Working with clinical professionals
TweetOver the last few weeks – just as people are still trying to understand what Francis means and when the NHS is dealing with it’s own structural changes – we’ve seen safety very publicly rear its head again in a most unpleasant way. Surgery at Leeds General Infirmary was suspended because data suggested there were [...]
TweetAviate, navigate, communicate – where medicine is going wrong. Aviators have a mantra in the event of emergency – aviate, navigate, communicate. In short, fly the plane, everything else can wait. In an era of glass cockpits – flight decks in which computers dominate – and the role of the pilot have been oft times [...]
TweetThere has been a great deal of talk about the need for accountability and learning from the tragic events at Mid Staffordshire FT in recent weeks. But what might that look like in practice and what do we need to do for the learning to have lasting impact? Professor Sidney Dekker, a cognitive psychologist and [...]
Tweet As a small part of the strategy to improve outcomes from sepsis in the UK, Dr Ron Daniels, founding director of Survive Sepsis and principle trustee of UK Sepsis Trust, runs an education programme for healthcare practioners to recognise, diagnose and manage the immediate care required by patients to help them survive sepsis infections, http://www.survivesepsis.org/. [...]
Tweet After my first wife died during a routine operation in 2005 I had many things to contend with. But in common with most people who’ve lost someone at a young age, I wanted to try and understand what had happened. Yes, I had the independent report and the Inquest, but I wanted to find [...]
Tweet SURGICAL MASTERSCRIPTS: All the What to do’s, How to do it’s, What if’s, checks and checklists, plus error prevention, avoidance, and correction. Michael Edwards FRCS and Riaz Agha MRCS MB BS (Hons), editors of Wikisurgery.com, London. Unlike aviation, surgery is not a high reliability industry. Of 4 million operations per year in England, surgical [...]
TweetMartin Bromiley, 26 June 2012 – Bullying is very topical. Every time it’s discussed on TV or the radio, people queue up to say ‘yes, it happened to me’. But surely it’s something we grow out of as we enter the world of work? I’m not a psychologist, but I’d guess that school bullies did [...]
TweetAt the recent Risky Business 2012 conference, Arthur Gillis, CEO of the largest chain of hotels in South Africa, gave a presentation about embedding an excellent customer service approach among employees working in his hotels. “Could the CEO of a South African hotel chain help the NHS improve how we respond when things go wrong?” [...]
Tweet Follow this link to watch an excellent film of Brian Goldman talking about doctors talking about making mistakes. Brian Goldman: Doctors make mistakes. Can we talk about that?
TweetTo follow is a recently submitted account from one of our supporters – you can share your stories too by emailing info@chfg.org. Human Factors – My Story I was the duty Paediatric Intensive Care Unit consultant one weekend. A teenage boy had been admitted to the PICU having suffered major trauma. He had been hit [...]
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