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Showing results for tags 'Communication'.
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Content ArticleThe Canterbury Renal Unit is situated at Kent and Canterbury Hospital and provides renal services for the East Kent, Medway and Maidstone areas. There are currently 680 transplant patients currently being followed up. There have been a number of immunosuppression related prescribing errors in the surrounding hospitals. Indeed, one such error occurred in the renal unit itself, when a transplant patient had prednisolone inadvertently withheld resulting in rejection of the kidney. Thus, a group of 12 transplant patients attended a co-production group to discuss the problems and potential solutions.
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Content ArticleDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust Patient Safety Team's values became a golden thread to improve patient safety by 'Sharing How We Care' – a monthly patient safety newsletter and annual conference.
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- Team culture
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Community PostWhat training have you had to have that crucial end of life conversation with a patient and their relatives? What has helped you have those conversations?
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Content Article
What it feels like working with unsafe staffing
Anonymous posted an article in Florence in the Machine
This blog has been written by a healthcare worker and demonstrates the reality of what it is like caring for patients and families while being chronically low on staff. They describe the impact this has on staff morale and the impact it has on patients, patients family members and the relationship between staff and patients.- Posted
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- Safe staffing
- Nurse
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Content ArticleEffective communication is critical to successful large-scale change. Yet, in our experience, communications strategies are not formally incorporated into quality improvement frameworks. The 1000 Lives Campaign was a large-scale national quality improvement collaborative that aimed to save an additional 1000 lives and prevent 50 000 episodes of harm in Welsh health care over a two year period. This research, published in the Journal of Communication in Healthcare, used the campaign as a case study to describe the development, application, and impact of a communications strategy embedded in a large-scale quality improvement initiative.
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Content ArticleSpreading successful improvement work across the NHS is an essential part of improving health care quality and efficiency. Yet all too often an idea that has been shown to work well in one place is not adopted by others who could benefit from it. This guide from the Health Foundation, intended for those actively engaged in health care improvement, draws on this experience and empirical evidence, to provide practical information about how communications approaches can be used to spread improvement ideas.
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- Quality improvement
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Content ArticleThis short video from the Derbyshire Community Health Services NHS Foundation describes the importance of speaking up, what the process is and how speaking up will improve patient safety.
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Content ArticleThe National Patient Safety Agency developed the Incident Decision Tree to help NHS managers in the UK to determine a fair and consistent course of action toward staff involved in patient safety incidents. Research shows that systems failures are the root cause of the majority of safety incidents. Despite this, when an adverse incident occurs, the most common response is to suspend the clinician(s) involved, pending investigation, in the belief that this serves the interests of patient safety. The Incident Decision Tree supports the aim of creating an open culture, where employees feel able to report patient safety incidents without undue fear of the consequences. The tool comprises an algorithm with accompanying guidelines and poses a series of structured questions to help managers decide whether suspension is essential or whether alternatives might be feasible.
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- Patient harmed
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Content Article
National Guardians Office - case referral form.
Claire Cox posted an article in Speak Up Guardians
The National Guardian’s Office is an independent, non-statutory body with the remit to lead culture change in the NHS so that speaking up becomes business as usual. The office is not a regulator, but is sponsored by the CQC, NHS England and NHS Improvement.- Posted
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Community PostHi - I was wondering if anyone has used the freedom to speak up (FTSU) guardian service where they work? It is FTSU month in October and I was wondering if anyone had used the service, would they like to answer a few questions. We can post this on the hub, so people can see how the system works and how it felt to raise concerns. This of course would be dealt with strict anonymity, as these issues may be sensitive. Please get in touch!
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EAST: Four simple ways to apply behavioural insights (2015)
Patient Safety Learning posted an article in Techniques
If you want to encourage a behaviour in any setting, make it Easy, Attractive, Social and Timely (EAST). These four simple principles for applying behavioural insights are based on the Behavioural Insights Team’s own work and the wider academic literature. There is a large body of evidence on what influences behaviour, and we do not attempt to reflect all its complexity and nuances here. But we have found that policy makers and practitioners find it useful to have a simple, memorable framework to think about effective behavioural approaches.- Posted
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- Communication
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Community PostI have been thinking recently about the challenges which is posed towards larger trusts with regards to patient safety. Particularly with getting information disseminated to all staff and being reliant on endless emails. I have recently done some work with our Action Card App which has posed its own challenges particularly with physically getting around the Departments, spreading the word, and assisting people on the app itself. What really helped us iare screen savers, twitter and having those key conversations with stakeholders within the trust. I was wondering what everyone elses perspectives were?
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- Health and Care App
- Patient safety strategy
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Why we need courage to keep our patients safe
Patient Safety Learning posted an article in Florence in the Machine
An insightful blog from a nurse on the frontline. The author of this blog has requested to stay anonymous.- Posted
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Leicester Royal Infirmary NHS Trust: SBAR in action!
Claire Cox posted an article in Handover
Pro Mukherjee, Emergency Department Consultant at Leicester Royal Infirmary, briefly defines the SBAR terms and explains how healthcare practitioners can use it to communicate effectively within the emergency department.- Posted
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- Handover
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Content ArticleKatie Evans-Reber, Head of People at Wonolo, shares her insights on how leaders can make frontline workers from all organisations feel part of the team and how to create a positive organisation culture.
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Content ArticleAs part of its commitment to supporting the third sector, The King’s Fund works in partnership with GSK to run the GSK IMPACT Awards, which provide leadership development and funding for award winners.
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- Communication
- Leadership style
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Content ArticleThe National Guardian’s Office (NGO) was established following recommendations made in the Freedom To Speak Up Review by Sir Robert Francis QC. The NGO works to effect cultural change in the NHS so that speaking up becomes business as usual. The office leads, trains and supports a network of Freedom to Speak Up, Guardians (FTSUGs) in England, conducts case reviews, and works in partnership with the wider health system to support learning and improvement. The office is not a regulator, but is sponsored by the Care Quality Commission (CQC), NHS England and NHS Improvement.
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Content ArticleThe National Guardian’s Office is an independent, non-statutory body with the remit to lead culture change in the NHS so that speaking up becomes business as usual. The office is not a regulator, but is sponsored by the Care Quality Commission (CQC), NHS England and NHS Improvement.
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Content ArticleSee how incivility affects all of us in the NHS and how that can impact patient safety. Join the staff of Epsom and St Helier University Hospitals NHS Trust on their journey as they reflect on the real-life effects of both incivility and active kindness. This video was devised, filmed and produced by the Elena Power Simulation Centre.
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NHS Improvement: A Just Culture guide (updated 14 December 2018)
Claire Cox posted an article in Good practice
The fair treatment of staff supports a culture of fairness, openness and learning in the NHS by making staff feel confident to speak up when things go wrong, rather than fearing blame. Supporting staff to be open about mistakes allows valuable lessons to be learnt so the same errors can be prevented from being repeated. In any organisations or teams where a blame culture is still prevalent, this guide will be a powerful tool in promoting cultural change. -
Content Article
NHS Improvement: A Just Culture guide – animation (15 March 2018)
Claire Cox posted an article in Good practice
A Just Culture guide helps NHS managers ensure staff involved in a patient safety incident are treated fairly, and supports a culture of openness to maximise opportunities to learn from mistakes.- Posted
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- Accountability
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Content ArticleAnnette McKinnon is a patient with chronic disease. Her experience has led her to be involved in trying to change healthcare so that the voice of the patient is included in decisions. She is a volunteer member of many groups and committees and is a patient partner on several Canadian research teams. In her blog, published by the BMJ, Annette discusses the importance of patient-centred care, information sharing and the barriers to achieving this.
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- User-centred design
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Content ArticleCreating a culture where staff are empowered to speak up is important. Equally important to keep patients safe, is that serious incidents – and the complaints that often follow them – are treated as an opportunity for learning. NHS organisations and their staff must take accountability for making improvements to patient safety. But accountability has too often been taken to mean ‘blame’. If staff fear being blamed, it is much harder to understand what went wrong, why, and how to reduce the chances it will happen again. This blog by Kate Eisenstein, Assistant Director of Insight and Public Affairs at the Parliamentary and Health Service Ombudsman, discusses the importance of learning from mistakes and creating a culture of positive accountability.
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- Accountability
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Content ArticleNo one should be harmed while receiving healthcare. And yet globally, at least five patients die every minute because of unsafe care. The World Health Organization (WHO) will focus global attention on patient safety and launch a campaign in solidarity with patients on the very first World Patient Safety Day on 17 September 2019. Watch the WHO Director General’s statement calling for patients, healthcare workers, policy makers to “Speak up for Patient Safety!”.
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- Patient
- Patient death
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Content ArticleTejal K. Gandhi, Institute for Healthcare Improvement's (IHI) Chief Clinical and Safety Officer, reflects on the World Health Organization (WHO) challenge to “Speak Up for Patient Safety” and how broadly it applies to improvement work.
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- Accountability
- Communication
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