Month: September 2015

Caring to put safety first

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To put safety first we also need to put our staff first.  Part of the recipe for success in patient safety is to care for those that care.  I always remember feeling so bad when a patient would ask me for something and a few hours later remind me of the thing they asked for.  I was too busy to remember their individual need. That’s not good care and not safe if the thing they […]

Wicked problems

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Over the last few months I have noticed the term ‘wicked problems’ being used more and more in relation to healthcare.  In particular those who work in quality improvement are using it as a term to describe quality or safety problems. It is a term that doesn’t sit right with me; apart from the ‘evil’ connotation and the unnecessary addition to our language I don’t think it readily applies to quality and safety. Rittel and […]

Put Safety First (the system)

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At Sign up to Safety we want to re(think) patient safety. We think it’s important that we have an adult conversation about patient safety. I am most heartened by the growing numbers of people and expertise across the NHS such as the people working in the patient safety collaboratives; starting to deeply root our approach to safety improvement and the right safety culture. Moving safety from the periphery to mainstream conversation. To ‘put safety first’ […]

Put Safety First

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Bringing our pledges to life Professor Berwick said the heart of safe care is a culture of learning. The campaign is deploying a number of different mechanisms including; learning events, webdives and webinars, focus groups and local networks to accelerate learning across the system.  In this second year of the campaign we will help organisations revisit and bring to life the five campaign pledges; put safety first, continually learn, be honest, collaborate and be supportive. […]

Challenges and successes

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The Sign up to Safety campaign team have been working with participants across the country. The challenges we have noticed include: Challenges with metrics; there is no standardised way of recording or measuring harm and there is an over reliance on incident data Confusion about the role of the patient safety collaboratives A desire by some to be simply told what to do while at the same time a wish to move away from regulation, […]

A different approach to change

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“We have tended to focus on problems in isolation, one harm at a time, and our efforts have been simplistic and myopic. If we are to save more lives and significantly reduce patient harm, we need to adopt a holistic, systematic approach that extends across cultural, technological and procedural boundaries – one that is based on the evidence of what works”. Ara Darzi The ideas, methods and approach for Sign up to Safety represents fifteen years […]

National Patient Safety Strategy

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Sign up to Safety is one part of a whole safety system that should be ‘wired together’ to support the conditions for safety. The unique bit about Sign up to Safety is that it is a campaign – and as such is not about developing new improvement activity.  As a campaign its part in the system is to help learning, sharing and implementation to help make care safer.  It raises awareness about the problems, the […]

Behavioural (*nudge*) insights – part 3

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One of the sessions I attended was titled ‘You are the doctor’ this was a session on patient safety and I was more than intrigued to see what the behavioural insights world had to add to the work that we all do on patient safety.  Would I find any additional insights, would I find a new way of looking at patient safety? The session was led by one of the behavioural insights team (BIT) Michael […]

Behavioural (*nudge*) insights – part 2

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Returning to my attendance at this behavioural insights conference. Speakers included those well known to this niche field: Richard Thaler the co-author of the original ‘Nudge‘ Iris Bohnet, Professor of Public Policy at Harvard Stephen Pinker an experimental psychologist who specialises in psycholinguistics – most recent book ‘The Sense of Style‘ Robert Cialdini – who wrote ‘Influence: the psychology of persuasion‘ Daniel Kahneman a psychologist noted for his work on psychology of judgment and decision-making, as well […]

Behavioural (*nudge*) insights – part 1

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I have just attended the 2015 Behavioural Insights conference in London.  Just to be clear I am new to this stuff, I am not a social psychologist, a health economist or an expert in behavioural insight. in fact up until a few weeks ago I didn’t know that there was a Behavioural Insights Team (referred to as *BIT* by all) who have been around for the last five years and describe themselves as ‘a social […]