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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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When we think of patient safety we automatically think of hospitals and yet the reality is that a significant part of a patient’s care is managed at home either by themselves or by family members who become their carers. Patient safety doesn’t start or end at the hospital door; it extends into our homes, where…
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In the intricate world of healthcare, where patient safety is paramount, the ability to speak up is a crucial component of a culture of safety. However, the complexities surrounding voicing concerns or challenging the status quo in a healthcare environment can be extremely daunting. Speaking up to those who are respected, who are perceived as more…
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Automaticity is the ability for us to do things without thinking – going on to automatic pilot if you will. It allows us to automatically do things that are habits, rituals and norms. In my view this has a clear link to how we want to look at safety through the safety II lens or…
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I came across this video of the wonderful Tim Minchin – a great story teller – who described confirmative bias in a really great way for me [side note is this calling out my own confirmative bias?]. You can find it here: https://www.youtube.com/watch?v=yoEezZD71sc Confirmative bias is a conundrum for those of us who work in…
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In the last few years, the way we talk about patient safety has started to shift. Thanks to our ability to observe, study, evolve, adapt and learn, we have gained enough information and knowledge to begin addressing the safety of patient care and the working conditions within healthcare. We have gained an understanding of what…
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PATIENT SAFETY NOW 