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Tag Archives: Culture of Safety
Re-Vamped NHS Change Model (NHS England)
Summary NHS England’s Sustainable Improvement Team has released an updated version of the “NHS Change Model”, which last appeared in 2012. The model provides a framework intended to help guide NHS projects aiming to achieve transformational and sustainable change. The … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, National, NHS, NHS England, Quick Insights, Standards, UK, Universal Interest
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Tagged Accelerating Innovation, Autonomy for Staff Innovation, Barriers to Innovation, Change Model Action Planning Template, Change Model Action Planning Templates, Collaboration, Collaborative Care, Collaborative Leadership, Collaborative Working, Continuous Improvement, Cross-Boundary Care Pathways, Cross-Organisation Learning, Cross-Sector Collaboration, Cross-Sector Partnerships, Culture and Leadership, Culture Change, Culture of Care, Culture of Empowerment and Support, Culture of Safety, Culture: Lack of Leadership Support for Innovation (Barriers to Innovation), Culture: Silo Thinking in System (Barriers to Innovation), Engagement to Mobilise; Transparent Measurement and Rigorous Delivery, Evaluating Healthcare Quality Improvement, Improvement Framework for Commissioners; Delivering Large Scale Measurable Change, Improvement Science, Improvement Tools - Key Questions: Change Model Action Planning Template, Leadership by All - Key Questions: Change Model Action Planning Template, Leading Large Scale Change, Measurement - Key Questions: Change Model Action Planning Template, Motivate and Mobilise - Key Questions: Change Model Action Planning Template, New Care Models, New Models of Care, NHS Change Model, NHS Change Model: Engagement to Mobilise, NHS Change Model: Improvement Methodology, NHS Change Model: Leadership for Change, NHS Change Model: Rigorous Delivery., NHS Change Model: Shared Purpose, NHS Change Model: Spread of Innovation, NHS Change Model: System Drivers, NHS Change Model: Transparent Measurement, NHS Culture, NHS Culture Change, No Harm Culture, Open Culture, Organisational Culture, Our Shared Purpose - Key Questions: Change Model Action Planning Template, Overcoming Challenges to Improving Quality, Patient Safety, Patient-Centred Culture, Positive Culture, Positive Inclusion and Participation, Problem-Solving and Innovation, Project and Performance Management - Key Questions: Change Model Action Planning Template, QI Culture, Quality Improvement, Research Culture, Shaping Culture, Spread and Adoption - Key Questions: Change Model Action Planning Template, Sustainability and Transformation Plans (STPs), Sustainable Improvement Team and Horizons Team (NHS England), Sustainable Improvement Team: NHS England, System Drivers - Key Questions: Change Model Action Planning Template
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Embedding a Culture for Quality Improvement (King’s Fund)
Summary Establishing quality improvement approaches which actually work has much to do with suitable leadership and organisational culture, according to a new King’s Fund report. Full Text Link Reference Embedding a culture of quality improvement. [Online]: King’s Fund, November 9th … 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, King's Fund, National, NHS, NHS Improvement, Quick Insights, Standards, UK, Universal Interest
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Tagged Behaviour Change Opportunities, Clinical Quality Improvement, Co-production in Quality Improvement, Collaborative Quality Improvement, Continuous Learning Culture, Continuous Quality Improvement, Cultural Leadership, Culture and Behaviour Change, Culture and Leadership, Culture of Raising Concerns, Culture of Reflective Practice, Culture of Safety, Culture of Valuing Staff, Culture: Lack of Leadership Support for Innovation (Barriers to Innovation), Culture: Risk Aversion (Barriers to Flexibility or Innovation), Culture: Silo Thinking in System (Barriers to Innovation), Efficiency Opportunities, Embedding a Culture of Quality Improvement, Healthcare Quality Improvement, Innovative Leadership, Leadership for Culture Change, Literature Reviews in Quality Improvement, NHS Culture Change, Open Culture, Opportunities to Improve the Quality of Care and Increase Productivity, Organisational and Cultural Barriers, Organisational Culture, Organisational Culture and Climate, Patient Engagement, QI: Quality Improvement, Quality and Efficiency Opportunities, Quality Improvement, Quality Improvement Culture, Shaping Culture, Staff Engagement, Staff Engagement in the NHS, Transparent Learning Culture, Virginia Mason Institute, Virginia Mason Institute Partnership, Workplace Culture
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Exploring the Potential of Quality Improvement in Mental Health (King’s Fund / BJGP)
Summary A recent King’s Fund report explores the application of quality improvement approaches to improving the quality of mental health care. It is asserted that continuing improvements are best achieved by “empowering frontline teams, service users and carers to design, … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, International, King's Fund, Management of Condition, Mental Health, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged British Journal of General Practice, Building Workforce Capability and Capacity, Centre for Health Economics: University of York, Clinical Microsystems Coaching Programme, Clinical Practice Improvement Programme (CPIP), Clinical Quality Improvement, Co-Production, Co-production in Quality Improvement, Collaborative Quality Improvement, College Centre for Quality Improvement, Compassionate Collaborative and Inclusive Leadership, Continuing Imrovement, Continuous Improvement, Continuous Learning, Continuous Learning and Improvement, Continuous Learning Culture, Continuous Quality Improvement, Continuously Improving Care, Coordination of Care (Quality of Care Indicators for People With Serious Mental Illness), Culture and Behaviour Change, Culture and Leadership, Culture Change, Culture of Raising Concerns, Culture of Safety, Culture of Zero-Harm, Department of Health Sciences: University of York, Developing People: Improving Care, East London NHS Foundation Trust, East London NHS Foundation Trust (ELFT), East London NHS Foundation Trust (QI), EBCD: Experience-Based Co-Design, Embedding Co-Production, Engagement and Co-Production, Evaluating Healthcare Quality Improvement, Evidence-Based Quality Improvement, Experience-Based Co-Design (EBCD), GenerationQ, Germany, Handbook of Quality and Service Improvement Tools, Healthcare Quality Improvement, Improvement Capability Building Programmes (Quality Improvement), Institute of Mental Health (IMH), Institute of Mental Health (Singapore), Leadership, Leadership and Culture, Leadership Development, Leadership for Culture Change, Lean and Quality Improvement, Lean and Six Sigma, Learning Culture, Medicines Management (Quality of Care Indicators for People With Serious Mental Illness), Mental Health Assessment and Care (Quality of Care Indicators for People With Serious Mental Illness), MHImprove, Microsystems Coaching, MINDSet, MINDSet Resource: West of England AHSN, Model for Improvement, Model for Improvement (IHI), Model for Improvement: FOCUS, National Research Center for Health Economics: University of Duisburg-Essen, Open and Supportive Culture, Open Culture, Partnering for Quality Improvement in Mental Health, PDSA (Plan Do Study Act) Model, PDSA (Plan-Do-Study-Act) Cycles, PDSA Cycles, PDSA Improvement Methodology, Physical Health Assessment and Care (Quality of Care Indicators for People With Serious Mental Illness), Pioneers of Quality Improvement (Mental Health), Plan-Do-Study-Act (PDSA) Cycles, Point of Care Foundation, Primary Care and Population Sciences: University of Southampton, Primary Care Quality Indicators for People With Serious Mental Illness, Q Community, QI: Quality Improvement, Quality Improvement, Quality Improvement Approaches, Quality Improvement in Mental Health, Quality Improvement Methodologies, Quality Improvement Metrics, Quality Improvement Resources, Quality Improvement Tools, Quality Indicators for Serious Mental Illness in Primary Care, Quality of Care Indicators for People With Serious Mental Illness, Serious Mental Illness (SMI), Service Provision and Access to Care (Quality of Care Indicators for People With Serious Mental Illness), Severn and Wye Recovery College, Shared System Leadership, Statistical Process Control, Statistical Process Control Methodology, Strategic Quality Improvement, Substance Misuse (Quality of Care Indicators for People With Serious Mental Illness), Tees, Tees Esk and Wear Valleys NHS Foundation Trust, Theory of Constraints, Total Quality Management (TQM), Transparency, Transparency and Public Trust, Transparent Learning Culture, Unexpected Deaths in Hospital, Unexpected Deaths in Mental Health Trusts, University of Duisburg-Essen, University of Southampton, University of York, Vulnerable Groups, West of England AHSN MINDSet Resource
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Compassionate Leadership and Innovation in Health Care (King’s Fund / Health Foundation / NHS Leadership Academy / Novartis)
Summary Four aspects of organisational culture which might better promote innovative and high-quality care in the NHS are said to comprise: An inspiring vision and strategy. A culture of inclusion and participation. More open team and cross-boundary working. Greater support … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Education England (HEE), Health Foundation, Integrated Care, King's Fund, Local Interest, National, NHS, NHS Improvement, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Accelerating Innovation, Accountable Care Organisations (ACOs), Adopters and Adoption of Innovation, Adoption of Innovations, Advancing Quality Alliance (AQuA), AQuA (NHS Organisation), Aravind Eye Care Systems, Autonomy for Staff Innovation, Barriers to Innovation, Birmingham Women’s and Children’s NHS Foundation Trust, Cascading Leadership Pilot, Cascading Leadership: Leadership in Voluntary and Community Sector, Collaboration, Collaborative Care, Collaborative Leadership, Collaborative Working, Collective Leadership, Community-Based Dementia Care Networks, Compassion: the Core NHS Cultural Value, Compassionate Leadership, Compassionate Leadership and Innovation, Compassionate Leadership: Cultural Elements, Continuous Improvement, Cross-Boundary Care Pathways, Cross-Organisation Learning, Cross-Sector Collaboration, Cross-Sector Partnerships, Culture and Leadership, Culture Change, Culture of Care, Culture of Empowerment and Support, Culture of Safety, Culture: Lack of Leadership Support for Innovation (Barriers to Innovation), Culture: Provider/Commissioner Risk Aversion (Barriers to Innovation), Culture: Silo Thinking in System (Barriers to Innovation), Developing People - Improving Care: National Framework for Leadership Development (NHS Improvement), Diffusion of Innovation, Empathy in Design (IDEO), End to Silo Working, Extreme Teaming: Delivering Integrated Care, Facilitating Large Scale Change Skills Development Programme, Fearless Organisations: Creating Psychological Safety for Teaming Failing and Learning, Freeing the NHS to Innovate, Healthcare Leadership Model, HEE: Health Education England, High-Quality Home Care (Buurtzorg: Netherlands), Horizon-Scanning, Improving Patient Safety, Inclusion, Inclusiveness, Inspiring Vision and Strategy, Institute for Healthcare Improvement (IHI), Inter-Teamworking, Leadership and Organisational Development Team: King’s Fund, Leadership Development in NHS-Funded Services, Leadership for Culture Change, Leading Large Scale Change: A Practical Guide, Learning Culture, Narayana Health, National Improvement and Leadership Development Board (NILD), New Care Models, New Models of Care, NHS Culture, NHS Culture Change, NHS Healthcare Leadership Model, NHS Healthcare Leadership Model: Connecting Services, NHS Healthcare Leadership Model: Developing Capability, NHS Healthcare Leadership Model: Engaging the Team, NHS Healthcare Leadership Model: Evaluating Information, NHS Healthcare Leadership Model: Holding to Account, NHS Healthcare Leadership Model: Influencing for Results, NHS Healthcare Leadership Model: Inspiring Shared Purpose, NHS Healthcare Leadership Model: Leading With Care, NHS Healthcare Leadership Model: Nine Dimensions of Leadership Behaviour, NHS Healthcare Leadership Model: Sharing Vision, NHS Improvement’s National Framework for Leadership Development, NHS Leadership Academy, NHS Leadership Academy (NHS LA), NHS Leadership Academy Moved From NHS England to Health Education England, NHS Patient Safety Culture, NHS Quest, No Harm Culture, Novartis Pharmaceuticals UK, Novartis), Open Culture, Organisational Culture, Patient Safety, Patient-Centred Culture, Positive Culture, Positive Inclusion and Participation, Problem-Solving and Innovation, Professional Silos, Professor Amy Edmondson: Novartis Professor of Leadership and Management at Harvard Business School, QI Culture, Quality Improvement, Research Culture, Sankara Eye, Shaping Culture, Sustainability and Transformation Plans (STPs), Sustainable Improvement Team and Horizons Team (NHS England), Sustainable Improvement Team: NHS England, Teamworking, VUCA World: Volatile Uncertain Complex Ambiguous
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Introducing the NHS Improvement Directory (NHS Improvement)
Summary NHS Improvement have compiled an online directory listing a wide variety of websites and online resources which supply online improvement tools, case studies or networks to support innovation and quality improvement in health and social care. Full Text Link … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest
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Tagged Academic Health Science Networks (AHSNs), Academy of Fabulous NHS Stuff, Academy of Medical Royal Colleges (AoMRC), AHSN Atlas, AHSN Atlas of Solutions in Healthcare, Beautiful Information, Best Possible Value: Future-Focused Finance Programme, Better Care Exchange, BMJ Quality, Care Improvement Works, Chief Scientific Officer's Quality Improvement Champions, Commissioning Handbook, Commissioning Handbook for Librarians, Compassionate Collaborative and Inclusive Leadership, Continuous Improvement, Continuous Learning, Continuous Learning and Improvement, Continuous Learning Culture, Continuously Improving Care, Continuously Improving Population Health, Continuously Improving Value for Money, Culture and Behaviour Change, Culture and Leadership, Culture Change, Culture of Raising Concerns, Culture of Safety, Culture of Zero-Harm, e-Learning for Health (e-LfH) Hub (HEE), e-learning for Healthcare, East London NHS Foundation Trust, East London NHS Foundation Trust (QI), ECL Sensory Service, EIDO Healthcare (Informed Consent-Specific Patient Information), Emergency Care Intensive Support Team (ECIST), Enhanced Health in Care Homes, Enhancing the NHS Through International Engagement (NHS International Activity), Ergsy, Every Birth a Safe Birth, Foundations of Improvement Science in Healthcare (FISH), Fracture Liaison Service Database (FLS-DB), Future Focused Finance (NHS Finances), Future Hospital Commission (FHC), Future Hospital Programme, Future Hospital Programme Partners, Health Foundation, Health Foundation's Q Initiative, Health Quality Ontario (Quality Compass), Healthcare Complaints Analysis Tool, Healthcare Complaints Analysis Tool (HCAT), Healthcare Quality Improvement Partnership (HQIP), Healthcare UK, Hertfordshire Community NHS Trust and Leicester Partnership NHS Trust's Health for Kids, Implementing Recovery through Organisational Change (ImROC), Improvement Directory (NHS Improvement), Information Exchange, Integrated Primary and Acute Care Systems, Joint Leadership, Kissing It Better, Knowledge 4 Commissioning, Knowledge Management Platform (PHE), Leadership, Leadership and Culture, Leadership Development, Leadership for Culture Change, Lean and Quality Improvement, Lean and Six Sigma, Learning Culture, Learning Environment (NHS England), Local Government Association: LGA, Local Leadership, Local Sustainability and Transformation Plans (STPs), Maternal Mental Health: Everyone's Business, Medicines and Healthcare Products Regulatory Agency (MHRA), Mental Health First Aid England, Mental Health Foundation (MHF), MINDSet, Multispecialty Community Providers, My NHS (MyNHS), National Collaborating Centre for Mental Health (NCCMH), National Hip Fracture Database, National Institute for Health and Care Excellence (NICE), National Joint Registry for England Wales Northern Ireland and Isle of Man (NJR), National Voices, NESTA: National Endowment for Science Technology and the Arts, NETS LeanApp, New Models of Care Vanguards, NHS Atlases of Variation, NHS Atlases of Variation in Health and Health Care, NHS Digital, NHS England AHSN Network, NHS England Learning Environment, NHS England's Realising the Value Programme, NHS Improvement Directory, NHS Leadership Academy, NHS Networks, NHS Sustainable Development Unit, NICE Savings and Productivity Collection, North East Transformation System (NETS), North East Transformation System Limited (NETS Ltd), Open and Supportive Culture, Open Culture, Oversight, PDSA (Plan Do Study Act) Model, PDSA Improvement Methodology, Peer-to-Peer Exchange of Ideas, Peer-to-Peer Learning, Plan Do Study and Act (PDSA), Promise to Learn: Berwick Report, Public Health England (PHE), Public Health Profiles, QI at East London NHS Foundation Trust, Quality and Service Improvement Tools, Quality Improvement, Quality Improvement Approaches, Quality Improvement Champions Group, Quality Improvement in General Practice, Quality Improvement Tools, RCP: Royal College of Physicians, Realising the Value, Rehab 4 Alcoholism, Richmond Group of Charities, Royal College of General Practitioners (RCGP), Royal College of Surgeons (RCS), Skills for Care (SfC), Social Care Institute for Excellence (SCIE), Social Care Online, Social Partnership Forum, Spreading Change, Statistical Process Control, Statistical Process Control Methodology, Sustainability and Transformation Plans (STPs), Sustainable Development Unit (SDU), System Leadership, Talent Management, Team Working, The Edge (Horizons Group of NHS England), Theory of Constraints, Time to Change, Time to Change Programme, Total Quality Management (TQM), Unicef: Baby Friendly Initiative, Urgent and Emergency Care Vanguards, Workforce Development
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Patient Safety Improvement in Care Homes (BMC Health Services Research)
Summary A programme to improve patient / resident safety in care homes is to be conducted in Walsall and Wolverhampton over 24 months. This article outlines the evaluation of this care home improvement programme in the West Midlands. The aim is … Continue reading →
Posted in Commissioning, Community Care, Falls, Falls Prevention, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest, Wolverhampton
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Tagged Adverse Drug Reaction / Error Champions, Adverse Drug Reactions, Adverse Drug Reactions (ADRs), Adverse Drug Reactions in the Elderly, Adverse Safety Events, Avoidable Acute Hospital Admission in Older People, BMC Health Services Research, Care Home Culture, Care Home Environments, Care Homes, Changes in Safety Practices (Care Home Level), Changes in Safety Practices (Staff Level), CLAHRCs: NIHR Collaborations for Leadership in Applied Health Research and Care, Collaboration for Leadership in Applied Health Research and Care (CLAHRC), College of Medical and Dental Sciences: University of Birmingham, Culture of Safety, Dementia Education, Dementia Training, Education and Training, Hospital Activity, Improving Patient Safety, Inappropriate Hospital Admissions, Infection Control, Institute of Applied Health Research: University of Birmingham, Institute of Health Professions: University of Wolverhampton, Local AHSNs, Local Patient Safety Collaboratives, Medication Errors, Meridian Online Health Innovation Exchange, NHS England's Sign Up to Safety Campaign, NHS Walsall CCG, NHS Wolverhampton CCG, NIHR CLAHRC West Midlands, Opportunities to Treat Patients Without Hospital Admission, Patient Safety, Patient Safety Collaborative Programmes, Patient Safety Collaboratives, Patient Safety Collaboratives Programme, Positive Approaches to Care (PAC), Pressure Ulcers, Pressure Ulcers: Prevention, Preventable Hospital Admissions, Primary Health Care (Journal), Quality and Safety Improvement Approaches in Care Homes, Quality Improvement, Quality of Life for People Living in Care Homes, Research in Care Homes, Safer Provision and Caring Excellence (SPACE) Programme, Safety Attitudes Questionnaire (SAQ), Safety Improvement in Care Homes, Sign up to Safety, Sign Up to Safety Campaign, Skills and Training, SPACE Programme (WMAHSN), Staff Training, Training and Support, Transfer of Medicines, University of Birmingham, University of Wolverhampton, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Urinary Tract Infections (UTIs), Walsall, Walsall and Wolverhampton Care Home Improvement Programme, Walsall and Wolverhampton Clinical Commissioning Groups (CCGs), Wellbeing in Care Homes, West Midlands, West Midlands Patient Safety Collaborative (PSC), Wolverhampton, Workforce Competencies, Workforce Training
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Guidance on Raising Concerns (RCN / BBC News)
Summary The Royal College of Nursing (RCN) has issued guidance to support nurses concerning raising concerns, wherever they work i.e. whether in the NHS or in private / independent sector. Section headings cover: Raising Concerns Raising concerns or whistle blowing? … Continue reading →
Posted in For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), National, Northern Ireland, Person-Centred Care, Practical Advice, Quick Insights, RCN, Scotland, Standards, UK, Universal Interest, Wales
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Tagged BBC Health News, BBC Shropshire News, Confidentiality, Culture Change, Culture Change in Health and Care, Culture Change in the NHS, Culture Free From Bullying, Culture of Raising Concerns, Culture of Reflective Practice, Culture of Safety, Culture of Valuing Staff, Fear of Being Labelled Troublemaker, Fear of Raising Concerns About Care, Freedom to Speak Up Guardians, NHS Whistleblowing Policy, NNC Code of Conduct, Nursing and Midwifery Council (NMC) Code of Conduct, Open and Honest Incident Reporting, Open Culture, Openness, Patient Safety, Putting Patients First, Putting Things Right, Quality Improvement, Raising and Reporting Concerns, Raising Concerns, Raising Concerns (Whistleblowing) NHS Policy, Raising Concerns About Dignity and Comfort of Patients, Raising Concerns About Safety, Raising Concerns About Staffing, Raising Concerns Policy, Raising Concerns: Step-By-Step Guide, Raising Standards, RCN Guidance on Raising Concerns, RCN Raising Concerns Policy, Reflective Practice, Repercussions From the Francis Inquiry Report, Royal College of Nursing (RCN), Shrewsbury and Telford Hospital NHS Trust, Stages in Raising Concerns, Whistleblowing, Whistleblowing Guidance, Whistleblowing in the Independent Sector, Whistleblowing in the NHS
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