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Found 316 results
  1. Event
    This webinar delivered by the East Midlands Patient Safety Collaborative and The AHSN Network will provide an introduction to safety culture and the impact it can have. To register, email kursoom.khan@nottingham.ac.uk
  2. Community Post
    Have you had first-hand experience of a serious safety incident? Were you aware of what support was available following this? What support do you think is needed for staff following a serious safety incident? Patient Safety Learning and SHBN are collaborating with patient safety experts and frontline staff to produce a manual to support staff, provide good practice and ‘how to’ tools to improve staff wellbeing following serious safety incidents. If you work in healthcare we would welcome views on this, by completing our short survey and/or sharing your thoughts below.
  3. Content Article
    Key findings 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. Just two-in-
  4. Event
    This one day masterclass, Mr Perbinder Grewal, General & Vascular Surgeon and Human Factors Trainer, will focus on teams working effectively and productively through improving the culture within healthcare organisations. There will be a focus on how safety and culture is perceived by healthcare staff and how culture relates to QI and audit. The outcome of the day is to not only improve safety culture and patient safety but also staff experience and staff engagement. Key learning objectives: Define culture within healthcare. Understand safety culture. Explore cultur
  5. Content Article
    Bullying and scapegoating ride on the back of fear: When things go wrong or have an outcome that we were not anticipating different aspects of second victim phenomenon kick in, such as shame, guilt and fear. It is terrifying to fear for the loss of one’s professional registration or to be recognised as the care worker who damaged the reputation of your organisation. Quite apart from the pain and accompanying worry of knowing that you may have brought harm to your patient. Encouraging openness and honesty, permits emotional healing, supports staff retention and reduces the number of safety inci
  6. Content Article
    Session 1: A better workforce culture Watch the video of the conversation with Camilla Kingdon Watch the video of the conversation with Alex Gillsepie Video of the session 1 panel discussion Session 2: Supporting each other Watch the video of the conversation with Dhruv Parekh Watch the video of the conversation with Hena Syed-Sabir Video of the session 2 panel discussion Session 3: Inspiration and joy Watch the video of the conversation with Will Flanary Watch the video of the conversation with Frank Turner Video of the session 3 panel di
  7. Content Article
    Patient safety and staff safety are intrinsically linked - you cannot effectively have one without the other. One aspect of staff safety that is particularly closely intertwined with patient safety is support for staff following patient safety incidents. Having the right support in place can help foster an environment of openness; one of talking about patient safety and, consequently, supporting a culture of learning from patient safety incidents. We know that serious incidents can have a significant impact on staff who were involved or who may have witnessed the incident. There is strong
  8. Content Article
    ‘Local ingenuity’ What we first need to achieve, is to identify ‘local ingenuity’: examples of ways that people are able to get work done amidst conflicting goals and constrained resources (including time and money), but that have not been formalised. Often these repertoires are not very visible to management. The repertoires might challenge existing rules, guidelines or just the way that management imagined that the work is being done. When management hears about these repertoires, they often judge them against their idea of how work was intended to be executed. Worst case they will
  9. Content Article
    Students studying this course with HSIB will work with investigation science educators to explore the aspects of safety science, investigation processes and investigation skills which provide the foundations for the professional safety investigator. Students will be guided through the process of an investigation to identify the systemic factors which contribute to cause an unexpected incident. The teaching and learning will be multi-method online providing opportunity to collaborate with co-learners in exploring the practical application of investigation science in healthcare. Course date
  10. 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
  11. 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
  12. Content Article
    Session 1 poster slideshow – themed around setting up Learning from Excellence systems Session 2 poster slideshow – themed around workplace culture, support and art at work Session 3 poster slideshow – themed around putting appreciative inquiry into practice
  13. Content Article
    Andrea Truex describes the reasons behind errors in hospitals and outlines how she has built a safety culture and processes in her hospital. She highlights safety huddles and 'nurse leader rounding', where nurses in charge visit every patient every day, as key factors in ensuring high levels of patient safety.
  14. Content Article
    To improve safety, it is absolutely essential that human factor and design principles are embedded into the specifications for devices and this is what NHS Supply Chain are aiming to achieve through focused engagement with the end users of the products to gain a full understanding around who what where how and when they are used.
  15. Content Article
    The Patient Safety Management Network is growing from strength to strength and last week’s drop-in session was a brilliant example of the value of people getting together and sharing insights, experience and photos of small dogs. Debbie, Charlotte, Hannah and Thomas are an enthusiastic powerhouse of a patient safety team from Sussex Community NHS Foundation Trust. They were invited to share how they have been developing the Trust’s approach to patient safety, building a positive and proactive team even in this last year, during the pandemic. They were inspiring, sharing their passion, vis