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Showing results for tags 'Safety management'.
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Content Article
Double checking: a second look (16 November 2015)
Patient Safety Learning posted an article in Process improvement
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News Article
How safe is our care?
Patient Safety Learning posted a news article in News
All healthcare leaders, providers, patients and the public should wrestle with a fundamental question: How safe is our care? The typical approach has been to measure harm as an indicator of safety, implying that the absence of harm, is equivalent to the presence of safety. But, are we safe, or just lucky? Jim Reinertsen, a past CEO of complex health systems and a leader in healthcare improvement, suggests that past harm does not say how safe you are; rather it says how lucky you have been. After learning about the Measurement and Monitoring of Safety (MMS) Framework, Reinertsen found t- Posted
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Content Article
The findings of this paper show that safety lapses in primary and ambulatory care are common. About half of the global burden of patient harm originates in primary and ambulatory care, and estimates suggest that nearly four out of ten patients experience safety issue(s) in their interaction with this setting. Safety lapses in primary and ambulatory care most often result in an increased need for care or hospitalisations. Available evidence estimates the direct costs of safety lapses – the additional tests, treatments and health care – in primary and ambulatory care to be around 2.5% of total h- Posted
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Content Article
Moving towards a safety II approach
Claire Cox posted an article in Systems
This paper explores work from: Plsek and Greenhalgh Charles Vincent and Rene Amalberti Erik Hollnagel- Posted
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- Background
- Safety management
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Content Article
A conversation with pathologist, Professor Peter Johnston
Claire Cox posted an article in Processes
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- Pathology
- Safety process
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Content Article
NHS Improvement asked NHS organisations to identify, by June 2020, at least one person from their existing employees as their patient safety specialist. Training for these specialists will be based on the national patient safety syllabus being developed with Health Education England. Working with representatives from a few NHS trusts, patient safety partners (patient and public voice representatives) and clinical commissioning groups, NHS Improvement have drafted the requirements for a patient safety specialist to help organisations identify the most appropriate person(s) for the role.- Posted
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- Patient safety / risk management leads
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Content Article
Part I illustrates why improving safety is so difficult and complex, and why current approaches need to change. Part II looks at some of the work being done to improve safety and offers examples and insights to support practical improvements in patient safety. Part III explains why the system needs to think differently about safety, giving policymakers an insight into how their actions can create an environment where continuous safety improvement will flourish, as well as how they can help to tackle system-wide problems that hinder local improvement.- Posted
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- System safety
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Content Article
Letter from America: A Grand Adventure
lzipperer posted an article in Letter from America
Anniversaries are special. They acknowledge events from personal to the historic. I just celebrated an anniversary that met both those criteria: 25 years of marriage. I did so in a place marking the centennial of its designation as a national park – a true American wonder – the Grand Canyon. It goes without saying that the place is gobsmacking: it literally takes your breath away. It is no easy feat to navigate the options for what can be done while you are there – the food, the views, the trails, the crowds, the mules! To make the trip really monumental however, visitors and staff- Posted
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- Benchmarking
- Patient safety strategy
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Content Article
What are Patient Safety Collaboratives?
Claire Cox posted an article in AHSNs
On this page you will find more about the work PSCs are doing around: Culture Deterioration Maternal and Neonatal Care- Posted
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Content Article
About the Academic Health Science Networks
Claire Cox posted an article in AHSNs
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- Communication
- Organisational culture
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10,000 feet - Patient Safety in the operating theatre
Claire Cox posted an article in Process improvement
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- Operating theatre / recovery
- AHP
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Content Article
The pilot included five key elements: Conducting semi-structured interviews with a sample of clinical and non-clinical staff who had been directly involved in a patient safety incident, adverse event or medical error in University Hospitals Leicester and Nottingham University Hospital to explore the impact this had on them and the type of support they would have liked to receive. These were transcribed and thematically analysed to identify core themes. Developing a three-tier second victim support programme and including training peer supporters (tier 2). Piloting of the mode- Posted
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- Hospital ward
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Content Article
The STEP-up programme: Engaging all staff in patient safety
Claire Cox posted an article in Clinical leadership
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- Safety culture
- Training
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Community Post
Communicating patient safety issues - newletters
Claire Cox posted a topic in Improving patient safety
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Do you have a patient safety newsletter in your Trust? It would be very interesting for others to see how your is set out and the content. Here is one from Cardiff and Vale.- Posted
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Content Article
From Safety-I to Safety-II: A White Paper (2015)
PatientSafetyLearning Team posted an article in Organisational
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- Safety culture
- Safety behaviour
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