compendium of clearer thinking

Lessons for improving investigations with HFACS

Lessons for improving investigations with HFACS

I’ve been travelling the US to see how healthcare providers use HFACS. What have I learned?

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Improving incident investigations & safety systems

Improving incident investigations & safety systems

When patients are harmed in healthcare we have a duty to prevent it happening again. HFACS helps improve investigations and generate better solutions.

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Values-based leadership in a time of austerity

Values-based leadership in a time of austerity

We need values-based leadership in healthcare. But ‘having values’ does not provide easy answers to difficult leadership dilemmas.

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Candour – beyond compliance

Alexandra was born profoundly disabled following a forceps delivery. What should hospitals do to rebuild trust when care goes wrong?

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Leadership for safety in a time of austerity

Leadership for safety in a time of austerity

In these times of NHS ‘austerity’ are we in danger of forgetting the importance of leadership for safety?

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Experiencing healing through Restorative Review

Experiencing healing through Restorative Review

Tailored support for health professionals in moral crisis – Jasmine talks about how it has helped.

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