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 excel
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
‘Work as done’
Because healthcare is constantly evolving and complex, by looking more closely at everyday work and finding out what actually happens, it allows an understanding of what it is, that frontline clinicians do to ensure successful outcomes. This is termed as looking at 'work as done' and informs us about the nuances, the adjustments, the compromises, the workarounds, the actions and the decision making that is taken to meet the needs of the patients they are caring for.
‘Work as done’ is a combination of expertise, clinical decisions, experience and tacit knowledge. It is
The growing global evidence that Anne Marie and academic colleagues have gathered shows we need more nurses, with the right skills and support, if we want to reduce patient mortality and improve nurses’ wellbeing. The RCN has used this research to create the aims of its safe staffing campaign and to tell all four UK governments what nurses and patients need now.
Using psychological theory and research-based techniques, this session will demonstrate how to enhance recovery and build resilience for healthcare professionals.
In this interactive webinar, Dr Anne-Marie Doyle, consultant clinical psychologist and Dr Elizabeth Haxby, immediate Past President of the RSM Patient Safety Section, will offer strategies to protect the wellbeing of healthcare professionals by helping to anticipate and manage stress, recovery and build resilience.
The importance of good mental health and wellbeing in the workplace is a subject of increased public awareness and governmental attention. The Department of Health advises that one in four people will experience a mental health issue at some point in their lives. Although a number of recent developments and initiatives have raised the profile of this crucial issue, employers are experiencing challenges in promoting the mental health and wellbeing of their employees. Mental Health & Wellbeing in the Workplace contains expert guidance for improving mental health and supporting those experien
Over the last couple of weeks I have been engaging in one of my favourite pastimes – chatting. I realise this seems a little frivolous, but after the more formal ‘meetings’ of previous weeks, chatting seemed appropriate. There is a serious reason behind this, the impact of ‘emotional labour’.
Emotional labour is defined as “having to induce or suppress feeling in order to sustain the outward countenance that produces the proper state of mind in others”. Or, in layman’s terms, pretending you are OK. For my colleagues and clients across health and social care, and particularly for frontl
Improving patient safety culture (PSC) is a significant priority for OECD countries as they work to improve healthcare quality and safety—a goal that has increased in importance as countries have faced new safety concerns connected to the COVID-19 pandemic.
Findings from benchmarking work in PSC show that there is significant room for improvement. Across included survey findings from OECD countries, only 46% of surveyed health workers believe that important patient care information is transferred across hospital units and during shift changes.
Strengthening health system resilience
Enhancing participatory governance in health systems
Transforming delivery of essential health services
Creating surge capacity and rethinking skill mix
Supporting and protecting health workers
Use of digital health tools
Addressing backlogs and managing waiting lists
Intensive care capacities during COVID-19
European Union support for health systems
Crossing the border for health care
Towards a European Health Union