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Found 79 results
  1. Content Article
    Resilient Health Care, Volume 3 (2016) Reconciling Work-as-Imagined and Work-as-Done Edited ByJeffrey Braithwaite, Robert L. Wears, Erik Hollnagel Delivering Resilient Health Care (2019) Edited By Erik Hollnagel, Jeffrey Braithwaite, Robert L. Wears Working Across Boundaries (2019) Resilient Health Care, Volume 5 Edited By Jeffrey Braithwaite, Erik Hollnagel, Garth S Hunte Resilient Health Care (2021) Muddling Through with Purpose, Volume 6 Edited By Jeffrey Braithwaite, Erik Hollnagel, Garth Hunte
  2. Content Article
    Presentations Jeffrey Braithwaite: Fixing problems that never happened: how to enact safety-II? Jessica Mesman: Exnovation: about ways of knowing and doing within real-life complexity in health Care Kieran Walshe: The regulatory response: how regulation might help or hinder organisational innovation, resilience, safety and improvement? Workshops Renate Verkaik, Annemiek Stoopendaal, Chair Paul Robben: New forms of regulation (the inspection of things that go right) Gerdienke Ubels, Sonja Jerak- Zuiderent: Narrative & generative accountability Gerdienke Ubels: ‘Renewed Quality Awareness’ (2012-2014) Yolande Witman, Julianne Meijers: New practices and technology to enact resilience in governance Suzanne Rutz, Hester van de Bovenkamp, Antoinette de Bont, Ian Leistikow: ‘Everyday life’ accountability
  3. Content Article
    Principles for managing fatigue: A shared approach between the organisation and workers. A sound risk management approach through the application of the Defences in Depth model for fatigue risk management. A systemic approach that is incorporated into core business operations. An aware and informed workforce approach. An integrated approach that achieves consistency with existing health, safety and wellbeing management systems.
  4. News Article
    Healthcare workers are “absolutely shattered” and unless something is done to address the crisis in morale, staffing and training then “they won’t be there when you need them”, one of the world’s leading scientists has warned. Speaking to the Guardian, Prof Jeremy Farrar, the director of Wellcome and soon to be chief scientist of the World Health Organization, warned that healthcare workers would not be ready should another crisis hit. “This is a global issue, which I think is hugely concerning. It’s certainly true in this country,” he said. “The resilience of healthcare workers, broadly defined from ambulance drivers to nurses to doctors, to care workers in social care, etc. They’re shattered. They are absolutely shattered." Farrar said: “I think we have to address the morale, staffing, the training, everything from public health physicians to care workers, to doctors and nurses and physios and everybody in between because there’s very little spare capacity in any system globally. It’s particularly true in the UK. As you can see from the strikes, morale and resilience is very thin.” Read full story Source: The Guardian, 20 February 2023
  5. Content Article
    This article from Adrian Plunkett and Emma Plunkett, discusses some of the theoretical limitations of the prevailing approach to patient safety and introduce emerging, complementary approaches in this field of practice. Safety-II and resilience engineering represent a new paradigm of safety, characterised by focusing on the entirety of work, with a system-wide lens, rather than single incidents of failure. More overtly positive approaches are available, specifically focusing on success—both outstanding success and everyday success—including exnovation, appreciative inquiry, learning from excellence and positive deviance. These approaches are not mutually exclusive. The new methods described in this article are not intended as replacements of the current methods, rather they are presented as complementary tools, designed to allow the reader to take a balanced and holistic view of patient safety.
  6. Event
    This half-day conference will be hosted in Parliament by Chris Green MP on 12 May 2022 at 2pm and chaired by Dame Barbara Hakin, Former Deputy Chief Executive of NHS England and Chair of the Health Tech Alliance. The NHS has been critically impacted by the pandemic as well as dealing with workforce challenges resulting from the exit of the European Union and is now preparing for significant structural changes expected this year following the Health and Care Bill. Throughout it all, however, it has been clear that HealthTech has played a key role in supporting the NHS tackle these challenges – being branded the ‘key lesson learned’ by the Health and Social Care Committee, following their inquiry into Coronavirus in October 2021. Featuring two panel sessions and keynote speeches, this conference will explore the steps that will need to be taken in the years to come to ensure that this momentum is maintained, cementing innovation within the NHS in the long-term to make the healthcare system more resilient for its staff and patients. Networking drinks will take place after the conference at 5pm. Register
  7. Community Post
    I am interested in what colleagues here think about the proposed patient safety specialist role? https://improvement.nhs.uk/resources/introducing-patient-safety-specialists/ https://www.independent.co.uk/news/health/nhs-patient-safety-hospitals-mistakes-harm-a9259486.html Can this development make a difference? Or will it lead to safety becoming one person's responsibility and / or more of the same as these responsibilities will be added to list of duties of already busy staff? Can these specialist be a driver for culture change including embedding a just culture and a focus on safety-II and human factors? What support do trusts and specialists need for this to happen? Some interesting thoughts on this here: https://twitter.com/TerryFairbanks/status/1210357924104736768
  8. Content Article
    The report recommends new regulations and standards that apply throughout the lifetime of a building to create healthier environments, taking lessons from existing accessibility, Legionella, or fire regulations. In addition to this, codes of practice should be introduced to make sure that the health of building occupants is a day-to-day consideration for those in the building and construction industry, from designers through to asset managers. The report makes eight recommendations to enshrine infection resilience in building regulations and improve the health of our indoor environments, which include: Establishing best practice – the British Standards Institution (BSI) should convene the relevant expertise and develop meaningful standards that are embedded into existing design and operational practices. Promoting building health – the UK Health Security Agency should promote the benefits of infection resilience and good indoor air quality to building and transport owners and the public through signage and ratings in a similar way to food or water standards. Ensuring that buildings operate as designed in terms of infection resilience – industry bodies and public procurement must drive improvements to the commissioning and testing of building systems at handover, and subsequently over the life of a building. Establishing in-use regulations with local authorities by 2030 to maintain standards of safe and healthy building performance over the building lifetime. Ensuring Government departments such as BEIS, DfT and DLUHC consider incorporating infection resilience into major retrofit programmes designed to meet the commitments of the Net Zero Strategy.
  9. Community Post
    Here's a recent interesting blog post on leadership under pressure https://www.med-led.co.uk/2019/08/19/under-pressure/
  10. Content Article
    Recommendations Recommendation 1: NHS England and Improvement should mandate the publication of waitlist recovery plans by integrated care systems and trusts. These should clearly state how independent sector capacity will be used and usage data should be published at regular intervals. Recommendation 2: NHS England and Improvement should devote resources to building ‘community diagnostic hubs’ to meet the diagnostic backlog outside of the hospital setting. Recommendation 3: The General Medical Council should create an ‘NHS reserve list’ with healthcare professionals who are not currently working in the NHS but would be willing to re-join to respond to a crisis. A training programme should be developed in collaboration with Health Education England, with clear guidance on the content and frequency of training for members of the reserve list. Recommendation 4: Health Education England should overhaul the way it provides training during a crisis. It should seek to provide training modules that present easily and quickly digestible information. Recommendation 5: The Government should provide funding for NHS England and the social care system to increase the number of beds. This should be based on a clear independent review of bed capacity in the health and care system focused on increasing its long-term resilience. The review should focus on understanding how many extra beds the NHS needs, what type of beds and a clear plan to improve patient flow and reduce any delays to patients being transferred or discharged. Recommendation 6: The Department of Health and Social Care, in conjunction with NHS Supply Chain, should produce end-to-end supply chain maps for critical diagnostic equipment and make them publicly available. Recommendation 7: The Department of Health and Social Care should build and publish a register of firms capable of switching their production lines to produce diagnostic equipment and perform diagnostic analysis in the case of health emergencies. Recommendation 8: The Department of Health and Social Care should continue to develop and maintain an up-to-date inventory of key assets, including personal protective equipment and ventilators. Recommendation 9: NHS England and Improvement and NHSX should mandate the adoption of the Scan4Safety programme to all NHS Trusts. This will help increase the accuracy of operational data and patient safety.