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Showing results for tags 'Training'.
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Content Article
Patient Safety Learning speaks to Ben Tipney, Managing Director of MedLed and the hub topic lead in Human Factors, about how healthcare can achieve high performance and learn from other industries, including from the sports industry.- Posted
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- Communication problems
- Work / environment factors
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We launched our green paper, 'A Patient-Safe Future’, in September 2018 for two reasons: first to help us develop our strategy and work programme to ensure we are focused on areas that will help make a real difference and, second, to develop a clear and consistent message about how the wider system needs to change to better support patient-safe care.- Posted
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- System safety
- Accountability
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NHS Improvement have published a number of case studies on appropriate use of clinical risk assessment tools, developing new evidence-based alerting systems and developing personalised risk management plans for people who use services, to manage risks positively.- Posted
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- Hospital ward
- Doctor
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Despite 20 years of effort, every year avoidable unsafe care still leads tens of thousands of patients to suffer death or serious, life-changing harm. A Blueprint for Action, a report from Patient Safety Learning, furthers the analysis of the systemic causes of this harm and describes actions to make patient care safer. Last September, health and patient safety professionals and patients overwhelmingly welcomed the analysis of avoidable unsafe care offered in Patient Safety Learning’s Green Paper, A Patient-Safe Future. Matt Hancock, Secretary of State for Health and Social Care described it as “…the blueprint for action that we need.” Following widespread consultation on the Green Paper, A Blueprint for Action extends this analysis to identify actions to address the systemic causes of unsafe care.- Posted
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- Leadership
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Mind the Gap 2021 explores what training looked like for the maternity services workforce during the COVID-19 pandemic, and how this relates to the factors that contribute to the avoidable harm and deaths of mothers, birthing people, and their babies. It is an ongoing piece of research by the charity Baby Lifeline. The report directly surveys recommendations from reports investigating avoidable harm and takes into account wider events affecting maternity care. Training is a central recommendation for improving safety in maternity services. Gaps which already existed in training due to chronic underfunding and staff shortages have become worse, and this report will give recommendations to improve training nationally and locally at a critical time for maternity.- Posted
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- Obstetrics and gynaecology/ Maternity
- Baby
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The Parliamentary Healthcare Service Ombudsman published 'Ignoring the alarms: How NHS eating disorder services are failing patients' in December 2017. The families who brought forward their complaints helped uncover serious issues that required national attention. The failings catalogued in the report highlighted a systemic set of problems in relation to identifying, treating and monitoring eating disorders that require a systemic response. This encompasses raising awareness among clinicians, building greater specialist capability and ensuring adult eating disorder services achieve parity with child and adolescent services. This submission provides an overview of the report’s systemic findings and the responses seen to the systemic recommendations made to date.- Posted
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- Recommendations
- Investigation
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Content Article
This pack is for acute, specialist, mental health and community trust boards and specifically trust non-executive directors (NEDs) and non-clinical executive directors. It explains what boards are expected to do in relation to the Learning from Deaths framework.- Posted
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- Patient death
- Organisational learning
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In this series 'e-Patient Dave' deBronkart shares what we all need to know to get the best medical care without going broke or getting killed in the process. An 'e-patient' is someone who is empowered, engaged, equipped, and able, who never expected the system to do everything but thinks and acts like a responsible independent person.- Posted
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- Patient
- Knowledge issue
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This guide, by NHS Improvement, contains key questions for chairs, chief executives and senior leaders about common barriers to clinicians taking part in senior organisational management. It addresses the NHS Long Term Plan priority around nurturing the next generation of leaders and supporting all those with the capability and ambition to reach the most senior levels of the service. It was developed in response to the 2018 recommendations to the Secretary of State for Health and Social Care to ensure more clinicians from all professional backgrounds take on strategic leadership roles.- Posted
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- Leadership
- Teamwork
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Content Article
This National Patient Safety Agency (NPSA) guide provides a detailed illustration of how principles of safe design can be applied to widely used medical technologies. It focuses on the design of electronic infusion devices, such as infusion pumps and syringe drivers. There a wide variety of infusion device designs in use in healthcare. This document provides practical guidance and examples of best practice in the design of infusion devices, as well as a guide for those involved in the purchase and procurement of these devices.- Posted
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- Safety management
- Medical device
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Content Article
Building leadership for inclusion narrative 2019
Patient Safety Learning posted an article in Boards
Inclusion is core to the NHS Constitution, yet it remains one of the biggest challenges that health systems face globally, nationally and systemically. In the face of a growing body of evidence, which demonstrates the critical role that inclusive leadership plays in ensuring that health and care systems operate most effectively for patients and public, it is incumbent upon us to ensure that leaders at all levels are equipped and capable of leading inclusively and effectively.- Posted
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- Leadership style
- Safety culture
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Content Article
This video form Trent Hospital shows how using human factors can improve patient outcomes and how things go wrong in healthcare. Can you spot how systems and protocols could be changed here?- Posted
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- Training
- Workforce management
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Content Article
Nikki Davey, Clinical Human Factors Group Trustee, talks about how we might measure if a human factors intervention has been implemented on an operational basis. -
Content Article
Interview on 'This Morning' with Dr Chris Steele discussing the signs and symptoms of sepsis.- Posted
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- Service user
- Patient
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Content Article
This study from Landefeld et al., published in the Indian Journal of Community Medicine, looks at the perceptions of healthcare providers about barriers to improved patient safety in the Indian state of Kerala. Five focus group discussions were held with 16 doctors and 20 nurses across three institutions (primary, secondary and tertiary care centers) in Kerala, India and transcripts were analysed by thematic analysis.- Posted
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- Patient factors
- Training
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Content Article
NES: Safety culture discussion cards
PatientSafetyLearning Team posted an article in Good practice
Safety culture can be described as our: 1. Values (what is important) 2. Behaviours (the way we do things around here) 3. Beliefs (how things work). Safety culture has been shown to be a key predictor of safety performance in several industries. It is the difference between a safe organisation and an accident waiting to happen. Thinking and talking about our safety culture is essential for us to understand what we do well, and where we need to improve. NHS Education for Scotland (NES) has adapted these safety culture discussion cards (designed by EUROCONTROL) to help us to do this. Follow the link below to download the cards.- Posted
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- Safety culture
- Teamwork
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Content Article
Newly qualified nurses often fear making or identifying a clinical error so it is vital to know how best to prevent errors and manage them when they have occurred. This Nursing Times article looks at the most common clinical errors that are made, explains where to find the policies and procedures that should be followed, and highlights tips and tools that can be used to help rectify the issue or prevent it from happening in the first place.- Posted
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- Human error
- Patient safety incident
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Content Article
e-PAIN: e-Learning on pain management
Claire Cox posted an article in Training & education
e-PAIN is the place to start for anyone working in the NHS who wishes to better understand and manage pain. e-PAIN is a multidisciplinary programme based on the International Association for the Study of Pain's recommended multidisciplinary curriculum for healthcare professionals learning about pain management. Registration to the programme is free to all NHS staff members, those with OpenAthens accounts and students.- Posted
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- Medication
- Training
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Content Article
This was the first Chartered Institute of Ergonomics and Human Factors (CIEHF) Pharmaceutical Sector group organised event, where the systems and human factors challenges of labelling and packaging were discussed by a wide-ranging audience across the healthcare and pharmaceutical sectors.- Posted
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- Medication
- Packaging/ labelling/ signage
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Content Article
Frontline staff and volunteers at the forefront of the national coronavirus response across England will be able to access a new Psychological First Aid (PFA) training course, the Minister for Mental Health Nadine Dorries announced, 15 June 2020. The free online course available through Future Learn enables responders to develop their skills and confidence in providing key psychological support to people affected by coronavirus, including on issues such as job worries, bereavement or isolation as they carry out their vital work as part of the ongoing coronavirus response. It will also help to develop understanding of how emergencies like the coronavirus pandemic can affect us all, how to recognise people who may be at increased risk of distress, and how to offer practical and emotional support. It follows a globally recommended model for supporting people during emergencies, tailored to the specific challenges of coronavirus (COVID-19)- Posted
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- Staff safety
- Mental health
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Content Article
The COVID-19 pandemic is challenging the Canadian emergency departments (EDs) in unparalleled ways. As part of the frontline response, EDs have had to adapt to the unique clinical difficulties associated with the constant threat of COVID-19, developing protocols and pathways in the setting of limited and evolving information. In addition to the disruption of routine clinical care practices, an underlying perception of danger has resulted in a challenging clinical environment in which to make time-sensitive, high-stakes decisions. This has created an urgent need for targeted and adaptive training for all members of the emergency medicine healthcare team. The following commentary, published here by the Cambridge University Press, reflects the perspective of four emergency medicine simulation educators during the Canadian response to COVID-19.- Posted
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- Staff safety
- Simulation
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Content Article
Dr Susan Whalley-Lloyd, Senior Lecturer in Human Factors/Ergonomics at Staffordshire University, explains in this short video presentation why a human factors course is important for patient safety and what the course at Staffordshire University covers.- Posted
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- Students
- Ergonomics
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