• Joy and happiness

    There is a lot of talk these days about creating ‘joy at work’. Why this growing interest in the study of joy ? What is the difference between joy and happiness? What does it have to do with helping people work safely (patient safety)? We all talk about happiness and mostly know it when we…

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  • Risky Behaviour

    Design a bad system and it will lead to an increased rate of human error and an increased rate of at risk or risky behaviour David Marx What do we mean by risky behaviour? Risky behaviour is a choice that comes with risks.  It could be a deviation from a rule or procedure, it could be…

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  • I remember when I first started as a nurse and learning about the intricacies of caring for patients when one of the nurses who was supervising me said about a particular task; ‘this is the way we do it round here, you might go to the ward next door and they do it slightly differently but…

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  • The way we work

    In order to develop a more proactive approach to preventing harm and improving the safety of patient care there is a need to understand how people actually work.  Steven Shorrock writes eloquently on the subject and describes the different ways people work (Shorrock 2016, Shorrock 2017). Shorrock proposes that there is a difference or a…

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  • Kitchen Tables.. why?

    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…

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  • Just Culture

    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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  • Kitchen Tables

    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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  • Sign up to Safety update

    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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