This film explains the innovative approach to safety improvement that has been developed by West Hertfordshire Hospitals NHS Trust, called “Onion”. Onion is a way to “peel back the layers” of what stops doctors, nurses and other staff being able to consistently deliver high quality, safe care to our patients.
This moving film recounts the harrowing experiences of the Titcombe family during their son, Joshua’s, tragically short life. The film is based on the testimony of James Titcombe, Joshua’s father and now a National Advisor on Safety for the Care Quality Commission.
This series of videos presents the powerful and tragic story of Lewis Blackman, who died in hospital following routine surgery, as told by his mother, Helen Haskell. The story is structured in five parts to facilitate learning and teaching, and each video comes with a selection of suggested questions to guide discussions or teaching plans.
This short video introduces the basic concepts and approach of the science of human factors. It provides a helpful introduction to some fundamental concepts in human factors, including: stress, fatigue, cognitive workload, design, equipment, teams, and culture.
This study examines the implementation of safety huddles and analyses key social, cultural and organisational aspects that are important in creating effective safety huddles. The paper presents a model of a tiered-huddle system that has been implemented at Cincinnati Children's Hospital Medical Center, USA, and provides a useful analysis of the ways in which safety huddles can impact patient safety.
This article reports on a systematic review of the use and effects of patient safety checklists in medicine and provides useful evidence in support of checklist interventions. It encompasses thirty four studies of safety checklists and suggests that checklists are effective tools for improvement patient safety. Specifically, the review found that checklists improve communication, reduce adverse events, improve adherence to procedures and reduce morbidity and mortality.