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Found 20 results
  1. Content Article
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    Measurement of safety culture – a necessary suite in any Trust's safety measures? Well it seems not! This quick Twitter poll, along with observations from a number of large trusts and discussions at webinars, indicate that culture is not a measure many Trusts have got a handle on. The Patient Safety Incident Response Framework (PSIRF) implementation recommends in the pre-framework preparation that we are meant to be doing culture measurement for this important piece of work to land. With a range of tools around, it’s difficult to know how best to measure this sadly ofte
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    This guide from the Health Foundation offers an explanation of some popular approaches used to improve quality, including where they have come from, their underlying principles and their efficacy and applicability within the healthcare arena. It also describes the factors that can help to ensure the successful use of these approaches and methods. to improve the quality of care processes, pathways and services. It is written for a general health care audience and will be most useful for those new to the field of quality improvement, or those wanting to be reminded of the key points.
  10. Content Article
    With a grant from The Doctors Company Foundation, the National Patient Safety Foundation convened a panel of subject matter experts and stakeholders to examine best practices around RCAs and develop guidelines to help health professionals standardize the process and improve the way they investigate medical errors, adverse events, and near misses. To improve the effectiveness and utility of these efforts, the Institute of Healthcare Improvement have concentrated on the ultimate objective: preventing future harm. Prevention requires actions to be taken, and so they have renamed the process Root
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    This framework provides staff and medical staff with: a standardised methodology including a common analysis language; and standardised analysis tools for reviewing clinical adverse events and close calls. There are three methodologies described within this handbook that can be used to review clinical Adverse Events. These methodologies are designed to suit the scope of a clinical adverse event or multiple clinical adverse events, and provide flexibility for the user. The Concise method is commonly used for a succinct review of close calls or clinical adverse events that
  15. Community Post
    Dear hub members We've a request to help from New South Wales. They and their RLDatix colleagues request: The public healthcare system in New South Wales (NSW), Australia is changing how we investigate health care incidents. We are aiming to add to our armoury of investigation methods for serious clinical incidents and would love to hear your suggestions. Like many health care settings worldwide, in NSW we have solely used Root Cause Analysis (RCA) for over 15 years. We are looking for alternate investigation methods to complement RCA. So we are putting the call out … Are th
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