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Care professionals, the second victim of a medical incident

Posted by Bianca Beentjes on May 15 2018

Whether it’s a tough conversation with only bad news or patients who are nearing the end and eventually pass away, care professionals are regularly confronted with the emotions of patients and their nearest and dearest. They have developed considerable experience with respect to how to handle emotion – and are accustomed to doing so. That is however not the case if the emotional cause can be attributed to a mistake made by themselves. Care professionals experience feelings of anxiety, uncertainty, shame and even loneliness. Naturally, the patients are the first victims of a medical incident, but the care professionals involved are victims too, the so-called second victims.

This blog describes the interventions that can be applied to support the care professionals involved. Most important is creating a healthcare safety culture, where people can talk openly about incidents.

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Topics: Culture, Incident Management

What can the aviation industry teach us about safety in the healthcare sector?

Posted by Bianca Beentjes on April 3 2018

“In the airline business, there are six avoidable deaths for every 10 million flights. In the healthcare sector, it appears that there are six avoidable deaths for every 10 thousand hospital admissions.”

In bygone decades, the airline business has invested time and energy to focus on the “soft side” of safety in addition to the “hard side”. This blog describes what the healthcare industry can learn from the aviation business in the field of safety. 

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Topics: Culture

From blaming & shaming to a learning organisation

Posted by Bianca Beentjes on March 1 2018

We all know that incident reporting is not the moment for reproach. It is a learning opportunity for care professionals involved as well as for their colleagues. The question is; how do you create an open culture without “blaming and shaming” and improve safety levels within your care institution? Read this blog to see “which buttons you can press” to create safety awareness in your team.

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Topics: Cultuur

Safety culture determines patient safety

Posted by Bianca Beentjes on February 6 2018

A pro-active safety culture contributes to patient safety. It is a culture in which everyone is alert to potential risks and in which active steps can be taken towards incident reporting without consequences, in an open atmosphere. A climate in which – by lowering the threshold – unsafe situations in care processes can be reported.

The safety culture ladder provides insight and demonstrable clarity into the degree to which an organisation works in a safe manner. This blog describes how an organization can rank higher on the safety culture ladder, emphasizing the importance of open communication.

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Topics: Culture, Communication

Collaboration and benchmarking among Dutch Caribbean healthcare institutions

Posted by Bianca Beentjes on December 12 2017

This summer, The Patient Safety Company (TPSC) flew to the Dutch Caribbean to visit the Healthcare Conference HCCA in Aruba and some of our customers. During the conference, one thing became very clear; healthcare organizations from the islands are facing some serious challenges. In the first blog, you can learn more about the challenges of the Dutch Caribbean healthcare institutions.

One of these challenges is the lack of data to make informed business decisions in the field of quality and safety. In the second blog, we were digging deeper into this issue and show how two hospitals from Aruba and Bonaire found their solution in automating processes.

This blog describes how the Hospital from Bonaire, Fundashon Mariadal, functions as an example for other organizations from the islands. By doing so, something outstanding is achieved; unifying healthcare organizations and the islands in a Dutch Caribbean Health Information System.

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Automated healthcare processes in the Dutch Caribbean

Posted by Bianca Beentjes on November 2 2017

This summer, The Patient Safety Company (TPSC) flew to the Dutch Caribbean to visit the Healthcare Conference HCCA in Aruba and some of our customers. During the conference, one thing became very clear; healthcare organizations from the islands are facing some serious challenges. In our previous blog, you can read about the challenges the Dutch Caribbean healthcare organizations are facing.

One of these challenges is the lack of data to make informed business decisions in the field of quality and safety. Organizations do not have a sufficient Quality Management System in place to gather the necessary data. Consequently, these organizations are not able to make trend analysis to understand why thing are as they are and how to improve moving forward.

This blog describes how the sector – with the help of TPSC - is fighting this challenge to improve healthcare on all levels.

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"All is not well in paradise" - Challenges of Dutch Caribbean healthcare facilities

Posted by Bianca Beentjes on October 12 2017

To improve the quality of care and the safety of patients, healthcare is constantly being reviewed and researched. New concepts are being invented and discussed continuously.

In the beginning of June, The Patient Safety Company (TPSC) was present at the Healthcare Conference HCCA in Aruba to understand the current situation in the healthcare sector of the Dutch Caribbean Islands*. By engaging with customers, partners and other healthcare professionals one thing became very clear: “All is not well in Paradise”.

This blog describes the challenges the Dutch Caribbean healthcare facilities are facing.

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Topics: Quality issues

Make healthcare safer with transmural incident reporting

Posted by Bianca Beentjes on July 11 2017

If the improvement of patient safety is at issue, healthcare providers tend to look only within their own department or institution. Attention is paid to safety along the integrated care chain, but this does not (yet) reach outside the perimeter of their own institution. It is predominantly older patients who are subject to multi-disciplinary integrated care involving more than one organisation. This is known as transmural integrated care.

This blog describes how transmural incident reporting works and how it contributes to patient safety.

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Topics: Incident Management

What can we learn from digital incident reporting?

Posted by Bianca Beentjes on June 29 2017

In order to learn from incidents, it is important that all adverse events and near misses are reported. Unfortunately, this is often seen as an additional administrative step that is experienced as difficult and unnecessary. This blog describes the benefits of digital incident reporting and shows that an incident management system is not something only the larger healthcare institutions can afford. 

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Topics: Incident Management

Why do we not learn from incidents?

Posted by Bianca Beentjes on June 8 2017

We try to prevent incidents or calamities by estimating prospective risks. In the case of an adverse event or a near miss, it is important to determine retroactively how an incident of this nature took shape. Various analysis methodologies can be used to facilitate this process, such as the PRISMA and RCA methodology. Everybody can benefit from this kind of incident analysis so that it can be prevented in the future. Yet this is exactly where it often goes wrong…

This blog describes the 3 crucial situations in which learning from incidents can go wrong. Next, the blog shows how to recognise the signals and how to pick them up. 

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Topics: Incident Management

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