Search the hub
Showing results for tags 'Safety culture'.
Found 558 results
-
Content ArticlePatient safety is seen as implicit and complex, difficult to measure, difficult to engage with and the area of experts. This is very different from high safety industries that put safety at the centre of their activities, with a leadership intent to develop a just and learning culture. In this blog, Henrietta Hughes highlights the importance of leadership, not only of provider organisations but all the bodies that surround the NHS – the politicians, officials, inspectors, regulators, commissioners, representative bodies and patient groups. For frontline staff and patients alike, it is vital that leaders speak the same safety language, understand the impact that they have on the safety culture and embrace patient partnership.
-
Content Article
Safety is a core dimension of health care quality, and measurement of patient safety culture in Organisation for Economic Co-operation and Development (OECD) countries is increasingly conducted as part of efforts to monitor patient safety and to contribute to health system performance assessment. This Health Working Paper looks at the findings of the second OECD pilot on patient safety culture. This occurred in 2022-2023 and in total took data from 648,209 health care providers from 14 countries. -
Content Article
If the health and care sector is to safely and securely use and expand digital services, with clinicians becoming ever more dependent on it for the delivery of care, then we must get the basics of digital service delivery right and enable a digitally safe culture. Rob Ludman, Director of Ludman Consulting Ltd, shares the three priorities he feels is needed to tackle this. -
Content Article
This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Making Families Count is an organisation that offers practical training based on lived experience to healthcare professionals. Rosi talks to us about how MFC training benefits patient safety and improves the way in which patients and families are involved in incident investigations. She explains how she came to be involved in MFC after the death of her son Nico and outlines the vital importance of seeing patient and family voices as equal to those of people working for healthcare organisations.- Posted
- 1 comment
-
- (and 5 more)
-
Content ArticleThis video was produced as a training resource for NHS organisations, to demonstrate the impact the initial response to a patient safety incident and subsequent investigation have on the patient. In this video, Kathryn talks about her experience following an incident where she was harmed when her cannula was not flushed following surgery, leaving her close to death and temporarily paralysed. She describes the clear, compassionate communication displayed by the healthcare professionals involved in her care, both immediately after the incident and throughout the subsequent investigation.
-
Content ArticleOnline reporting tools are a key component of professional accountability programmes as they allow hospital staff to report co-worker unprofessional behaviour. Ethos is a whole-of-hospital professional accountability programme that includes an online messaging system, which has now been implemented across multiple Australian hospitals. This study examined reported unprofessional behaviour that staff indicated created a risk to patient safety. It included 1310 Ethos submissions reporting co-worker unprofessional behaviour between 2017 and 2020 across eight Australian hospitals. The findings indicate that unprofessional behaviour was associated with risks to patient safety. Co-worker reports about unprofessional behaviour have significant value as they can be used by organisations to better understand how unprofessional behaviour can disrupt work practices and lead to risks to patient safety.
-
Content ArticleNurses, midwives and paramedics make up over half of the healthcare workforce in the UK National Health Service and have some of the highest prevalence of mental ill health. This study in BMJ Quality & Safety explored why mental ill health is a growing problem and how we might change this. The authors identified the following key themes:It is difficult to promote staff psychological wellness where there is a blame cultureThe needs of the system often over-ride staff psychological well-being at workThere are unintended personal costs of upholding and implementing values at workInterventions are fragmented, individual-focused and insufficiently recognise cumulative chronic stressorsIt is challenging to design, identify and implement interventions.They suggest that healthcare organisations need to rebalance the working environment to enable healthcare professionals to recover and thrive. This requires:high standards for patient care to be balanced with high standards for staff mental well-being.professional accountability to be balanced with having a listening, learning culture.reactive responsive interventions to be balanced by having proactive preventative interventionsthe individual focus balanced by an organisational focus.
-
News Article
‘Deficient’ processes and ‘poor’ safety culture found in trust review
Patient Safety Learning posted a news article in News
A trust’s drugs control department was found to have a “significant under-appreciation of safety” and “a culture of unwillingness”, after it lost track of at least two bags of fentanyl. The Royal Free London Foundation Trust launched an internal incident investigation after two rejected bags of the controlled drug were reported missing from a quality control quarantine store. Fentanyl is a strong opioid used to treat severe and/or long-term pain. But its effect is similar to heroin, it is highly addictive, and there is therefore significant illicit use of it. While it was not possible to ascertain if foul play contributed to the incident, the review said the incident “is most likely to represent a failure in documentation and of subsequent escalation”. Investigators said there appeared to be a “culture of unwillingness” to train and develop staff due to the fear of losing them to other organisations. They said a “culture of fear” was inhibiting the team’s ability to “progress, innovate, and grow”. Read full story (paywalled) Source: HSJ, 24 June 2024 -
Content Article
The global patient safety problem (John Tingle, 14 June 2024)
Mark Hughes posted an article in Culture
On the 30 May 2024, the World Health Organization published the its Global Patient Safety Report 2024. In this blog, Assistant Professor John Tingle from Birmingham Law School at the University of Birmingham, reflects on the findings of this report, in particular considering progress made in nurturing patient safety cultures in different healthcare systems. -
Content Article
The Safety of Work podcast
Patient Safety Learning posted an article in Recommended video and audio resources
Do you know the science behind what works and doesn’t work when it comes to keeping people safe in your organisation? Each week join Dr Drew Rae and Dr David Provan from the Safety Science Innovation Lab at Griffith University as they break down the latest safety research and provide you with practical management tips. -
Content ArticleThis systematic literature review looks at the international evidence on how interventions to improve safety culture may benefit hospital staff and how they can be designed and implemented. In its conclusion, the authors note that the impact of safety culture interventions on staff outcomes, evidence on staff experiences is scarce. They suggested that a greater focus on staff outcomes would provide more meaningful insight into staff experience within safety culture and results from the safety culture.
-
Content ArticleIn this paper, published by Healthcare, authors proceed in two steps. First, they expand the existing base of literature on the interpersonal aspect of a safety climate by presenting a conceptual model of psychological safety and joint problem-solving orientation and proposing how, individually and together, they promote safety improvement and worker retention in healthcare. Second, they conduct an exploratory test of these relationships using empirical data from a large healthcare organization in the US.
-
Content ArticleThe last two decades have seen substantial advancement in the practice of team-based, safe care delivery. In parallel, burnout has been recognised as prevalent among US doctors and influenced by workplace structure and experiences. This study assessed US doctors’ perceptions of team-based care delivery and safety climate within their institutions and how these domains were associated with burnout.
-
Content ArticleThis handbook produced by the Healthcare Financial Management Association (HFMA) is designed to help NHS governing bodies and audit committees in reviewing and reassessing their system of governance, risk management and control. This is to make sure the governance remains effective and fit for purpose, whilst also ensuring that there is a robust system of assurance to evidence it.
-
Content ArticleThis qualitative study looked at healthcare professionals perceptions of patient safety culture in Ghana. It was conducted with 42 healthcare professionals in two regional government hospitals in Ghana from March to June 2022. The authors note that despite positive attitudes and knowledge of patient safety, healthcare professionals expressed concerns about the implementation of patient safety policies outlined by hospitals. They also highlighted that there was a perception that curriculum training on patient safety during school education and the availability of dedicated officers for patient safety at their facilities may help improve patient safety.
-
Content ArticleThis cross-sectional study, published in Cureus, was conducted among 423 nurses working at tertiary care hospitals in the Al-Jouf region in Saudi Arabia. The authors note that participants valued the aspects of teamwork within units, organisational learning-continuous improvement, and overall perceptions of patient safety as areas of strength and important elements of patient safety culture. However, they also highlighted areas of concern that need improvement, such as nonpunitive response to errors, handoffs and transitions, communication openness, staffing, and frequency of events reported.
-
Content Article
NHS England Safe Learning Environment Charter
Patient-Safety-Learning posted an article in Culture
The Safe Learning Environment Charter supports the development of positive safety cultures and continuous learning across all learning environments in the NHS. It is underpinned by principles of equality, diversity and inclusion. It has been developed by over 2482 learners, educators and key stakeholders in health education. The Charter was created by NHS England in response to healthcare learners’ feedback on their clinical experiences in maternity services, set out in the Kirkup (2015 and 2022) and Ockenden (2020 and 2022) reports. The Charter is designed for learners and those responsible for supporting placement learning across all learning environments and all professions within them. It is aligned to the NHS People Promise in recognition that learners are vital to the workforce and are included in the promises NHS staff and leaders must all make to each other, to improve everyone’s experience of working in the NHS. The Charter sets out the supportive learning environment required to allow learners to become well-rounded professionals with the right skills and knowledge to provide safe and compassionate care of the highest quality. -
Content ArticleIn April 2024 the World Health Organization published the Patient Safety Rights charter, outlining patients’ rights in the context of safety in healthcare. In this blog, Assistant Professor John Tingle and Teaching Fellow Angela Eggleton from Birmingham Law School at the University of Birmingham, consider the rights included in the Charter and applying this to the NHS.
-
Content ArticleThe Pennsylvania Patient Safety Reporting System (PA-PSRS) is the largest repository of patient safety data in the United States and one of the largest in the world, with over 4.7 million acute care event reports dating back to 2004. This article in the journal Patient Safety analyses the patient safety event reports submitted to PA-PSRS in 2023.
-
Content Article
This fellowship program from the Patient Safety Movement Foundation offers a unique educational opportunity for healthcare professionals around the world to expand their knowledge in the theory and practice of patient safety. Building on the World Health Organization (WHO) Global Patient Safety Action Plan, the fellowship aims to develop future leaders particularly from lower middle- and middle-income countries. We aim to have learners from all WHO regions as learners on the program and from any profession within or allied to healthcare. The program combines a year-long curriculum developed by patient safety experts in a variety of areas, taught via monthly live virtual classroom sessions. Fellows complete monthly readings on specific topics, actively participate in discussions on the interpretation of theory and methods, and its implication to practice. Fellows submit monthly reflections on their learning as well as a longer reflection at the end of the fellowship. Applied learning is achieved by completing a hands-on improvement project that explores and advances issues of patient safety in each fellow’s respective professional environment. Fellows are encouraged to publish the outcome of their project and present at conferences. Our fellows are driven by a deep passion for patient safety, often sparked by first-hand encounters with patient harm events, and a desire to improve care outcomes in their home communities and workplace settings. They become part of a global social movement for patient and healthcare worker safety. The program consists of 12 sessions that run from will run from January to December 2025. Fellowship applications are accepted from 1 May to 1 August 2024. -
Content ArticleThe risk of a patient being harmed in a hospital is high in low- and middle-income countries, with the risk of health care-associated infection being up to 20 times higher than in developed countries. This review seeks to assess the current patient safety culture in health facilities in African countries to provide insight into areas of strength and areas for improvement.
-
Content ArticleIn March 2024, the Professional Standards Authority (PSA) convened a roundtable discussion entitled ‘Accountability, fear and public safety’ to explore some of the recent NHS safety culture initiatives in England and their relationship with professional health regulation. In this blog, Anna van der Gaag, Visiting Professor in Ethics & Regulation at the University of Surrey, reflects on this discussion and how to bring the best of safety culture initiatives and the best of regulatory processes together to do more for patient safety.
-
Content Article
On 17 and 18 April 2024, government ministers, high-level representatives and health experts from all over the world gathered in Santiago, Chile for the Sixth Global Ministerial Summit on Patient Safety. In this long-read article, Patient Safety Learning’s Chief Executive Helen Hughes reflects on the key themes and issues discussed at the event. -
Content ArticleThese patient safety professional standards aim to support pharmacists when responding to patient safety incidents. They describe good practice and provide a broad framework for continually improving services, shaping future services and roles and delivering high-quality care across all settings and sectors. They have been developed by the Royal Pharmaceutical Society (RPS), Association of Pharmacy Technicians UK and Pharmacy Forum NI, with the support of an expert steering group and public consultation. Pharmacists, pharmacist prescribers, pharmacy technicians and the wider pharmacy team across the United Kingdom will find these standards useful. They may also be of interest to the public, to people who use pharmacy and healthcare services, other healthcare professionals working with pharmacy teams, regulators and commissioners of pharmacy services.
-
Content ArticleThis report contains the findings and recommendations of the Organization Designation Authorization (ODA) Expert Review Panel formed under Section 103 of the 2020 Aircraft Certification, Safety, and Accountability Act (ACSAA). Reporting to the US Federal Aviation Administration (FAA) and Congressional committees of jurisdiction, the Expert Panel reviewed the safety management processes and their effectiveness for each holder of an ODA for the design and production of transport aeroplanes.
