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Do you need help? As a recognised expert in patient safety, I bring a wealth of experience and insight to every organisation I partner with. Whether it’s guiding leadership teams, providing keynote speeches, or helping you create a culture of safety, my approach is built on evidence-based practices tailored to your unique needs. Here’s how…
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It was an absolute honour and joy to deliver the James Reason Lecture in 2016 at the Patient Safety Congress on what was the 68th Birthday of the NHS. Prof Reason was my supervisor for my doctorate and a source of inspiration for over the last 25 years. I will never forget the words; ‘Dr…
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People “tend to overestimate their ability to function flawlessly under adverse condition, such as under the pressures of time, fatigue or high anxiety” and “We must re-examine all that we do and redesign our many and complex systems to make them less vulnerable to human error” Two quotes from an editorial in the BMJ from 18…
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I have mentioned (many times) the excellent series that the BMJ Quality and Safety journal published titled: ‘The problem with…’. The journal published one on incident reporting; the problem with incident reporting written by Carl Macrae, who provides an outstanding addition to the debate that the problem with incident reporting is that reporting and reporting systems are…
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As humans we are filled with biases. The way we perceive people, make judgements about what we see rather than what we know. The things that are within us even though we are not totally aware that they exist. There are a number of biases that impact on patient safety. You can simple search via…
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I have just uploaded a post related to a just culture. That was describing the culture that is for the vast vast majority of incidents and staff. I purposefully left it at that because I didn’t want it confused with this post which is asking some difficult questions that I don’t know the answer to.…
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To adapt / quote the wonderful (both in skill and in the name of his latest book) poet Harry Baker… I have spent a lifetime searching for the light and I don’t see a reason why that should stop now You know that hideous feeling when something goes wrong. The sick feeling in the pit…
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Reminding myself about the power of story telling! I was recently asked to talk at a conference for between 5 and 7 minutes as part of a panel of three. If any of you have ever been asked to talk at any event you will know that preparing a talk (and delivering said talk) for…
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In the fast-paced and complex adaptive environment of healthcare, effective teamwork is not just desirable—it’s essential. Project Aristotle (5 year research by google) found there were five components to a high performing team: psychological safety coming out on top with dependability, clear goals and objectives, meaning of work and impact of work after that. We…
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I have been working with loads of amazing people both here and abroad over the last year. One of the many things that comes up time and time again is measurement: ‘how do we measure success when it comes to patient safety?. The questions we have are challenging to answer with confidence; how safe are we today?…
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PATIENT SAFETY NOW 