Presentation to the Resilient Health Care Net Summer Meeting
|
|
- Phillip Alexander
- 5 years ago
- Views:
Transcription
1 The Resilient Health Care Net Summer Meeting, August 26-28, 2013 How everyday functioning in acute care really works: the case of nurses workarounds The Resilience of Everyday Clinical Work Tentative programme 15:00 17:00 07:00 08:30 Session 1: 08:30 09:00 09:00 09:30 09:30 10:00 10:00 10:30 10:30 12:00 12:00 13:30 Session 2: 13:30 14:00 Sunday August 25 Tutorial topic to be announced. Deborah Debono and Jeffrey Braithwaite Monday August 26 Breakfast The range of everyday clinical work Australian Institute of Health Innovation Features of resilience in maternity services a case study on adaptations of micro systems to influences from meso and macro system levels. (Plessen, C. v., Wiig, S., Aase, K.) The 2011 Stanley Cup riot: A lesson in resilience. (Hunte, G. S.) Hospital discharge of the elderly using the ETTO principle to explain performance variability. (Laugaland, K., Åsa, K.) Coffee break The range of everyday clinical work Extended thematic discussion / panel Lunch Tradeoffs, workarounds, coping, dampening Individual Collective Tradeoffs in Healthcare and their Implications for Resilience. (Wears, R. L., Hunte, G. S.) How everyday functioning in acute care really works: the case of nurses workarounds. (Debono, D., Braithwaite, J.) Tensions and trade-offs in patient handover emergency care. (Sujan, M. A.) Coffee break Tradeoffs, workarounds, coping, dampening Extended thematic discussion / panel Dinner at Hindsgavl Presentation to the Resilient Health Care Net Summer Meeting Middelfart, Denmark 14:30 15:00 August 26 to 28, :00 15:30 14:00 14:30 15:30 17:00 19:00
2 Australian Institute of Health Innovation s mission Our mission is to enhance local, institutional and international health system decisionmaking through evidence; and use systems sciences and translational approaches to provide innovative, evidence-based solutions to specified health care delivery problems.
3 Australian Institute of Health Innovation Professor Jeffrey Braithwaite Professor and Foundation Director, AIHI; Director, Centre for Clinical Governance Research Professor Enrico Coiera Professor of Health Informatics, Centre for Health Informatics, AIHI, UNSW Professor Ken Hillman Professor of Intensive Care, Simpson Centre for Health Services Research, AIHI, UNSW Professor Johanna Westbrook Professor of Health Informatics Centre for Health Systems and Safety Research, AIHI, UNSW
4 Background - the Centre The Centre for Clinical Governance Research undertakes strategic research, evaluations and researchbased projects of national and international standing with a core interest to investigate health sector issues of policy, culture, systems, governance and leadership.
5 World
6 Australia Denmark
7 The dominant Safety 1 view
8 Health care occurs in a CAS Requiring navigation of: complex, challenging environments heavy workloads interruptions competing requirements time critical pressures emotional demands
9 But health care occurs in a CAS This is normal Exceptions are not exceptional but routine [Tucker and Edmondson 2002]
10 And The systematisers, anti-variationalists, quality improvement advocates and patient safety solutionists are in a Safety 1 paradigm With a view that: with a little more effort, a few more resources, a more refined set of recommendations from a knowledgeable inquiry, some new tools, an updated IT system, and better policy, we will ameliorate harm [Hollnagel, Braithwaite and Wears 2013]
11 But This assumes an orderly, linear, predicable world Not found in the real world of health care [Hollnagel, Braithwaite and Wears 2013]
12 Question How do clinicians navigate workflows and manage the complexity and ubiquitous workflow hindrances to deliver safe and effective care?
13 Answer One way is to work around them
14 Workarounds: definition Workarounds are observed or described behaviours that may differ from organisationally prescribed or intended procedures. They circumvent or temporarily fix an evident or perceived workflow hindrance in order to meet a goal or to achieve it more readily [Debono, Greenfield, Travaglia, Long, Black, Johnson, Braithwaite, 2013]
15 Workarounds: what they look like Workaround the shortage of gum boots to shower patients Workaround the shortage of intravenous therapy solution stands
16 Workarounds: what they look like Workaround the shortage of gum boots to shower patients Workaround in a hospital ward to solve the problem of the smoke alarm Workaround the shortage that kept going of intravenous off because oftherapy nebulisers in asolution stands patient's room
17 Workarounds: other terms Shortcuts (-) Situational violations (-) Deviations (-) Innovations (+) Ready-made fixes (+) Problem solving (+)
18 Workarounds and resilience Workarounds often examples of first order problem solving adapting work to cope with basic system inefficiencies But this can impair the capacity to engage in second order problem solving change the system so the problem does not reappear
19 Studying workarounds Studies of workarounds provide an opportunity to examine: individual and collective everyday functioning of frontline clinicians how informal practices flourish what nurses do when they deploy workarounds to contribute to resilient health care
20 Objective To examine the empirical evidence on the implementation, propagation, rationalisation, conceptualisation and impact of nurses workarounds in acute care settings
21 Method: a scoping review ) [Debono, Greenfield, Travaglia, Long, Black, Johnson and Braithwaite, 2013]
22 Findings Nurses workarounds are: collectively and individually enacted a response to a range of workflow barriers including policy, technology or operational failures perceived to contribute to (+) or to compromise (-) patient care
23 Findings Nurses workarounds hide: how care is otherwise thought to be delivered (WAI vs WAD) how policies are actually enacted problems and glitches to care delivery sometimes, opportunities for improvement
24 Findings The development and proliferation of nurses workarounds are influenced by: workflow issues including policy, technology or operational failures patient, clinician, organisational factors cultural norms notions of professional competency
25 Findings Few studies measure the negative impact of workarounds on patient care Even fewer studies measure the positive impact of workarounds on patient care
26 Discussion In everyday practice nurses use workarounds all the time Workarounds may facilitate delivery of care and/or destabilise safety mechanisms
27 Examples of +ive effects of workarounds Care tailored to a patient s specific needs Batching care so the patient gets a good night s sleep Giving medications early so patients won t wait four hours May lead to better rules, practices
28 Examples of -ive effects of workarounds Fix individual problems but mask underlying systems problems Increasing complexity and the potential for new errors Make staff vulnerable to retribution Challenges what should be taught to new clinicians
29 Discussion Workarounds are often not reported or discussed and so may create an illusion that sanctioned or formal processes are seamless and more effective than they actually are
30 Conclusion Workarounds neatly encapsulate distinctions between WAI (the blunt end) and WAD (the sharp end) Relying on resilience (and the workarounds that create it) may be too much of a good thing [Wears and Vincent, 2013]
31 Conclusion Workarounds can have features of resilience and brittleness They often provide rich insights into everyday activities that make care succeed [Wears and Vincent, 2013]
32 Reference Debono, DS., Greenfield, D., Travaglia, JF., Long, JC., Black, D., Johnson, J., Braithwaite, J. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Services Research, 13:175 (
33 Contact details Jeffrey Braithwaite, PhD Foundation Director Australian Institute of Health Innovation Director Centre for Clinical Governance Research Professor, Faculty of Medicine University of New South Wales SYDNEY NSW 2052 AUSTRALIA Wiki: Web:
Unlocking the potential of resilience in healthcare: using workarounds to expose what being good at their job means for nurses
Unlocking the potential of resilience in healthcare: using workarounds to expose what being good at their job means for nurses Deborah Debono, Robyn Clay-Williams, Natalie Taylor, David Greenfield, Jeffrey
More informationUnderstanding resilient clinical practice in Emergency Department ecosystems. Jeffrey Braithwaite, PhD Robyn Clay-Williams, PhD
Understanding resilient clinical practice in Emergency Department ecosystems Australian Institute of Health Innovation Jeffrey Braithwaite, PhD Robyn Clay-Williams, PhD Presentation to the Resilient Healthcare
More information6/17/2014. Resilient health care: forging new directions. Australian Institute of Health Innovation s mission
Question 1: what s your definition of resilience, please? Resilient health care: forging new directions Australian Institute of Health Innovation Professor Jeffrey Braithwaite, PhD Professor of Health
More informationHarnessing workarounds to improve quality of care
Harnessing workarounds to improve quality of care Deborah Debono 1, Julie Johnson 2, David Greenfield 1, Deborah Black 3, Jeffrey Braithwaite 1 1 Australian Ins?tute of Health Innova?on, Macquarie University,
More informationThe Importance of Culture in Health Care Settings [and its relationship to safety and quality]
The Importance of Culture in Health Care Settings [and its relationship to safety and quality] Australian Institute of Health Innovation Professor Jeffrey Braithwaite, PhD Centre for Clinical Governance
More informationApplying a human factors approach
AUSTRALIAN INSTITUTE OF HEALTH INNOVATION Faculty of Medicine and Health Sciences Applying a human factors approach to improve the quality of health care 2 Applying a human factors approach to improve
More informationNurses workarounds in acute healthcare settings: a scoping review
Debono et al. BMC Health Services Research 2013, 13:175 RESEARCH ARTICLE Open Access Nurses workarounds in acute healthcare settings: a scoping review Deborah S Debono 1*, David Greenfield 1, Joanne F
More informationTitle: Nurses' workarounds in acute healthcare settings: a scoping review
Author's response to reviews Title: Nurses' workarounds in acute healthcare settings: a scoping review Authors: Deborah S Debono (d.debono@unsw.edu.au) David Greenfield (d.greenfield@unsw.edu.au) Joanne
More informationWhat have we learnt? A SUMMARY OF THE INFORMATION GAINED FROM THE 60 COUNTRIES BOOK. April 12, 2018 Tokyo, Japan
AUSTRALIAN INSTITUTE OF HEALTH INNOVATION Faculty of Medicine and Health Sciences What have we learnt? April 12, 2018 Tokyo, Japan A SUMMARY OF THE INFORMATION GAINED FROM THE 60 COUNTRIES BOOK Jeffrey
More informationGreenfield, D; Nugus, P; Braithwaite, J
MANAGERS QUESTIONING HOW THEY WORK TO IMPROVE INTERPROFESSIONAL COLLABORATION AND CLINICAL GOVERNANCE Australian Institute of Health Innovation Greenfield, D; Nugus, P; Braithwaite, J Centre for Clinical
More informationImplementation and Evaluation Making a difference in your health service
Implementation and Evaluation Making a difference in your health service 4-5 April 2018 Aerial Function Centre, UTS City Campus, Jones Street, Ultimo The Maternal, Newborn and Women s Health Clinical Academic
More informationCareTrack: levels of appropriate care in Australia and the implications for health systems
CareTrack: levels of appropriate care in Australia and the implications for health systems Australian Institute of Health Innovation Jeffrey Braithwaite [For the CareTrack team: Bill Runciman, Tamara Hunt,
More informationResilience in Health Care
Resilience in Health Care Erik Hollnagel, Ph.D. Professor, University of Southern Denmark Chief Consultant, Center for Kvalitet, Region of Southern Denmark E-mail: erik.hollnagel@rsyd.dk There is something
More informationIntravenous Infusion Practices and Patient Safety: Insights from ECLIPSE
Intravenous Infusion Practices and Patient Safety: Insights from ECLIPSE Acknowledgement and disclaimer Funding acknowledgement: This project is funded by the National Institute for Health Research Health
More informationAssociate Professor David Greenfield
Key findings from studies into health service accreditation programs Australian Institute of Health Innovation Associate Professor David Greenfield Sydney, Australia 10 September 2014 Presentation on behalf
More informationAUSTRALIAN INSTITUTE OF HEALTH INNOVATION Faculty of Medicine and Health Sciences. Innovation. emerging ideas for better healthcare
AUSTRALIAN INSTITUTE OF HEALTH INNOVATION Faculty of Medicine and Health Sciences Innovation emerging ideas for better healthcare 2 Innovation emerging ideas for better healthcare Much of the medical and
More informationResilience in Healthcare
Resilience in Healthcare The Other Side of Human Error Dr Carl Horsley, Critical Care Complex, Middlemore Hospital Patient Safety Staff Safety Outline The current model of safety The problems with the
More informationUser perceptions of the implementation of an electronic medication management system (emms) in a paediatric setting
User perceptions of the implementation of an electronic medication management system (emms) in a paediatric setting Rae-Anne Hardie a, Melissa T Baysari a,b, Rebecca Lake a, Lauren Richardson a, Cheryl
More informationCentre for Clinical Governance Research in Health Annual Report 2012
Centre for Clinical Governance Research in Health Annual Report 2012 Strategic research into health policy, quality, culture, safety, systems, governance and leadership Never Stand Still UNSW Medicine
More informationIs healthcare getting safer? Situation
10/13/2015 Healthcare in Qatar Delivering BEST CARE ALWAYS: National ambition, energy, commitment Growing demand Capacity and infrastructure limits Diverse workforce Huge investment in healthcare Transformation
More informationHigh Returns Pharming COWS
High Returns Pharming COWS HIC 2009 The Frontiers of Health Informatics * IM&TD, + Concord Repatriation General Hospital, Sydney South West Area Health Service, Sydney, NSW. Design & implementation of
More informationThe Yorkshire & Humber Improvement Academy Clinical Leadership Training Programme
The Yorkshire & Humber Improvement Academy Clinical Leadership Training Programme The Improvement Academy (IA) is one of the leading quality and safety improvement networks in the UK. The IA works across
More informationCentre for Clinical Governance Research in Health
C E N T R E F O R C L I N I C A L G O V E R N A N C E R E S E A R C H I N H E A L T H Annual Report 2008 Centre for Clinical Governance Research in Health The Centre for Clinical Governance Research in
More informationDeborah Debono 1,3*, Natalie Taylor 1, Wendy Lipworth 2, David Greenfield 1,5, Joanne Travaglia 3, Deborah Black 4 and Jeffrey Braithwaite 1
Debono et al. Implementation Science (2017) 12:42 DOI 10.1186/s13012-017-0572-1 RESEARCH Open Access Applying the Theoretical Domains Framework to identify barriers and targeted interventions to enhance
More informationLeadership and culture change: essential elements
Leadership and culture change: essential elements Professor Jeffrey Braithwaite, PhD University of New South Wales, Australia Presentation to the Sixth International Symposium on Rapid Response Systems
More informationSafety Measurement, Monitoring & Strategies
Safety Measurement, Monitoring & Strategies Jonkoping Microsystem Festival Scientific Day March 2016 Charles Vincent Professor of Psychology University of Oxford Lead Oxford AHSN Patient Safety Collaborative
More informationCREATING SAFETY IN AN EMERGENCY DEPARTMENT
T H E U N I V E R S I T Y O F B R I T I S H C O L U M B I A! CREATING SAFETY IN AN EMERGENCY DEPARTMENT Garth Hunte, MD PhD Clinical Associate Professor Department of Emergency Medicine Research Scientist,
More informationIntegrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0
Integrated Health and Care in Ipswich and East Suffolk and West Suffolk Service Model Version 1.0 This document describes an integrated health and care service model and system for Ipswich and East and
More informationBottom-up and middle-out approaches to electronic patient information systems: a focus on healthcare pathways
Informatics in Primary Care 2012;20:51 6 # 2012 PHCSG, British Computer Society Refereed paper Bottom-up and middle-out approaches to electronic patient information systems: a focus on healthcare pathways
More informationipad use during ward rounds: an observational study
ipad use during ward rounds: an observational study Centre for Health Systems and Safety Research Elin Lehnbom 1, Kristian Adams 2, Richard Day 2,3, Johanna Westbrook 1, Melissa Baysari 1,2 1 Centre for
More informationAn overview of research projects and directions of the Simpson Centre
An overview of research projects and directions of the Simpson Centre 2014 AIHI Research Symposium Associate Professor Jack Chen MBBS PhD MBA(Exec) Simpson Centre for Health Services Research Australian
More informationAustralian Institute of Health Innovation
AUSTRALIAN INSTITUTE OF HEALTH INNOVATION Faculty of Medicine and Health Sciences Australian Institute of Health Innovation Annual Report 2014 2 Australian Institute of Health Innovation Annual Report
More informationFrom Conflict to Curiosity A Framework for Promoting Interprofessional Collaboration
From Conflict to Curiosity A Framework for Promoting Interprofessional Collaboration Inselspital, Universitätsspital Bern March 4, 2016 Sara Kim, PhD, Research Professor, Surgery Associate Dean for Educational
More informationMedChart. Electronic medication management. reducing medication errors, improving patient outcomes
Electronic medication management reducing medication errors, improving patient outcomes Medication errors a global problem In the United States, medication errors cost more than US$3 billion in additional
More informationNURS6031 Leadership and Collaborative Practice
NURS6031 Leadership and Collaborative Practice Lecture 1a (Week -1): Becoming a professional RN What is a professional? Mastery of specialist theoretical knowledge Autonomy and control over your work and
More informationLESSON ELEVEN. Nursing Research and Evidence-Based Practice
LESSON ELEVEN Nursing Research and Evidence-Based Practice Introduction Nursing research is an involved and dynamic process which has the potential to greatly improve nursing practice. It requires patience
More informationDuty Nurse Manager Waitemata Central Position Description
Date: January 2016 (review January 2017) Job Title : Department : Location : Waitemata DHB (based at NSH and/or WTH) Reporting to Professional Line Operations Manager (NSH and /or WTH) Charge Nurse Manager
More informationDriving Business Value for Healthcare Through Unified Communications
Driving Business Value for Healthcare Through Unified Communications Even the healthcare sector is turning to technology to take a 'connected' approach, as organizations align technology and operational
More informationImproving teams in healthcare
Improving teams in healthcare Resource 1: Building effective teams Developed with support from Health Education England NHS Improvement Background In December 2016, the Royal College of Physicians (RCP)
More informationAllied Health Worker - Occupational Therapist
Position Description January 2017 Position description Allied Health Worker - Occupational Therapist Section A: position details Position title: Employment Status: Classification and Salary: Location:
More informationWORKING DRAFT. Standards of proficiency for nursing associates. Release 1. Page 1
WORKING DRAFT Standards of proficiency for nursing associates Page 1 Release 1 1. Introduction This document outlines the way that we have developed the standards of proficiency for the new role of nursing
More informationMENTAL HEALTH AHHA PRIMARY HEALTH NETWORK DISCUSSION PAPER SERIES: PAPER TWO
MENTAL HEALTH AHHA PRIMARY HEALTH NETWORK DISCUSSION PAPER SERIES: PAPER TWO INTRODUCTION In April 2015 the Commonwealth Health Minister, the Honourable Sussan Ley, announced the establishment of 31 new
More informationQUASER The Hospital Guide. A research-based tool to reflect on and develop your quality improvement strategies Version 2 (October 2014)
QUASER The Hospital Guide A research-based tool to reflect on and develop your quality improvement strategies Version 2 (October 2014) Funding The research leading to these results has received funding
More informationGreater Manchester Neuro-Rehabilitation Services information for patients and carers
THIS BOOKLET IS BEING TRIALLED Greater Manchester Neuro-Rehabilitation Services information for patients and carers Greater Manchester Neuro-Rehabilitation Services gmnrodn@srft.nhs.uk All Rights Reserved
More informationNURSE LEADER FATIGUE: IMPLICATIONS FOR WISCONSIN
NURSE LEADER FATIGUE: IMPLICATIONS FOR WISCONSIN Wisconsin Organization of Nurse Executives 2017 Annual Convention April 28, 2017 Barbara Pinekenstein DNP, RN-BC, CPHIMS Linsey Steege PhD Presentation
More informationHealth Economics. A Critical and Global Analysis
Health Economics A Critical and Global Analysis George R. Palmer BSc, MEc, PhD Emeritus Professor, Faculty of Medicine The University of New South Wales Maria Theresa Ho MBBS MHP MD Associate Professor
More informationwelcome guide
welcome guide BURGESS 1 CARE UNIT FOR PATIENTS AND THEIR FAMILY www.douglas.qc.ca WELCOME On behalf of the entire treatment team, welcome to the Burgess 1 Care Unit of the Douglas Mental Health University
More informationThe Ethos Program: Re-defining Normal
The Ethos Program: Re-defining Normal Dr Victoria Atkinson Group Chief Medical Officer Group General Manager Clinical Governance Cardiothoracic Surgeon Victoria.Atkinson@svha.org.au 1 1. Background Unprofessional
More informationMedicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME
Medicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME The Process What is medicine reconciliation? Medicine reconciliation is an evidence-based process, which has been
More informationExploring Socio-Technical Insights for Safe Nursing Handover
Context Sensitive Health Informatics: Redesigning Healthcare Work C. Nøhr et al. (Eds.) 2017 The authors and IOS Press. This article is published online with Open Access by IOS Press and distributed under
More informationAPHA CONFERENCE March 2014
APHA CONFERENCE March 2014 Richard Royle Executive Director - UnitingCare Health Dr Luis Prado Chief Medical Officer - UnitingCare Health and Director of Medical Services - The Wesley Hospital The Wesley
More informationNurse Staffing Approach in Wales
Nurse Staffing Approach in Wales Dr Jean White Chief Nursing Officer Welsh Government / Nurse Director NHS Wales Visiting Professor Cardiff University & University of South Wales Health services in Wales
More informationUnit Based Culture of Safety and Learning. Owensboro Health March, 2017
Unit Based Culture of Safety and Learning Owensboro Health March, 2017 Owensboro Health 477 Bed Regional Hospital 32 Bed ICU 30 Transitional Care Beds Level III Trauma Center Level III NICU Largest employer
More informationBIRMINGHAM COMMUNITY HEALTHCARE NHS TRUST: HEALTHY VILLAGES AND THE COMPLETE CARE MODEL
BIRMINGHAM COMMUNITY HEALTHCARE NHS TRUST: HEALTHY VILLAGES AND THE COMPLETE CARE MODEL Summary Healthy Villages is a partnership between Birmingham Community Healthcare (BCH) and other NHS providers and
More informationThank you for the opportunity to present submissions to the inquiry into Charity Fundraising in the 21 st Century.
6 th August 2018 Committee Secretary Department of the Senate PO Box 6100 Parliament House Canberra, ACT 2600 By online submission upload Dear Secretary Submission to the Select Committee on Charity Fundraising
More informationLEARNING FROM THE VANGUARDS:
LEARNING FROM THE VANGUARDS: STAFF AT THE HEART OF NEW CARE MODELS This briefing looks at what the vanguards set out to achieve when it comes to involving and engaging staff in the new care models. It
More informationHow effective and sustainable are Root. HFESA Conference
How effective and sustainable are Root Cause Analysis (RCA) investigations 27 th November 2017 HFESA Conference Peter Hibbert, Matthew Thomas, Anita Deakin, Bill Runciman, Jeffrey Braithwaite Acknowledgements:
More informationDevelopment and assessment of a Patient Safety Culture Dr Alice Oborne
Development and assessment of a Patient Safety Culture Dr Alice Oborne Consultant pharmacist safe medication use March 2014 Outline 1.Definitions 2.Concept of a safe culture 3.Assessment of patient safety
More informationGuidance on implementing the principles of peer review
Guidance on implementing the principles of peer review MAY 2016 Principles of peer review Peer review is the best way for health and medical research charities to decide what research to fund. Done properly,
More informationDalton Review RCR Clinical Radiology Proposal Radiology in the UK the case for a new service model July 2014
Dalton Review RCR Clinical Radiology Proposal Radiology in the UK the case for a new service model July 2014 Radiology services in the UK are in crisis. The ever-increasing role of imaging in modern clinical
More informationEmergency admissions to hospital: managing the demand
Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:
More information12 February Dear Applicant,
12 February 2018 Dear Applicant, Many thanks for your interest in the London Gang Exit Major Trauma Centre Link Worker role with Redthread. LGE is an innovative and effective programme that helps young
More informationRe: Handbook for improving safety and providing high quality care for people with cognitive impairment in acute care: A Consultation Paper
Australian Commission on Safety and Quality in Health Care GPO Box 5480 SYDNEY NSW 2001 cognitive.impairment@safetyandquality.gov.au To whom it may concern Re: Handbook for improving safety and providing
More informationINFORMATION FOR LOCAL AUTHORITIES
INFORMATION FOR LOCAL AUTHORITIES GPO Box 111, Brisbane, QLD 4001 T. 1300 170 570 E. admin@pfra.org.au W. www.pfra.org.au Introduction The Public Fundraising Regulatory Association (PFRA) is the self-regulatory
More informationAged Care. can t wait
Aged Care can t wait Aged Care can t wait 1. Aged care can t wait: right now, Australia s aged care sector needs more than 20,000 additional nursing staff 1 to care for older Australians in residential
More informationResidential aged care funding reform
Residential aged care funding reform Professor Kathy Eagar Australian Health Services Research Institute (AHSRI) National Aged Care Alliance 23 May 2017, Melbourne Overview Methodology Key issues 5 options
More information* At smith&nephew our products promote wellbeing which helps to reduce the human and economic cost of wounds. Abstracts Booklet
* At smith&nephew our products promote wellbeing which helps to reduce the human and economic cost of wounds. Abstracts Booklet Smith & Nephew EWMA satellite symposium Wednesday 15th May 2013 Designing
More informationEvolving relations between the practices of nurses and patients and a new patient portal
Kensing, F., Lomborg, S. and Moring, C. (2017): Evolving relations between the practices of nurses and patients and a new patient portal. 6th International Workshop on Infrastructures for Healthcare: Infrastructures
More informationBOARD PAPER - NHS ENGLAND
Paper: 011406 BOARD PAPER - NHS ENGLAND Title: Patient safety collaborative proposals Clearance: Jane Cummings, Chief Nursing Officer. Purpose of paper: To inform the Board of the proposals for the Patient
More informationReducing Risk: Mental health team discussion framework May Contents
Reducing Risk: Mental health team discussion framework May 2015 Contents Introduction... 3 How to use the framework... 4 Improvement area 1: Unscheduled absence and managing time off the ward... 5 Improvement
More informationWestchester Medical Center BEHAVIORAL HEALTH CENTER
1 Westchester Medical Center BEHAVIORAL HEALTH CENTER 2 Welcome to the Behavioral Health Center of Westchester Medical Center. Our staff is committed to providing you with outstanding care and service
More informationJOB DESCRIPTION. Clinical Governance and Quality, Borders General Hospital. Clinical Governance Facilitator for Patient Safety.
JOB DESCRIPTION 1. Job Identification Job Title: Clinical Risk Facilitator Job Reference: Department & Base: Responsible To: Hours of Work: Date JD Written / Updated: SS911 Clinical Governance and Quality,
More informationImproving safety culture
Improving safety culture Stephen Leyshon 1 SAFER, SMARTER, GREENER Objective and content Objective: To provide an overview of how systems thinking can be applied to support the development of a positive
More informationMental Health Clinician ATAPS Suicide Prevention Service
Position Description Mental Health Clinician ATAPS Suicide Prevention Service August 2013 1 FTE 37.5 hours per week Melbourne East General Practice Network (ABN 86129637412) trading as the Inner East Melbourne
More informationTime for Transformative Change: CARP Submission to the Advisory Panel on Healthcare Innovation
Time for Transformative Change: CARP Submission to the Advisory Panel on Healthcare Innovation Healthcare remains the highest priority for Canadians and a more immediate focus as we age. The mandate of
More informationLeading Safety Inspired Care. Patient Safety and Quality. Strategic Plan
Leading Safety Inspired Care Patient Safety and Quality Strategic Plan 2016 2020 2 Our Mission and Catholic Values St Vincent s Health Australia (SVHA) is the nation s largest Catholic not-for-profit health
More informationSPSP Medicines. Prepared by: NHS Ayrshire and Arran
SPSP Medicines Prepared by: NHS Ayrshire and Arran Medication Reconciliation: Story so far MR happening in primary care, acute adult, paediatrics and mental health Started in acute then mental health,
More informationCare home handovers Research Team
Care home handovers It's part of our job. It's part of our care and we can't do right and do good care if we don't have handover. Research Team Jill Manthorpe Jill.Manthorpe@kcl.ac.uk Caroline Norrie caroline.norrie@kcl.ac.uk
More informationBushfires The Human Factor Thursday 29 th November 2012, 1.00pm, With lunch in the Legislative Council Committee Room
The Presiding Officers invite Parliamentarians and Staff to a Science Briefing on Bushfires The Human Factor Thursday 29 th November 2012, 1.00pm, With lunch in the Legislative Council Committee Room This
More informationEmployer Link Service
Employer Link Service Joint Regulator Workshop for Managers of Regulated Services Michele Harrison - Regulation Adviser, NMC 7 th March 2018 What we aim to cover Part 1 Who are the Employer Link Service?
More informationMedicines New Zealand
Implementing Medicines New Zealand 2015 to 2020 Medicines New Zealand Access Quality Optimal use Released 2015 health.govt.nz Citation: Ministry of Health. 2015. Implementing Medicines New Zealand 2015
More informationWhat information do we need to. include in Mental Health Nursing. Electronic handover and what is Best Practice?
What information do we need to P include in Mental Health Nursing T Electronic handover and what is Best Practice? Mersey Care Knowledge and Library Service A u g u s t 2 0 1 4 Electronic handover in mental
More informationIMPROVING WORKFORCE EFFICIENCY
JULY 14, 2010 IMPROVING WORKFORCE EFFICIENCY Developing and training a health care workforce to meet the increased demand on services due to an increase in access from health reform, an aging population,
More informationWhat the future hospital report means for patients. Commission to the Royal College of Physicians
What the future hospital report means for patients Summary of Future hospital: caring for medical patients, a report from the Future Hospital Commission to the Royal College of Physicians The case for
More informationehealth AHHA PRIMARY HEALTH NETWORK DISCUSSION PAPER SERIES: PAPER SIX
ehealth AHHA PRIMARY HEALTH NETWORK DISCUSSION PAPER SERIES: PAPER SIX INTRODUCTION In April 2015 the Commonwealth Health Minister, the Honourable Sussan Ley, announced the establishment of 31 new Primary
More informationForensic mental health. Woodlands House
Woodlands House Welcome to Woodlands House This leaflet aims to provide you with answers to the common questions that people ask when they arrive at an inpatient mental health ward. If English is not your
More informationCambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme. Frequently Asked Questions Second Edition
Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme Frequently Asked Questions Second Edition Contents Introduction to the Sustainability and Transformation
More informationOvercoming Barriers to Error Reporting: Individual, Organizational and Regulatory Issues
Overcoming Barriers to Error Reporting: Individual, Organizational and Regulatory Issues Jason M. Etchegaray, PhD Krisanne Graves, RN, BSN, CPHQ Debora Simmons, RN, MSN, CCRN, CCNS Institute for Healthcare
More informationNSW Child Health Network Allied Health Education & Clinical Support Program Clinical Handover Report
NSW Child Health Network Allied Health Education & Clinical Support Program Clinical Handover Report Carmel Blayden (M Health Science), Allied Health Educator Western Child Health Network, Ward 11, Bloomfield
More informationRISK MANAGEMENT EXPERT SUPPORT TO MANAGE RISK AND IMPROVE PATIENT SAFETY
RISK MANAGEMENT EXPERT SUPPORT TO MANAGE RISK AND IMPROVE PATIENT SAFETY medicalprotection.org +44 (0)113 241 0359 or +44 (0)113 241 0624 RISK MANAGEMENT EXPERT SUPPORT TO MANAGE RISK AND IMPROVE PATIENT
More information2019 Westpac Research Fellowship. Funding Guidelines
2019 Westpac Research Fellowship Funding Guidelines Contents 1. Introduction to the Westpac Bicentennial Foundation... 3 2. The Westpac Research Fellowship... 3 2.1 Overview... 3 2.2 Fellowship Program...
More informationControl: Lost in Translation Workshop Report Nov 07 Final
Workshop Report Reviewing the Role of the Discharge Liaison Nurse in Wales Document Information Cover Reference: Lost in Translation was the title of the workshop at which the review was undertaken and
More informationThe TB Unit at Vancouver General Hospital
The TB Unit at Vancouver General Hospital Contents Welcome... 1 Visiting hours... 2 Negative air flow... 2 Isolation precautions... 2 Clothing and valuables... 2 Smoking policy... 3 Meals... 3 Entering
More informationPatient-Centred Care. Health System Planning and Physician Practice. Aura Hanna, Ph.D.
Patient-Centred Care Health System Planning and Physician Practice Aura Hanna, Ph.D. Topics 2 Health Care System Integration Access Funding Chronic Disease Focus Physician Practice Communicating with patients
More informationWireless Networks & Point of Care Technology: Implications for Interdisciplinary Collaboration
Wireless Networks & Point of Care Technology: Implications for Interdisciplinary Collaboration Kathryn G. Sapnas, PhD, RN, CCRN, CNOR Wayne G. Martin, MS, RN, Thomas Shelton, MS, RN Kevin Hope, BS, Kathryn
More informationObjectives. Models of Integrated Behavioral Health Care 9/23/2015
Models of Integrated Behavioral Health Care Carlton D. Craig, Ph.D. Vernon R. Wiehe Endowed Professor in Family Violence University of Kentucky College of Social Work Carlton.craig@uky.edu (859)-257-6657
More informationObjectives. Brief Review: EBP vs Research. APHON/Mattie Miracle Cancer Foundation EBP Grant Program Webinar 3/5/2018
APHON/Mattie Miracle Cancer Foundation EBP Grant Program Webinar Mary Baron Nelson, PhD RN Katherine Patterson Kelly, PhD RN Objectives Identify the process for submitting a LOI for an APHON EBP grant,
More informationWard pharmacists perceptions on how e-prescribing and administration systems impact their activities
Ward pharmacists perceptions on how e-prescribing and administration systems impact their activities UCL-Cerner epma Symposium 8 February 2017 Monsey McLeod Lead Pharmacist, Medication Safety and Anti-infectives
More informationA Step-by-Step Guide to Tackling your Challenges
Institute for Innovation and Improvement A Step-by-Step to Tackling your Challenges Click to continue Introduction This book is your step-by-step to tackling your challenges using the appropriate service
More informationJob Title. Position Description. Functional Relationships with : Internal Service users, health care team members, Quality Manager.
Date: January 2014 Job Title : Registered Nurse. Department : Auckland Regional Forensic Psychiatry Services. Location : Auckland Regional Forensic Psychiatry Services. Reporting To : Associate Service
More information