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Found 12 results
  1. Content Article
    The HIT lists - which have been designed by Dr Imran Ahmad, consultant anaesthetist and deputy clinical director for Theatres, Anaesthetics, & Peri-operative medicine at Guy's and St Thomas', to eliminate 'turnaround time' - were inspired by Formula 1 motor-racing pitstop techniques, to achieve maximum efficiency and safety, by boosting the surgeon’s operating time (the most expensive and most scarce resource) from the 40% per session of a conventional list to an unexpected 90%, and eliminating all possible patient delays on the day. Dr Ahmad - working with his colleague Dr Kariem El-Boghdadly - confesses that the success of the HIT lists has exceeded his expectations. The one-day Saturday events at three sites across the Guy's and St Thomas' trust, have consistently delivered four times the number of operations normally expected using conventional 'one-surgeon one list' methods. No short-term or long-term complications have been observed and there were only two on-day cancellations across eight speciality areas (including gastrointestinal, gynaecology, orthopaedics, and ear nose and throat). The HIT lists are always scheduled for a Saturday, in order not to put pressure on the routine working of the Trust, and have used only volunteer surgeons, working to the following model: Clinician led. Two theatres with one surgeon and three surgical teams. Single centre environment, eliminating potential delays such as porters. 50% more theatre staff than two conventional lists. Specially-selected low-risk patients. Best results with operations lasting 30-45 minutes. Single speciality list. Intense list planning for maximum efficiency. Several pre-op meetings with patients to inform them, gain consent, eliminate risk factors, and arrange post-operative medication. Lists always finish at least 1 hour (sometimes 3 hours) before the end of the shift.
  2. Content Article
    This project will involve an action research, whole team approach to effective management of fatigue in theatre and labour ward teams during the night shift. The interventions will involve educating night shift workers about the impact of fatigue on work performance, and holding focus groups to explore experiences of fatigue, and suggested ways of mitigating night shift tiredness. Ideas will then be tested out, before the strategy is finalised and implemented. During the testing, staff will use wearable activity monitors and an app, which will help demonstrate the impact of new processes. This participatory approach and the interventions should improve team working at night, with breaks and powernaps built into the work schedule. This may improve decision-making, the management of emergencies, patient and staff safety, and staff morale. This project is currently underway and will be completed in March 2020.
  3. Content Article
    Topics include human factors, learning from deaths, neonatal and maternal patient safety, patient safety in primary care, medicines safety, safety in social care and patient engagement. 2. Master Slides (3).pdf AC_Salfordsafety_primary_care (1).pdf CW - Salford Apr 2019.pdf JH - Meds Safety Salford.pdf MT - Maternal and Neonatal Health Safety Collaborative Break out session.pdf Ursula Clarke PSP Patient Safety April 2019 final.pdf VC - Salford University Patient Safety Conference Glos_ Hosp_ Workshop_ 23 _April _2019.pdf
  4. Community Post
    This year's theme for World Patient Safety Day (17 September) is Health Worker Safety: A Priority for Patient Safety. We know that staff safety is intrinsically linked to patient safety but we need your insight to help us understand what matters most when it comes to feeling safe at work. So we're asking you to tell us: What is most needed for health and care staff to feel physically or mentally safe at work? In this short video, Claire Cox (Patient Safety Learning's Associate Director of Patient Safety and a Nurse) shares her top three. What do you think is most needed? Please join the conversation and help us speak up for health worker safety! Nb: You'll need to sign in to the hub to comment (click on the icon in the top right of your screen). If you're not a member yet, you can sign up here for free.
  5. Content Article
    This NIHR (National Institute for Health Research) funded study, published in the Health Services and Delivery Research journal, used quantitative and qualitative methods to evaluate the programme in six acute hospitals in England. It found some evidence of a lasting impact, such as wards continuing to display metrics and using equipment storage systems. But most hospitals that adopted the programme had stopped using it after three years, often due to a change in their approach to quality improvement. Productive Ward resources are still available from NHS England’s Sustainable Improvement team, but are under review. This evaluation may be helpful in designing future similar schemes.
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