Healthcare Sector

If they are ‘Never Events’, why are they happening so often?

Never Events are serious, largely preventable patient safety incidents that should not occur if healthcare providers have implemented existing national guidance or safety recommendations. The Never Events policy and framework – revised January 2018 suggests that Never Events may highlight potential weaknesses in how an organisation manages fundamental safety processes. Never Events are different from […]

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Human factors in healthcare – an interview with Jo Gillespie

The Eva team caught up with Jo Gillespie, former airline pilot and aviation safety expert, to discuss how understanding human factors has revolutionised the approach to safety in aviation. He suggests that now is the time for healthcare to learn lessons from other industries to improve operational performance and patient safety. Tell us about the

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How can a patient safety incident be related to cockpit culture?

In the late 1940s following WWII there were two significant influences on commercial cockpit culture. What followed changed aviation safety forever and would eventually inform our understanding of how to manage the impact of a patient safety incident. The first was a result of the massive wartime technology spike, taking planes higher and faster than

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Cognitive dissonance – why we sometimes press on when we shouldn’t

Firstly I should make it clear that I am not a psychologist nor in the truest sense of the word am I a scientist, although as an aviator I have a broad understanding of a lot of science. My knowledge of cognitive dissonance, in particular, comes from extensive research into why pilots were flying approaches

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Easy as 1, 2, 3 – Eva fulfils the NHS’ Patient Safety Strategy criteria

The NHS Patient Safety Strategy, which aims to reduce avoidable patient harm, has three main themes: Insight Involvement Improvement Although these sound positive, Trusts are left to ask what each theme truly means and how they can bring them into their own practices, when CQC inspections and Covid surges lie on the horizon. Luckily, Eva,

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Preparing for PSIRF Eva’s way

What is PSIRF? NHS England’s Patient Safety Incident Response Framework (PSIRF) is due to be rolled out across the NHS and the independent sector next month.  PSIRF will provide guidance to healthcare organisations on how to respond to patient safety incidents. The framework aims to move away from reactive and hard-to-define thresholds for serious incidents

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Right on target – why better patient safety is a global goal for 2030

The United Nation’s seventeen sustainable development goals (SDGs) came into force in 2016. The set of goals is targeted for achievement by 2030 and involves targets such as improving food security and sustainably managing forests worldwide. Although all the SDGs are equally important, the coronavirus pandemic has brought one sharply into focus. That is SDG

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“Too busy to improve?” – What chance of a ‘digital transformation’ of the NHS?

Amid the mass of uncertainty, we can all agree that Covid-19 has driven home the importance of digital technology.  This is certainly true of the NHS, where technology has become embedded at a rate that previously seemed impossible. But, while Covid-19 is on everyone’s minds, the ups and downs of recent months shouldn’t blind us

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