Month: March 2018

Kitchen Tables.. why?

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Its Kitchen table week from next Monday!!! How exciting is that.  Here are some quick key points for you to think about what you are trying to achieve. ‘Your kitchen table could help you…… Find out from your staff how your organisation could be better at listening Bring people together from different parts of the organisation working on different things to share experiences and insight Bring people together to share what they think works really well when they […]

Just Culture

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I was recently told a story about a nurse.  He had given the wrong patient a drug which was supposed to be given to another patient.  He immediately knew that he had done this and instantly checked the patient, called 111 (this was in the community), informed the family, went with the patient to hospital and stayed with them for the next 16 hours or so.  Also at the same time informed his line manager and even referred himself to the […]

Violations / risky behaviour

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A key part of my job is to explore what it takes to create a safety culture.  I spend a lot of my time thoroughly enjoying reading research, opinion pieces, blogs and books on safety culture and just culture. No aspect of either a safety culture or just culture is delightfully black or white, one thing or another.  There are blurred boundaries and nuances to every aspect of each.  Some aspects lend themselves to clearer boundaries such as […]

Six tips for implementation

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Recently I have been asked to help provide advice on implementation for a few patient safety projects which made me revisit my previous research in 2008.  Its always interesting to review the knowledge you had at the time and compare with the knowledge you now have.   Mixing the two here are six tips for implementation that might help: 1. Demonstrate that the change is better than status quo This remains highly relevant.  If all is ok then […]