Masterclass 2017: Registration open

Registration is now open for Masterclass 2017!

Click or tap to register now

Registration includes lunches, refreshments and dinner on the night of the 9th November, and all Masterclass sessions.

The Masterclass will start on October 9th at 10.00am and finish on the 10th October at 4.30pm.

The venue is De Vere Colmore Gate – Birmingham. This masterclass is supported by the West Midlands Patient Safety Collaborative.

A two day course for researchers and health professionals who want to learn how to apply resilience engineering concepts to improve care quality and safety. Organised by the Centre for Applied Resilience in Healthcare (CARe) – a clinically embedded research centre.

This interactive masterclass will include:

• A comprehensive overview of resilience and Safety II principles and how they can be applied to improve quality and safety
• Keynote address from Professor Jeffrey Braithwaite from the Australian Institute of Healthcare Innovation
• The latest learning from our resilience work in emergency care, care of older people and safety and risk management
• Interactive sessions with experts to learn how to apply a resilience approach
• Discussion about the benefits and challenges of applying Safety II in practice

Click or tap to register now

 

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Resilience Challenge Wins First Prize in International Competition

Resilience Challenge, an online video game raising awareness about safety and the difficult pressures on healthcare providers, has been awarded first prize in the ‘Second Resilient Health Care Net International Prize in Resilient Health Care’. This was a global competition, which awarded prizes to projects that translate innovative safety ideas into clinical practice. Contributions were judged based on their feasibility, and ability to strengthen resilience in healthcare systems.

As the top award in healthcare resilience engineering, RHCN recognises Resilience Challenge for its unique contribution to promoting patient safety.

A collaboration between King’s College London’s Centre for Applied Resilience in Healthcare and Karman Interactive, and supported by the Cultural Institute at King’s, the game takes the player through various scenarios which require difficult decision-making. CARe also hopes to start wider conversations about what can be done at an organisational level to support successful decision-making on the ground.

Jennifer Jackson, a PhD student at King’s who led the project, said ‘We are thrilled to have Resilience Challenge recognised by the Resilient Health Care Network. It has been an exciting challenge to take very technical, complex theory and turn it into something fun and engaging. We are exploring how the game can be used in staff education at an NHS Foundation Trust, and hope to continue conversations about improving safety in healthcare. We are grateful for the funders of this project, the Cultural Institute, and our industry partner, Karman Interactive.’

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Masterclass 2017 – 9th and 10th October – Save the date

We are pleased to announce that our Resilience in Healthcare Masterclass 2017 will be held on October 9th and 10th in Birmingham (UK), with Prof. Jeffrey Braithwaite as guest keynote speaker. More details will follow shortly.

  • Two days’ intensive learning about applying a resilience approach to improving the quality of care
  • The latest learning from our resilience work in emergency care and the care of older people
  • Interactive sessions with experts to learn how to apply a resilience approach
  • Reflections on the benefits and challenges of applying resilience engineering

To keep updated you can subscribe to our site from the CARe homepage (see box, bottom left).

Proceedings from our previous Masterclass events can be found here (includes presentations and videos)

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Paper: Understanding emergency department escalation

Please read our open access paper here: Understanding ED escalation

Back J, Ross AJ, Duncan MD, Jaye P, Henderson K, Anderson JE. (2017). Emergency Department Escalation in Theory and Practice: A Mixed-Methods Study Using a Model of Organizational Resilience. Annals of Emergency Medicine.

What keeps your emergency department (A&E) safe?

This paper, published in the Annals of Emergency Medicine, outlines how escalation policies are used by emergency departments when responding to an increase in demand (eg, a sudden inflow of patients) or a reduction in capacity (eg, a lack of beds to admit patients). The policies aim to maintain the ability to deliver patient care, without compromising safety, by modifying “normal” processes. The study objective is to examine escalation policies in theory and practice.

What is already known on this topic

Care delivery organizations commonly develop “escalation policies” for managing crowding and surges in emergency department demand. The effectiveness of these policies has seldom been studied.

What questions this study addressed

This study used mixed methods to identify common patterns in escalation policies in UK EDs and to evaluate how well they performed in practice.

What this study adds to our knowledge

Formal escalation policies often presumed the availability of resources that were missing or degraded when escalation was needed. Consequently, the actual practice of managing crowding deviated from that inscribed in policy.

How this is relevant to clinical practice

Recognizing and monitoring the gap between formal policies and actual practice should help in the development of more realistic and useful escalation policies.

Please read our open access paper here: Understanding ED escalation

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Take the Resilience Challenge!

Click or Tap to Take the Resilience Challenge!

Resilience Challenge is part of CARe’s wider work to inform policy about healthcare safety. The game is designed to raise awareness of the different pressures that healthcare providers have to cope with, and to start conversations about what can be done at an organisational level to support successful decision-making. Our goal is to make healthcare systems work safely for everyone involved.

Innovative Technology and Organisational Resilience in Healthcare is a collaboration between King’s College London’s Centre for Applied Resilience in Healthcare and Karman Interactive, brokered and supported by the Cultural Institute at King’s.

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Last chance to book your place: Resilience in Healthcare Masterclass 2016

The Second Resilience in Healthcare Masterclass at the Mercure Bristol Holland House Hotel and Spa on November 10th and 11th.

The last Booking Date for this event is 7th November 2016.

– Interactive sessions with experts to learn how to apply a resilience approach

– Discussion about the benefits and challenges of applying Safety II in practice

– The Masterclass is accredited by the Chartered Institute of Ergonomics and Human Factors


Click here to register
(via King’s College London eStore)

If you require an invoice please email: masterclass@resiliencecentre.org.uk

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Updated: Resilience Masterclass Programme

The Second Resilience in Healthcare Masterclass at the Mercure Bristol Holland House Hotel and Spa on November 10th and 11th.

Announcing Our Programme Sessions

  1. Concepts and underpinnings. Using the Concepts for Applying Resilience Engineering (CARE) model. A comprehensive overview of resilience and Safety II principles and how they can be applied to improve quality and safety.
  2. Incident Analysis. Including a keynote talk by Dr. Mark Sujan from the University of Warwick. His talk is on “Reporting and learning – A Safety-II perspective”.
  3. Quality Improvement. Including the latest learning from our resilience work in emergency care, care of older people and safety and risk management.
  4. Tools and Methods. Including a workshop led by Dr. Al Ross from the University of Glasgow. Learn how to use FRAM to analyse system safety and strengthen safety.

– Interactive sessions with experts to learn how to apply a resilience approach

– Discussion about the benefits and challenges of applying Safety II in practice

– The Masterclass is accredited by the Chartered Institute of Ergonomics and Human Factors


Click here to register
(via King’s College London eStore)

If you require an invoice please email: masterclass@resiliencecentre.org.uk

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Paper: Implementing resilience engineering for healthcare quality improvement

This paper provides an overview of our research approach at the Centre for Applied Resilience in Healthcare.

Anderson, J. E., Ross, A., Back, J., Duncan, M., Snell, P., Walsh, K. and Jaye, P. (2016). Implementing resilience engineering for healthcare quality improvement using the CARE model: a feasibility study protocol. Pilot and Feasibility Studies. DOI: 10.1186/s40814-016-0103-x Download

Abstract

Please feel free to contact us if you wish to discuss further.

Background
Resilience engineering (RE) is an emerging perspective on safety in complex adaptive systems that emphasises how outcomes emerge from the complexity of the clinical environment. Complexity creates the need for flexible adaptation to achieve outcomes. RE focuses on understanding the nature of adaptations, learning from success and increasing adaptive capacity. Although the philosophy is clear, progress in applying the ideas to quality improvement has been slow. The aim of this study is to test the feasibility of translating RE concepts into practical methods to improve quality by designing, implementing and evaluating interventions based on RE theory. The CARE model operationalises the key concepts and their relationships to guide the empirical investigation.

Methods
The settings are the Emergency Department and the Older Person’s Unit in a large London teaching hospital. Phases 1 and 2 of our work, leading to the development of interventions to improve the quality of care, are described in this paper. Ethical approval has been granted for these phases. Phase 1 will use ethnographic methods, including observation of work practices and interviews with staff, to understand adaptations and outcomes. The findings will be used to collaboratively design, with clinical staff in interactive design workshops, interventions to improve the quality of care. The evaluation phase will be designed and submitted for ethical approval when the outcomes of phases 1 and 2 are known.

Discussion
Study outcomes will be knowledge about the feasibility of applying RE to improve quality, the development of RE theory and a validated model of resilience in clinical work which can be used to guide other applications. Tools, methods and practical guidance for practitioners will also be produced, as well as specific knowledge of the potential effectiveness of the implemented interventions in emergency and older people’s care. Further studies to test the application of RE at a larger scale will be required, including studies of other healthcare settings, organisational contexts and different interventions.

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Second Resilience in Health Care Masterclass

Our second Masterclass will be held November 10th and 11th in Bristol. It will be held at the Bristol Mercure Holland House Hotel and Spa, which is a short walk from Bristol Temple Meads station with frequent trains to and from London. There is also on site parking and a swimming pool, fitness suite and spa. The keynote speaker will be Dr. Mark Sujan from the University of Warwick. His talk title is “Reporting and learning – A Safety-II perspective”. Registration is now open and further details can be found on the masterclass page on this site.

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Video Game Project

CARe is hiring an experienced game developer for a September-October 2016 contract.

The successful candidate will help us translate our research findings into a scenario-based game for people who work with patients, like nurses and doctors.

Please see the Job Posting for details.

Send your completed application to apply@resiliencecentre.org.uk by August 15, 2016.

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