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Tag Archives: Continuous Learning and Improvement
Towards Safer Culture and Safer Systems: Launch of the NHS Patient Safety Strategy (NHS England / NHS Improvement)
Summary The NHS Patient Safety Strategy explains how the NHS aims to improve patient safety continuously, across the board. The main section headings in this strategy document comprise: Summary Insight Involvement. Improvement. Introduction Our vision for patient safety. Foundations for … Continue reading
Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NHS, NHS England, NHS Improvement, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
Tagged Academy of Medical Royal Colleges: Patient Safety Syllabus, Acute Data Alignment Programme (ADAPt), Adoption and Spread: Priorities, Ageing Population, Aidan Fowler: National Director of Patient Safety (NHS England), Antimicrobial Resistance (AMR), Antimicrobial Resistance and Healthcare Associated Infections (ARHAI), Antimicrobial Resistance: Patient Safety, Artificial Intelligence and Machine Learning From NHS Records, Ask Listen Do, Care and Treatment Reviews (CTRs), Care Education and Treatment Reviews (CETRs), Caring to Change (King’s Fund), Central Alerting System (CAS), Civility Plus Kindness and Respect, Clinical Negligence and Litigation, Clinical Negligence Scheme for Trusts (CNST), Clinical Quality Improvement, Community Empowerment, Community Engagement, Community Involvement, Compassionate Leadership, Compassionate Leadership: Cultural Elements, Continuous Improvement, Continuous Learning and Improvement, Continuous Learning Culture, Cyber Security Programme, Defensive Culture, Defensive Culture: Deny Delay Defend and Deceive, Defensive Leadership, Digital Minor Illness Referral Service, Digital Systems Supporting Patient Safety Learning, Diversity, Diversity and Inclusion, Donna Forsyth: Head of Patient Safety Investigation, Dr Frances Healey: Deputy Director of Patient Safety (Insight), Dr Helen Smith: National Clinical Director of Mental Health Safety Improvement Programme (MHSIP), Dr Sonya Wallbank: National Clinical Advisor to Culture Leadership and Engagement Project, Dr Suzette Woodward: Former Director of the Sign Up to Safety Campaign, Each Baby Counts, Early Notification of Incidents, Education and Training, Empowerment, Engagement, Evidence-Based Quality Improvement, Extensivists, Faculty of Learning, Falls Collaborative Programme, General Practice Development Programme, Getting It Right First Time (GIRFT), Good Governance, GP IT Futures Digital Care Services Framework, Health and Social Care Reform, Healthcare Associated Infections: Patient Safety, Healthcare Quality Improvement, Healthcare Safety Investigation Branch (HSIB), Holistic Quality Improvement, Honesty and Transparency, Hugh McCaughey: National Director of Improvement, Implementation Space: Work As Imagined Versus Work As Done, Improving Safety Measurement Across Whole System, Inclusion and Diversity, Inclusive and Compassionate Leadership, Independent Sector, Information Exchange, Information Sharing, Innovation and Improvement, Insight: Using Intelligence From Multiple Sources of Patient Safety Information, Involvement in the Independent Sector, Involvement: Involvement of Patients Staff and Partners to Improve Patient Safety, Joan Russell: Head of Patient Safety Policy and Partnerships, Just Culture Guide, Kaizen, Kate Cheema: Head of Patient Safety Measurement Unit, Lauren Mosley: Head of Patient Safety Implementation, Leadership and Teamwork, Learning Culture, Learning Disabilities Mortality Review Programme (LeDeR), Learning Disabilities: Patient Safety, Learning From Clinical Negligence Claims, Learning from Deaths, LeDeR: Learning Disabilities Mortality Review, Lucie Musset: National Reporting and Learning System (NRLS), Machine Learning, Management Standards: Managerial Support, Managerial Disrespect, Managerial Incivility, Managerial Unkindness, Maternity and Neonatal Safety Improvement Programme, Maternity and Neonatal Safety Improvement Programme (MNSIP: Formerly the Maternity and Neonatal Health Safety Collaborative, Medical Examiner System, Medicines Safety Improvement Programme (MSIP), Mental Health Safety Improvement Programme, MHSIP: Mental Health Safety Improvement Programme, MNSIP Drivers, Mothers and Babies: Reducing Risk Through Audits and Confidential Enquiries (MBRRACE), National Clinical Improvement Programme (NCIP), National Medical Examiner System, National Paediatric Early Warning System (PEWS), National Patient Safety Alerting Committee (NaPSAC), National Patient Safety Alerts, National Patient Safety Alerts Committee, National Patient Safety Improvement Programme, National Reporting and Learning System (NRLS), Negligence and Litigation, New Ways of Working, NHS Culture, NHS Culture Change, NHS Digital’s Cyber Security Programme, NHS Improvement Patient Safety Alerts, NHS Patient Safety Strategy, NHS Patient Safety Strategy Consultation, NHS Patient Safety Strategy: Equality Impact Assessment, NHS Resolution, Online Repositories of Quality Improvement (QI), Openness and Honesty When Things Go Wrong, Overbearing NHS Managerial Style, Paediatric Early Warning System (PEWS), Participatory and Citizen Involvement, Patient and Public Involvement, Patient Empowerment, Patient Engagement, Patient Experience, Patient Involvement in Quality Improvement, Patient Safety, Patient Safety and Learning Disabilities, Patient Safety Culture, Patient Safety Education and Training: Patients Carers Families and Lay People, Patient Safety in Primary Care, Patient Safety Incident Reporting, Patient Safety Incident Response Framework, Patient Safety Incident Response Framework (PSIRF), Patient Safety Incidents, Patient Safety Incidents in England, Patient Safety Learning (Digital Systems), Patient Safety Measurement Unit, Patient Safety Partners (PSPs), Patient Safety Specialist Networks, Patient Safety Specialist Role, Patient Safety Specialists, Patient Safety Syllabus, Patient Safety Systems, Patient Safety Translational Research Centres (PSTRCs), Patients as Partners in Safety, Patients Carers Families and Lay People: Patient Safety Education and Training, Pharmacist-Led Information Technology Intervention (PINCER), Pride and Positivity in Workplace (Compelling Vision), Private Healthcare Information Network (Phin), Professor Wendy Reid: Executive Director of Education and Quality at Health Education England (HEE), Professor Wendy Reid: National Medical Director at Health Education England (HEE), PSIRF: Patient Safety Incident Response Framework, Psychological Safety for Staff: Supportive Compassionate and Inclusive Environments, QI Adoption and Spread Approach, Quality and Sustainability, Quality Improvement, Quality Improvement Approaches, Quality Monitoring, Roles of Patient Safety Partners (PSPs), Rudeness (Managerial), Safety I and Safety II, Safety II, Safety II Principles, Safety Improvements for Elderly Patients, Saving Babies Lives Care Bundle (SBLCB), Scan4Safety, Serious Incident Framework, Service Improvement in Healthcare, Service Redesign, Service Transformation, Service User Experience, Service User Involvement, Sign Up to Safety Pledge: Honesty, STOMP and STAMP, Stop the Pressure Programme (STPP), Stopping Over Medication of People with Learning Disabilities (STOMP), Strategic Executive Information System (StEIS), Supporting Treatment and Appropriate Medication in Paediatrics (STAMP), Surgical Specialties Litigation Data Pack, Transparent Learning Culture, Trust Blame and the Culture of Defensiveness, User Experience, User Involvement, Wayne Robson: Head of Patient Safety Cross-System Development, Work As Imagined Versus Work As Done, World As Imagined Versus World As Done
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Transformational Change in Health and Care: Learning From Case Studies (King’s Fund)
Summary A recent King’s Fund report explores diverse examples of successful transformational change, i.e. those which tend to focus on improving the lives of patients, to see if there are lessons for leadership style and organisational culture. Four case studies … Continue reading
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Local Interest, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest
Tagged Acute Care Services, Acute Hospital A&E and Liaison Mental Health Teams, Acute Hospital A&E and Liaison Mental Health Teams: Transforming Mental Health Crisis Care (NHS England), Acute Hospital Care, Acute Medical Care for Frail Older People, Acute Medical Care of Elderly People, Ageing Population, Birmingham (UK), Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham and Solihull NHS Mental Health Trust, Bromley by Bow Centre, Bromley by Bow Health Partnership, Bromley-by-Bow Healthy Living Centre in East London, Buurtzorg Model: Netherlands, Buurtzorg Nederland, Buurtzorg: Netherlands, Capability and Culture, Challenges of Urgent and Emergency Care, Change Bystanders, Change Leaders, Change Participants, Change Recipients, Change Sparks, Change Sponsors, Collaborative Leadership, Collaborative Working, Collective Leadership, Continuous Learning and Improvement, Continuous Learning Culture, Culture and Leadership, Culture Change, Culture Change in Health and Care, Culture Change in the NHS, Defining Ethos and Brand, Don Berwick: International Visiting Fellow at the King’s Fund, Dual Focus: Change and Stability, East London, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Care Networks, Emergency Centres, High-Quality Home Care (Buurtzorg: Netherlands), Hospital Liaison Psychiatry Services, Information Technology, Innovative Technology, Involvement and Participation, Leadership and Culture, Leadership Style, Learning Culture, Learning-Based Approaches, Liaison Psychiatry, Liaison Psychiatry in the Hospital Setting, Liaison Psychiatry Services, Long Term Care in the Netherlands, Netherlands, New Care Models, Northumbria Healthcare NHS Foundation Trust, Northumbria Specialist Emergency Care Hospital, Over-Optimism (NHS Reform Versus Institutional Inertia), Overcoming Inertia, Potential of Technology, Power Dynamics: Old Power Versus New Power, Professor Don Berwick, Quality Improvement, Quality Improvement and Transformational Change, Rapid Access Ambulatory Care Clinics, Rapid Assessment Interface and Discharge (RAID), Reconfiguration of Emergency Care System, Reducing Complexity, Reducing Inappropriate Accident and Emergency Department Attendances, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Storytelling Approaches (to Research), Systems Complexity, Team-Based Approaches, Theory X Versus Theory Y (Basic Motivational Models), Transformational Change in Health and Care, Transformational Leadership, Transforming Urgent and Emergency Care Services, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Widening Participation, Work Complexity
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Professionalism in Nursing and Midwifery (NMC)
Summary The Nursing and Midwifery Council has published a guide to professionalism in the practice of nursing and midwifery, covering advice on applying the values from the Code (the code of professional conduct). This was launched on International Nurses Day, … Continue reading
Posted in For Nurses and Therapists (mostly), For Researchers (mostly), National, Northern Ireland, Person-Centred Care, Quick Insights, Scotland, Standards, UK, Universal Interest, Wales
Tagged Best Interests, Best Interests of Patients, Chief Nursing Officers (CNOs), Compassionate Care, Continuous Improvement, Continuous Learning and Improvement, Continuous Learning Culture, Culture of Compassionate Care, Good Practice in Nursing and Midwifery, International Nurses Day (2017), International Nurses' Day, Jackie Smith: Chief Executive and Registrar of Nursing and Midwifery Council, Jane Cummings: Chief Nursing Officer for England, Leadership for Compassionate Care, Leading Professionally, Learning and Developing Continuously, NMC and CNOs, Nursing and Midwifery Council (NMC), Nursing and Midwifery Council (NMC) Code of Conduct, Openness, Patient Safety, Professionalism, Professionalism in Nursing and Midwifery, Professor Charlotte McArdle: Chief Nursing Officer for Northern Ireland, Professor Fiona McQueen: Chief Nursing Officer for Scotland, Professor Jean White: Chief Nursing Officer for Wales, Putting Patients First, Safe and Compassionate Care, Transforming Care Environments
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Quality Improvement: Case Studies From Five NHS Trusts (Health Foundation)
Summary This Health Foundation report describes how five UK trusts tackled quality improvement. It provides a checklist to consider when planning, designing and delivering “improvement capability building programmes”. Full Text Link Reference Jones, B. [and] Woodhead, T. (2015). Building the … Continue reading
Posted in Acute Hospitals, Charitable Bodies, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Health Foundation, Integrated Care, National, NHS, Practical Advice, Quick Insights, UK
Tagged 000 Safety Fellows (Health Foundation), 5, Alignment of Services Across Health and Social Care Sectors, Alignment With NHS Priorities, Ashridge Business School, Bright Ideas, Bright Ideas (Innovation), Clinical Microsystems Coaching Programme, Coaching and Mentoring, Connecting Care Programme, Continuing Imrovement, Continuous Improvement, Continuous Learning, Continuous Learning and Improvement, Continuous Learning Culture, Culture and Leadership, Culture Change, Culture of Safety, Culture of Zero-Harm, East London NHS Foundation Trust, Flow Cost Quality, GenerationQ, Group Coaching, Health Foundation Programmes, IHI Open School, IHI: Institute for Healthcare Improvement, Improvement Capability Building Programmes (Quality Improvement), Improving Patient Safety, Institute for Healthcare Improvement (IHI), Lack of Alignment in Organisation, Learning Reports (Health Foundation), Mental Health and Community Care in England, Mentorship, Microsystem Coaching Academy (MCA), Open and Supportive Culture, Organisational Culture, Patient Experience, Patient Safety, QI Culture, QI Projects, Quality, Quality Improvement, Quality Improvement Activity (QIA), Quality Improvement Approaches, Quality Improvement Fellowships, Quality Improvement Terminology, Quality Innovation, Redesigning Services, Reducing Harm, Royal Devon and Exeter NHS Foundation Trust, Safety Quality and Experience (SQE), Salford Royal NHS Foundation Trust, Scaling Up Improvement, Shaping Culture, Sheffield Teaching Hospitals NHS Foundation Trust, Sir David Dalton: Chief Executive of Salford Royal NHS Foundation Trust, South Eastern Health and Social Care Trust, South Eastern Health and Social Care Trust (SEHSCT), Spreading Improvement Ideas, Ulster Hospital in Dundonald. SEHSCT, Unipart Expert Practices, Where-What-How (Right Care Approach)
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