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Showing results for tags 'Communication'.
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Content Article
To boldly go: Leadership amid crisis
lzipperer posted an article in Letter from America
This month’s Letter from America looks at actions and strategies core to leading an organisation during unexpected enterprise-affecting crises. Letter from America is the latest in a Patient Safety Learning blog series highlighting new accomplishments in patient safety from the United States.- Posted
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Content ArticleHuman Factors (Ergonomics) is the study of human activity (inside and outside of work). Its purpose as a scientific discipline is to enhance wellbeing and performance of individuals and organisations. A number of different definitions of Human Factors exist. The key principles are the interactions between you and your environment both inside and outside of work and the tools and technologies you use. This webpage from NHS Education Scotland (NES) provides links to a number of useful Human Factors resources used in healthcare. Topics include: Training Culture Leadership Systems Thinking Communication.
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Content ArticleSome of the serious findings of external reviews of NHS services from recent years, previously unpublished, have been released to HSJ. An HSJ investigation has found the NHS has kept secret dozens of external reviews into care failings in local services including: A hospital where surgery may have “shortened life expectancy”. An alleged “cartel” of private patients said to be put on NHS lists. “Very high risk” consultant on-call arrangements. Problems with fetal heart monitoring in a maternity service. Potentially unnecessary operations being carried out. Rows among doctors putting patients at risk. Read their full report below.
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Oligoanalgesia (February 2015)
Patient Safety Learning posted an article in Pain management
Oligoanalgesia is defined as failure to provide analgesia in patients with acute pain. More than 60% of patients seen in the emergency department (ED) have pain as their primary symptom; however, multiple studies have shown that olioganalegesia continues to be a major problem in the ED. A blog published on the US King's County Emergency Department website explores why this is and how we can improve.- Posted
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Content ArticleHuman factors understanding focuses on optimising human performance through better understanding the behaviour of individuals, their interactions, with each other and with their environment. Inhealth care, it underpins patient safety, offering an integrated approach to quality improvement and clinical excellence. In this episode, we are in conversation with Health Education England's deputy dean and physician Jo Szram, surgeon Peter Brennan, BA pilot Graham Shaw and Obs & Gynae trainee Ruth-Anna Macqueen to explore what human factors are, their importance in the health care setting and how knowledge of human factors can help both trainees and supervisors.
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The human-centred organisation (11 May 2020)
Patient Safety Learning posted an article in Techniques
The world today is highly complex and fast changing. New technologies become available and change the way we work, communicate and live our lives. The complex socio-economic and socio-political systems can make it difficult to anticipate the needs and requirements of tomorrow. This article discusses issues organisations have to deal with and the benefit of becoming more human-centred with help of a model aiming to influence organisations on policy level.- Posted
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- Leadership
- Organisational culture
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The right – and duty – of NHS staff to speak up
Hugh Wilkins posted an article in Whistle blowing
A blog from hub topic lead Hugh Wilkins on the recent messages from NHS England and NHS Improvement leaders reminding everyone, including those at board level, of the duty and right of staff to speak up about anything which gets in the way of patient care and their own wellbeing. Hugh highlights the real risk of reprisals against some staff who have raised concerns in the public interest, and points out that much needs to change before NHS staff can be sure that it is safe for them to speak up.- Posted
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Content ArticleThis checklist from the Health and Safety Executive provides typical elements to score culture, particularly applicable for larger organisations.
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Content ArticleFor a child, coming in to hospital can be pretty scary at the best of times, but it's especially daunting at the moment with all the doctors and nurses wearing their special personal protective equipment (PPE) for coronavirus. Edinburgh Children's Hospital Charity has created a video that explains, with help of some big and small superheroes, why various outfits – such as an astronaut's helmet or a firefighter's uniform – protect workers from different types of hazards. The idea is to help children in hospital feel more at ease while staff wearing PPE are caring for them.
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Content ArticleFreedom to Speak Up Guardians are changing the conversation about what it means to speak up in health. With a network of over 1,100 guardians and champions in England, workers are being supported and positive actions are being taken as a result. Speaking up and listening up should be a natural part of our conversations with colleagues, managers and each other. In health, as in all sectors, the best leaders understand the importance of listening to workers who are the eyes and ears of an organisation. But in health it is even more crucial as speaking up can be a matter of life or death. A positive environment and a supportive culture are key elements of the NHS People Plan. The Freedom To Speak Up Index, a new metric taken from the NHS Annual staff survey, shows that a positive speaking up culture may be correlated with higher performing organisations. The National Guardian Freedom to Speak UP launched the 100 Voices campaign: to share the stories that describe the current reality of speaking up in health. This document highlights and shares best practice in speaking up. Some have been provided by Freedom to Speak Up Guardians, others by workers themselves. Within these pages you will hear a selection of voices. They describe their experiences of speaking up, the impact this has had and how it has led to positive change.
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Safe communication during Covid-19
Claire Cox posted an article in Good practice and useful resources
A six-minute communication science video how to protect yourself against disinformation during COVID-19.- Posted
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Content ArticleThe human factors ‘Dirty Dozen’ is a concept developed by Gordon DuPont. He described elements that can act as precursors to accidents or incidents, or influence people to make mistakes. This article by the Clinical Excellence Commission introduces the 'dirty dozen' and offers practical tips on how to reduced error int he workplace.
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Content ArticleThe COVID-19 pandemic is challenging health care systems worldwide; none more so than critical and intensive care settings. Significant attention has been placed on the capacity of intensive care units (ICUs) to respond to a COVID-19 surge, particularly in relation to beds, ventilators, staffing and personal protective equipment. This position statement has been produced by the Australian College of Critical Care Nurses and the Australian College of Infection Prevention and Control (ACIPC) to guide critical care nurses in facilitating next-of-kin presence for patients dying from COVID-19 in the ICU.
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- ICU/ ITU/ HDU
- End of life care
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Content ArticleIn this video Dr. Donna Prosser, Chief Clinical Officer at the Patient Safety Movement Foundation, interviews Helen Hughes the Chief Executive of Patient Safety Learning, on how we can better share learning about reducing harm in healthcare. Helen shares the resources that are available through Patient Safety Learning and how those passionate about safety can get involved.
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- Safety culture
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Content ArticleThis is a webinar recording produced by the International Society for Quality in Health Care (ISQua). Patient Safety Learning's Helen Hughes, Patient Advocate Kathy Kovacs Burns, ED Consultant, Rob Galloway and Rachael Grimaldi, the creator of Cardmedic join ISQua to discuss communication between healthcare staff and patinets during COVID-19. This webinar focused on finding solutions to the difficulties that arise in communication between healthcare staff and patients, particularly during events like COVID-19 where the use of face masks and shields create a barrier in communication. We also hear from the perspective of the patient – what are the unintended consequences of failures in communication? Rachael Grimaldi the creator of Cardmedic, shared details of this innovative tool that can be used to aid in the communication between patients and their carers during the pandemic. Communication is an extremely important aspect of care and this webinar aims to help both healthcare staff and patients to find a way through the barriers imposed by COVID-19.
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Content ArticleA patient shares her story of how catastrophic complications from a hysterectomy has changed her life forever.
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- Patient harmed
- Obstetrics and gynaecology/ Maternity
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Content ArticleAuthor Hugh MacLeod host's this fourth episode in the ISQua Podcast series. "We do not make stuff in healthcare, we deliver care to people through people. When the relationship patterns between people are connected and healthy quality and patient safety magic happens, when they are not connected nor healthy, things fall through the cracks and patient harm and death occurs."
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Content ArticleIsaac Samuels, co-chair of the National Co-production Advisory Group explains how he can be helped to stay out of hospital and Natasha Burberry, Think Local Act Personal policy advisory gives some hard facts and practical advice.
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Why language matters in social care (January 2020)
Claire Cox posted an article in How to engage for patient safety
“Words can invite people in, or keep them out”. Listen to this podcast about why language matters and the impact this has on people who access services (5 mins) with Catriona Moore and Sally Percival, hosted by Linda Doherty from Think Local, Act Personal.- Posted
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- Patient
- Communication
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Content Article
Resources for setting up learning from excellence reporting
Claire Cox posted an article in Motivating staff
Safety in healthcare has traditionally focused on avoiding harm by learning from error. This approach may miss opportunities to learn from excellent practice. Excellence in healthcare is highly prevalent, but there is no formal system to capture it. We tend to regard excellence as something to gratefully accept, rather than something to study and understand. The preoccupation with avoiding error and harm in healthcare has resulted in the rise of rules and rigidity, which in turn has cultivated a culture of fear and stifled innovation. It is time to redress the balance. It is believed that studying excellence in healthcare can create new opportunities for learning and improving resilience and staff morale. This page is for useful resources for setting up and maintaining an excellence reporting programme:- Posted
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- Motivation
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Content Article
Consent to treatment: Overview
Claire Cox posted an article in Consent issues
Consent to treatment means a person must give permission before they receive any type of medical treatment, test or examination. This must be done on the basis of an explanation by a clinician. Consent from a patient is needed regardless of the procedure, whether it's a physical examination, organ donation or something else. The principle of consent is an important part of medical ethics and international human rights law.- Posted
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Content ArticleA growing body of evidence suggests that patient and family engagement can improve the safety and quality of care. We now know that effective engagement leads to better health outcomes and increased patient satisfaction. Yet many organizations committed to including patients in their work — health care providers, government agencies, and others — find it challenging to do so consistently and successfully. Many health care systems have committed to patient engagement in the doctor’s office, but are unsure how to incorporate it into program and policy development.
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- Patient engagement
- Staff engagement
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Content ArticleThe objective of this study, published in Health Services Research, was to determine whether a communication and resolution approach to patient harm is associated with changes in medical liability processes and outcomes.
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James Titcombe: The complexity of failure (2 October 2018)
PatientSafetyLearning Team posted an article in Culture
When James Titcombe is hit by the biggest tragedy imaginable to any parent, he and his wife need to confront a tragedy on a bigger scale still: the structural learning disabilities of the organisation that robbed them of their child. The ‘complexity of failure’ video documents the struggle to get the largest employer of the land to account for what was lost. Behind the bureaucracy and posturing, the lies and denials, it discovers a humanity and a richly facetted suffering by many others. It drives a determined James Titcombe to change how we learn from failure forever.- Posted
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- Patient
- Obstetrics and gynaecology/ Maternity
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Content Article
My experience as an agency nurse
Martin Hogan posted an article in Stories from the front line
In this blog, Martin Hogan shares his experience of working as an agency nurse and how different behaviours can impact on the safety of both staff and patients.- Posted
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