A personal perspective
I was a newly qualified nurse working in cardiac care in the wake of the Kennedy report into deaths at Bristol Royal infirmary between 1984-1995. The response nationally was the introduction of governance frameworks which sought to standardise and monitor safety. It was needed, it brought about improved safety and allowed the NHS organisations to monitor compliance to safety measures.
Governance and safety
Healthcare, like in many industries, has adopted a large array of, at times, bureaucratic processes attached to this. These can be onerous for clinical st
When people seek healthcare, they are hoping to get better. Too often, however, they end up getting a new, avoidable infection – which is often resistant to antimicrobials and can sometimes even be fatal.
When a health facility’s “quality and safety climate or culture” values hand hygiene and infection prevention and control (IPC), this results in both patients and health workers feeling protected and cared for.
That is why the World Hand Hygiene Day (WHHD) theme for 2022 is a “health care quality and safety climate or culture” that values hand hygiene and IPC, and the slogan is “U
ICE assessment response guide
Action plan template
CUSP onboarding modules, laying a foundation to implement a program of preventing CLABSI and CAUTI
CLABSI and CAUTI prevention modules, providing an introduction to the tiered interventions
Playbook for preventing CLABSI and CAUTI in the ICU setting: connecting the dots between CUSP and the tiered interventions
CLABSI and CAUTI learning tools
APIC HAIs calculator tools
Overcoming common challenges
Team engagement t
Highlights of the survey include:
The proportion of Freedom to Speak Up Guardians who reported a positive culture of speaking up in their organisation has dropped by five percentage points on last year, to 62.8%.
There has been a drop in the proportion of guardians who responded to the survey saying that their senior leaders support workers to speak up. This has fallen by nine percentage points on last year, to 71%.
10% of respondents said that their senior leaders do not understand the role of Freedom to Speak Up Guardian.
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
Key points included:
67.8% of staff are happy with the standard of care provided by their organisation, a decrease of more than 6 percentage points from 2020 (74.2%).
55.5% of staff felt their organisation acts fairly with regard to career progression or promotion, regardless of ethnic background, gender, religion, sexual orientation, disability or age. This represents a slight decline compared with 2020 (56.1%) and is now three percentage points lower than in 2017 (58.6%).
62.0% of staff feel safe to speak up about anything that concerns them in their organisation. This qu
This one day masterclass will focus on improving Patient Safety through enhancing psychological safety and safety culture.
It looks at effective ways to encourage health professionals to routinely embed high-quality clinical evidence into their everyday work. We will explore the characteristics of relatively successful behaviour change interventions. All Clinical Staff and Team Leads should attend.
Key learning objectives:
how to improve safety reporting.
For further information and
How to use these cards
You scan use these cards in any way that helps you and your colleagues to think and talk about safety culture. If you are using the cards in a group, one person may need to act as discussion facilitator. You can use as many or as few cards as you like.
Four possibilities are described in the following cards:
Option 1: Comparing views Compare similar and different views between groups.
Option 2: Safety moments Discuss just one issue for 10-15 minutes.
Option 3: Focus on… Discuss all of the cards in a particular element.
Option 4: SWOT an
East Midlands and West Midlands Patient Safety Collaboratives will be hosting a webinar on appreciative inquiry (AI). Hosted by Appreciating People, it will focus on ‘what works’ and the existing strengths and assets of people, team and organisations.
The pandemic and current working challenges has shown how resilient and creative the maternity and neonatal workforce has been, so this workshop aims to support you to build upon your current knowledge and experiences. The webinar will share tools to focus on levering and amplifying strengths, and there will be time for reflective conversati
In this article, I explore what we mean by patients falling, what the consequences are and what we should do to prevent the risks of falling.
What is patient falling?
Simply, the patient falling is defined as the patient falling to the ground, whether from a bed or chair or while walking, which can be caused by many factors.
What are the causes of falls?
Falls can happen for a number of reasons, many of the causes are common and there are many factors that can frequently increase the risk of falling in health facilities or outside them:
Reasons related to the person