be excluded from contributing to the debate, and yes not all those who claim to be whistleblowers are
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Flight Safety Foundation: Just Culture Manifesto
Patient Safety Learning posted an article in Culture
The goals of this Just Culture Manifesto are to: articulate a vision of just culture that connects with people from all industrial sectors, around the world; speak to people in all roles – front line, support, specialists, management, both in private industry, government organisations and departments, and the justice system; provide a framework for other people to advance this vision of just culture. As referred to in the Just Culture definition, only a very small proportion of human actions is criminally relevant (criminal behaviour, such as substance abuse or misuse, gr -
Content ArticleThis 5 minute video, from MedStar Health, focuses on the human cost to our healthcare workforce when we fail to cultivate a just culture and systems approach overall, but especially when managing unfortunate harm events. This story has inspired conversation and can be used widely as a teaching tool. When patient harm occurs, caregivers involved are often devastated along with the patient and family, yet many have had to navigate this storm alone. A systems approach in our healthcare workplace, along with the just culture, cultivates the sharing of knowledge and helps prevent patient harm
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Content ArticleThe goals of this Just Culture Manifesto, from SKYbrary, are to: articulate a vision of just culture that connects with people from all industrial sectors, around the world speak to people in all roles – front line, support, specialists, management, both in private industry, government organisations and departments, and the justice system provide a framework for other people to advance this vision of just culture.
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Content ArticleMersey Care outlines the work they are doing to embrace a just and learning culture, centred on the desire to create an environment where staff feel supported and empowered to learn when things do not go as expected, rather than feeling blamed. You can watch a short film about the issues they want to address and see how they've created a practical tool to aid some of the most delicate staffing conversations. They've also developed free online training aimed at HR staff but accessible to all from their web page.
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Content ArticleWhat do health and care staff most need to feel safe?
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Nigeria: World Patient Safety Day 2020
Patient Safety Learning posted an article in Staff safety
Ehi Iden, Chief Executive Officer of the Occupational Health and Safety Managers, shares with the hub his blog 'Safety of the patients and correlation with the safety of the healthcare workers' (see attachment below). He also share the interview he did for TVC News Nigeria on World Patient Safety Day. Images from the day -
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Mersey Care NHS Foundation Trust: Staff Charter
Patient Safety Learning posted an article in Good practice
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Content ArticleKey points from the survey A safety culture is critical for the protection of staff and patients. Psychological Safety for healthcare workers is an essential requirement of all safe health systems People (patient & health worker) safety is inherent in healthcare and Coproduction is the foundation of all initiatives. Measurement of what works well is essential so that there can be learning at all levels. Reporting of clinical incidents is a vital part of learning and needs to be undertaken within a just culture which is blame-free, with clear accountability.
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Content ArticleThe accompanying visual graphic is designed to be posted for staff to see and use daily, and for team leaders to reference and use to create the enabling conditions for key recommendations to be successful. Follow the link below to download the resources.
