Tag Archives: Blame Culture

Medication Errors: an Open Learning Culture Recommended to Reduce Patient Harm (BBC News / Department of Health / EEPRU / Department of Health and Social Care)

Posted on February 25, 2018 by Dementia and Elderly Care News

Summary Medication errors, which include (i) wrong medications given, (ii) incorrect doses and (iii) delays in medication being administered, cause an estimated 700 deaths per year and might play a role in something between 1,700 to 22,300 further avoidable deaths. … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest, World Health Organization (WHO) | Tagged Acute Care and Quality, Acute Care and Workforce, Adult Psychiatric Intensive Care Services, Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, BBC Health News, Blame Culture, Care Home Culture, Care Home Environments, Care Homes, Centre for Health Economics: University of York, Choosing Wisely Campaign, Choosing Wisely in the NHS, CHUMS Study, Clinical Pharmacists, Clinical Responsibility for Patients (Choosing Wisely and New Deal), Community Pharmacists, Continuous Learning Culture, CQC Investigations and Quality Policy, Culture and Behaviour Change, Culture and Leadership, Culture Change, Culture of Raising Concerns, Department of Health Policy Research Programme, Division of Population Health Health Services Research and Primary Care: University of Manchester, Electronic Prescribing and Medicines Administration (EPMA), Electronic Prescribing Systems, EQUIP Study, Former Health Secretary Jeremy Hunt, Global Patient Safety Challenge (WHO), HePMA, Hospital E-Prescribing and Medicines Administration, Hospital Electronic Prescribing and Medicines Administration (HePMA), Hospital Pharmacists, Learning Culture, Making Choices Together (Previously Choosing Wisely Wales), Manchester Centre for Health Economics: University of Manchester, Medication Errors, Medication Errors and Adverse Drug Reactions, Medication Without Harm (WHO), Medicines Safety Programme (WHO), Medicines Value Programme (NHS England), NHS Culture, NHS Culture Change, NHS Patient Safety Culture, NHS Specialist Pharmacy Service, No Harm Culture, Old Age Psychiatry, Open and Transparent Culture, Openness, Openness and Collaboration, Openness and Honesty When Things Go Wrong, Openness and Transparency, Partnering with Patients and Families, Patient and Family Engagement, Patient and Public Engagement (PPE), Patient and Public Involvement, Patient and Public Involvement (PPI), Patient Engagement, Patient Engagement Strategies, Patient Harm, Patient Harms and Harm Free Care, Patient Safety, Patient Safety Champions, Patient Safety Improvement, Patient Safety Indicators, Patient Safety Strategies, Patients With Polypharmacy Risks, Pharmacist Buddy Scheme (County Durham and Darlington NHS Foundation Trust), Pharmacist-Led Information Technology Intervention (PINCER), Pharmacists, PINCER Intervention, Policy Research Programme (PRP), Policy Research Unit in Economic Evaluation of Health and Care Interventions (EEPRU), Polypharmacy, Potentially Preventable Complications in Hospitalis, PREPARE: Partnership for Responsive Policy Analysis and Research, PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) Study, Prescription Errors in Psychiatry, Preventable Deaths in English Acute Hospitals, Preventable Hospital Deaths, Preventable Hospital Mortality, Preventable Mortality, Primary Care Adverse Drug Reactions, PROTECT Programme, Putting Patients First, Quality Improvement Culture, Reducing Inappropriate Polypharmacy, Reducing Litigation Costs, Report of the Short Life Working Group on Reducing Medication-Related Harm, Reporting Culture, Reporting of Incidents, Research on Medication Error, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, ScHARR: University of Sheffield, School of Health and Related Research (ScHARR): University of Sheffield, SDM: Shared Decision Making, Secondary Care Adverse Drug Reactions, Serious Mistakes, Severe Harm, Shared Care and Education, Shared Decision-Making, Short Life Working Group (SLWG), Short Life Working Group on Reducing Medication-Related Harm, Stop the Over-Medication of People With a Learning Disability or Autism (STOMP) Campaign, Transparency, Transparency and Accountability, Transparent Learning Culture, UK Department of Health Policy Research Programme, United States National Coordinating Council for Medication Error Reporting and Prevention, University of Manchester, University of Sheffield, University of York, University of York Centre for Health Economics (CHE), WHO Domain: Health Care Professionals, WHO Domain: Medicines, WHO Domain: Patients and the Public, WHO Domain: Systems and Practice of Medication, WHO Domains, WHO Global Patient Safety Challenge | Leave a comment

Balancing Quality and Finance (NHS Confederation)

Posted on April 27, 2014 by Dementia and Elderly Care News

Summary This NHS Confederation briefing summarises a round table discussion about how NHS might achieve the best balance between the need to control or reduce costs and the aim of providing better care. This briefing was produced in partnership with … Continue reading →

Posted in Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, National, NHS Alliance, NHS Confederation, Quick Insights, Standards, UK, Universal Interest | Tagged Academy of Medical Royal Colleges, Achieving Better Value, Balancing Quality and Finance, Barriers and Enablers to Value in Healthcare, Best Value Duty, Better Value, Blame Culture, Cancer Drugs Fund (CDF), Care Quality, Collaboration, Collaborative Working, Commissioning for Value, Cost–Benefit Analyses, Culture Change, Culture of Candour, Delivering Quality and Value, Disempowering Environments, Duty of Best Value, Economic Sustainability, End to Silo Working, Expensive Drugs, Faculty of Medical Leadership and Management, Finance, Financial Constraints, Financial Context, Financial Pressure in the NHS, Financial Pressures, Financial Sustainability in the NHS, Funding, Health Funding, Healthcare Financial Management Association (HFMA), HFMA: Healthcare Financial Management Association, High Quality Care for All, High Quality Commissioning, Holistic Quality Improvement, Honesty, Internal Distrust: Working Together, Kadcyla, Lack of Direction, Local Commissioning, Misaligned Funding Mechanisms, NHS Culture, NHS Finances, NHS Financial Leadership, NHS Funding, NHS Funding Gap, NHS Leadership, NHS Quality, NHS: a Political Football, Openness and Transparency, Partnership and Collaboration, Patient and Public Engagement (PPE), Payment and Funding Systems, Political Candour, Quality and Sustainability, Quality Improvement, Quality in the NHS, Quality Payments in the NHS, Quality: Outcomes, Reducing Spending on Expensive Drugs, Regulatory Barriers, Removing Regulatory Barriers, Resistance to Change, Shared System Leadership, Sustainability, Sustainable Funding, Sustainable Health and Social Care, System Leadership, Transparency, Transparency and Accountability, Transparency and Public Trust, Unresponsive Culture, Value Across Public Services, Value for Money, Value Improvement, Value Opportunities, Value Opportunities in Local Commissioning, Whole Service Approaches, Whole System Integration, Whole System Performance, Whole Systems Design, Working Together for Change | Leave a comment

More From the RCN’s Annual Conference in Liverpool (BBC News)

Posted on April 23, 2013 by Dementia and Elderly Care News

Summary Nurses feel they are being targeted and treated unfairly. More “fall-out” from the Royal College of Nursing (RCN)’s Annual Conference in Liverpool: Read more: BBC News: Is nurse training plan a stupid idea?. Reference Triggle, N. (2013). Is nurse training plan … Continue reading →

Posted in BBC News, For Nurses and Therapists (mostly), In the News, National, NHS, Quick Insights, RCN, Standards, UK, Universal Interest | Tagged Andrea Spyropoulos, BBC Health News, Blame Culture, Consequences of the Francis Inquiry Report, Culture, Dementia Nursing Care, Former Conservative Health Minister Dr Dan Poulter, Negative Culture, NHS Culture, Nursing Older People, Nursing Practice, Nursing Standards, PIDA: Public Interest Disclosure Act, Public Interest Disclosure Act 1998, Reactions to the Francis Inquiry Report, Royal College of Nursing (RCN), Royal College of Nursing's Annual Conference, Shaping Culture, Whistleblowing, Whistleblowing Helpline, Workforce Development, Workforce Training | Leave a comment

Patients First and Foremost: Government Response to the Mid Staffordshire NHS Public Inquiry Report (Department of Health)

Posted on March 26, 2013 by Dementia and Elderly Care News

Summary The government’s official response to the Francis Inquiry report, entitled “Patients first and foremost” was published today. It defines the Department of Health‘s commitment and action plan for the health and care system. The main recommendations / resolutions include: Ofsted-style ratings for hospitals … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NHS Confederation, Patient Care Pathway, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Accountability, Acute Care, Acute Hospitals, Allied Health Professionals (AHPs), Ban on Clauses Intended to Prevent Public Interest Disclosures, Barbara’s Story: Increasing Awareness of Dementia, Barring System, Barring System for Healthcare Assistants, Berwick Review, Blame Culture, Burdett Trust, Bureaucracy, Candour, Care, Care Assistants, Care in General Hospitals, Care Quality Commission (CQC), Chief Inspector of Social Care, Clinically-Led Commissioning, Code of Conduct and Minimum Training for Health and Care Assistants, Commissioning for Quality and Innovation (CQUIN) Indicators, Commitment, Communication, Compassion, Competence, Contractual Duty of Candour, Courage, CQUINs, Creating Time to Care, Creating Time to Lead, Criminal Sanctions, Cultural Care Barometer, Culture, Culture Change, Delivering Dignity, Detecting Problems Quickly, Dignity, Dignity and Respect, Disclosure and Barring Service (DBS), Everyone Counts, Expert Inspectors, Foundation Trust Status, Foundation Trust Status Distractions, Francis Inquiry, Francis Inquiry Report: Executive Summary, Francis Report, Friends and Family Test (NHS), Fundamental Standards, Gagging Clause Culture, Gagging Orders, Gaming the System, General Hospitals, General Medical Council, Health and Social Care Act (2012), Health and Social Care Information Centre (HSCIC), Healthcare Assistants, Healthwatch, Healthwatch England, House of Commons Library, Human Rights and Nursing, Increasing Awareness of Dementia, Independent Chief Inspector of Hospitals, Informatics Services Commissioning Group (ISCG), Leadership, Leadership in the NHS, Local HealthWatch, Mandate to the NHS Commissioning Board, Measuring Culture, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, NHS Confederation Review of Bureaucratic Burdens, NHS Constitution, NHS Constitution and Whistleblowing, NHS Constitution: Updated 2013, NHS Culture, NHS Friends and Family Test, NHS Health and Social Care Act (2012), NHS Mandate, NHS Outcomes Framework, NHS Safety Thermometer, Nurse Education, Nursing and Midwifery Council (NMC), Ofsted-Style Inspections, Ofsted-Style Ratings for Care Homes, Ofsted-Style Ratings for Hospitals, Openness, Patient and Public Involvement Forums (PPIFs), Patient and Staff Feedback, Patient Safety, Patients First and Foremost, Patients Not Heard, Penalties for Disinformation, Perverse Incentives, Poor Governance, Positive Culture, Proactive Professional Regulation, Problem Detection, Problem Prevention, Professional Disengagement, Professional Regulation, Public Interest Disclosures, Putting Patients First, QSGs: Quality Surveillance Groups, Quality Improvement, Quality Surveillance Groups (QSGs), Reduced Gaming of the System, Report of Mid Staffordshire NHS Foundation Trust Public Inquiry, Restorative Supervision, Revalidation for Nurses, Royal United Hospital Bath NHS Trust, Schwartz Rounds: Royal Free London NHS Foundation Trust, See It My Way, Shaping Culture, Sir Robert Francis QC, Six C’s of Nursing, Staff Motivation, Staff Training, Staffing Levels, Standards To Avoid Perverse Incentives, Statutory Duty of Candour, Supervisory Nurse Ward Managers, Supporting Staff to Care, Teaching Agency: Barring Scheme, The 6Cs, Tick Box Culture, Time Limited Failure Regime, Transparency, Transparency and Accountability, Whistleblowing, Zero Harm | Leave a comment

Decision-Making in Care and Support of Older People (Joseph Rowntree Foundation)

Posted on December 24, 2012 by Dementia and Elderly Care News

Summary This Joseph Rowntree Foundation report discusses care and support for older people given demographic trends. Factors which influence decision making, risk management and NHS trusts’ strategies are discussed. Older people are considered to be both receivers and givers of … Continue reading →

Posted in Charitable Bodies, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Joseph Rowntree Foundation, National, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged Adult Social Care, Age Discrimination, Ageing, Ageism, Aging, Anticipatory Decision-Making, Autonomous Decision Making, Autonomy (Ethical Framework for Decision-Making), Blame Culture, Caring Decisions, Choice, Choice and Control Over Decisions, Community Networks, Cultural Perceptions, Decision Ecology, Decision Making, Decision-Making Capacity, Demographic Change and Public Services, Demographic Changes, Demographic Time-Bomb, Demographics, Demography, Double-Loop Decision-Making, Easing Decision-Making, Engagement, Ethics and Decision-Making, Health and Social Care, Impact of Demographic Change on Public Services, Influences on Caring Decisions, Informed Choice, Mental Capacity Act 2005, Narrative, Narrative Communication Techniques, Negative Stereotypes, Networks, NVivo, Organisational and Professional Cultures, Patient Choice, Relative Risk (RR), Risk and Trust, Risk Aversion, Risk Avoidance, Risk Management, RSA Action and Research Centre, Shared Decision-Making, Shared Responsibility, Social Care, Social Networks, Stories, Trust, Trust Development Strategies, User Involvement | Leave a comment

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