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Found 96 results
  1. Content Article
    It is 22 years since the publication of To Err is Human and An Organisation with a Memory. Patient Safety has become a priority worldwide with the passing of the WHO Global Action Plan on Patient Safety. Almost every country has a plan or set of interventions to decrease harm and make healthcare safer. And the development of the science of patient safety has been exponential with increasing evidence of what is required to be safe. We now know what we need to do to prevent harm. In the report led by Sir Liam Donaldson it was stated that four actions were needed to improve safety in the NHS
  2. Content Article
    In this article, Wu et al. argue that the enduring sociological concepts of the informal organisation and formal organisation offer analytical purchase in understanding the causes of such problems and how they can be addressed. Their analysis emphasises the interdependence of the formal and informal organisation. The formal organisation describes codified and formalised elements of structures, procedures and processes for the exercise of voice, but participants often found it frustrating, ambiguous, and poorly designed. The informal organisation—the informal practices, social connections,
  3. Event
    until
    Following on from an initial webinar held in September 2021, this is the first in a new series of four webinars designed to support Q members to develop a deeper understanding of Quality Management Systems. Through an interactive session, with guest speakers Dr Amar Shah (East London Foundation Trust) and Dr Nicola Burgess (Warwick Business school), participants will: Gain understanding of the principles and mechanisms that organisations apply to deliver whole organisational quality management. Recognise different levels of organisational maturity and to be able to assess th
  4. Content Article
    This two-hour course is designed to give strategic decision makers and senior leaders in healthcare, an overview of the philosophical and methodological principles which sit behind modern healthcare safety investigations. HSIB has been directed to develop and deliver this training across the NHS by the Department of Health and Social Care, to support local investigations. Students will be guided around the areas which drive the HSIB investigation science curriculum so that they have information about what to expect from investigations in the future. Course dates are available from 9
  5. Content Article
    The course offers an overview of the principles which underpin a systems approach to investigative interviews. Students on this course will be part of a small group who undertake healthcare safety investigations. Students will be supported by HSIB Senior Investigation Science Educators through two hours of traditional lectures, interactive activities and discussions. They will be directed to specific activities designed to extend and consolidate knowledge. On completion of the course students gain a certificate in 'A Systems Approach to Investigative Interviewing'. Course dates
  6. Content Article
    Kegan proposes that there is a deep need for us to understand what it is that gets in the way of a person's genuine intention and what they can actually bring about. He looks at how we might address this gap, which he refers to as an 'Immunity to Change'.
  7. Content Article
    Still not safe: includes a critical history and examination of the patient-safety movement in American medicine attributes patient-safety initiatives to the changing (and diminished) place of doctors within the larger healthcare system at the end of the 20th century integrates three streams of thinking about healthcare mistakes: clinical reasoning; objective understanding from a safety-science perspective; patients' and families' stories of injury and suffering gives a critical and lively voice of dissent in physician-led conversations around medicine and healthcare ref
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