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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…
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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. …
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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…
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In the 1960s my Uncle was a scientific officer at the Radar Research Establishment in Malvern. There were a number of divisions within the establishment who had a tendency to stick together in their different groups. My uncle decided that every day the different groups should be invited to come together for coffee and conversation. …
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At Sign up to Safety we are constantly reviewing what we have done and what we want to do in the future. We have assessed the data, looked at what works and what doesn’t, and talked to loads of people who have been involved in our journey over the last 3 years. We have found that not everyone…
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‘It turns out that if you change how people talk, that changes how they think’ Lena Boroditsky, Professor of Psychology, Stanford University Over the last twenty years the subject of patient safety has grown and we have achieved a number of changes in terms of raising awareness of the issues and quantifying the problem. However…
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How we behave towards each other is the single greatest factor in how well our teams will perform Chris Turner (2017) at the Learning from Excellence Conference Having had the chance to observe many conversations we have come to understand that there are multiple dynamics that get in the way of people talking to each…
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Every now and then you meet some people who change you Every now and then you hear a speech or presentation or talk that changes you Every now and then you talk with others and it changes you All three of those happened for me yesterday at the wonderful conference ‘Learning from Excellence’. I was wondering…
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#WeLoveSafetyCulture How we are helping to improve safety culture in the SouthWest Guest blog by Matt Hill At the South West Patient Safety Collaborative (SW PSC) hosted by the South West Academic Health Science Network (SW AHSN) we do a lot of work around safety culture. We run a programme called Better Culture, Safer Care which…
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I’ve been writing a lot of long blogs lately – here’s one for those that want it short and sweet! Safety is not a task, a set of interventions – it is a mind-set where people are doing their best to work safely Working safely is all about people, relationships and conversations The reality is that…
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PATIENT SAFETY NOW 