Patient safety 1 - How can we build a culture of safety in paediatric healthcare?
Release Date: 01/10/2024
RCPCH Podcasts
Health inequalities are widening in paediatrics. Those that are more disadvantaged experience more safety issues whilst in health care. If we can make our healthcare systems more equitable for the children and young people we can for, they will be safer in our care. In episode 5 of our series on paediatric patient safety, we speak with Dr Helen Stewart, Dr Cian Wade and Dr Mimi Malhotra to explore how patient safety and health inequalities are inextricably linked. Tackling healthcare inequalities can improve safety and vice versa. Dr Stewart shares her knowledge and experience as...
info_outline Patient safety 4 - Involving children, young people and their families in making healthcare saferRCPCH Podcasts
It is imperative that children and young people are central to the co-design and co-production of our patient safety improvement interventions. In this episode, we speak with Dr Jane Runnacles, consultant paediatrician at St. George's Hospital, and Dr Victoria Dublon, paediatric diabetes consultant at the Royal Free Hospital. Both are champions of improvement work that puts the young person and their needs first. As Jane and Victoria describe, involving children, young people and their families in improvement work improves the experience and outcome for all involved. There are fantastic...
info_outline Patient safety 3 - How do we improve how we learn from harm?RCPCH Podcasts
It is not enough just to collect data on harm occurring to children in healthcare settings. We need the data to be robust, comparable across the NHS and for it to be transformed into effective, meaningful changes in outcome. In episode 3 of our series on paediatric patient safety, we speak with Dr Damian Roland, a paediatric emergency medicine clinician scientist and head of service for the Children's Emergency Department at Leicester Royal Infirmary. As Damian discusses on the podcast, in order to learn from harm and prevent it occurring again we need to collect data and investigate what is...
info_outline Patient safety 2 - If we are psychologically safe, children are safer in our careRCPCH Podcasts
Psychological safety in healthcare settings is the condition in which you feel included, safe to learn, safe to contribute and safe to challenge the status quo - without fear of being embarrassed, marginalised or punished. And it's an essential foundation in building a safety culture. Individually, feeling psychologically safe improves performance and innovation, while feeling unsafe reduces productivity and harms retention. In a highly productive team, it is about feeling safe to take risks, to learn from each other and to feel resilient and able to tackle the difficult and varying challenges...
info_outline Patient safety 1 - How can we build a culture of safety in paediatric healthcare?RCPCH Podcasts
Healthcare is inherently risky and so as child health professionals we need to make patient safety a priority in all our actions. We need to think about safety all the time. In episode 1 of our series on paediatric patient safety, we speak with Dr Peter Lachman, who develops and delivers programmes for clinical leaders in quality improvement at the Royal College of Physicians in Dublin. As Peter explains on the podcast, we healthcare professionals need to know patient safety theory - but, more importantly, we need to know how to apply it, drive improvement and create a workplace culture...
info_outline The state of digital child health today - an interview with Professor Sam ShahRCPCH Podcasts
Richard Burley, Executive Director of Digital talks with Professor Shah about how digital technology can support child health, and how paediatricians can embrace it - with a dose of healthy scepticism. Professor Sam Shah is Chief Medical Strategy Officer at men's health company, Numan, and Honorary Lecturer at University College London's Global Business School for Health. He spoke at RCPCH Conference 2023 with a session titled, 'Could healthcare technology address the challenges in child health? Richard Burley here at the College was fortunate to be in the audience and invited Sam to discuss...
info_outline Shift the dial on climate change and health inequalitiesRCPCH Podcasts
Climate change poses an existential risk to child health and is exacerbating health inequalities. But, paediatricians can play an important role in sharing information and advocating for action. Dr Helen Stewart and Dr Alex Lemaigre introduce the College’s new toolkit for paediatricians. Our first tool helps you understand how climate change impacts on children and young people’s health and exacerbates health inequalities. And our second equips you to influence climate change policy locally, regionally and nationally. Alex and Helen talk about why paediatricians have a role in addressing...
info_outline How to build a paediatricianRCPCH Podcasts
Talking about the intentionality behind what the College does to train and support paediatricians: RCPCH Vice President for Training and Assessment, Dr Cathryn Chadwick interviews Trainees Committee Chair, Dr Emma Dyer. Our outlines four strategic aims to support our mission of improving health outcomes for children and young people. In this series we look at our College Strategy in action. Hearing stories from clinicians, children and young people and staff about the impact our work has made on the community and within paediatric clinical practice. In this episode we learn about what it...
info_outline Wellbeing as paediatricians - creating environments where we can thrive at workRCPCH Podcasts
Two paediatricians share thoughts around vulnerability, compassion and belonging at work. Jess and Anna talk about brave spaces, the importance (and limits) of self-care and those "small moments of human connection". Dr Jess Morgan is a paediatrician and working as a Dinwoodie RCPCH Fellow on an exciting new project, Thrive Paediatrics, which aims to create meaningful change in the working lives of paediatricians. She speaks with Dr Anna Baverstock, a consultant paediatrician at Somerset NHS Foundation Trust. Find out more about Thrive Paediatrics on the RCPCH website at . We're...
info_outline Conversations with policy makers - with Dame Andrea Leadsom MPRCPCH Podcasts
In a first for our podcasts, we delve into the world of government and parliament. RCPCH President Camilla Kingdon speaks with Dame Andrea Leadsom MP, Conservative Member of Parliament for South Northamptonshire about her experiences of advocating for infant and child health. Dame Andrea wants every baby to have the best start in life - a message shared by the College. She chaired the Government's Early Years Healthy Development Review and its March 2021 report, The best start for life, a vision for the 1001 critical days, outlines areas for action to improve the health outcomes of all babies...
info_outlineHealthcare is inherently risky and so as child health professionals we need to make patient safety a priority in all our actions. We need to think about safety all the time.
In episode 1 of our series on paediatric patient safety, we speak with Dr Peter Lachman, who develops and delivers programmes for clinical leaders in quality improvement at the Royal College of Physicians in Dublin.
As Peter explains on the podcast, we healthcare professionals need to know patient safety theory - but, more importantly, we need to know how to apply it, drive improvement and create a workplace culture that fosters safe working practices.
Everyone - from the most junior member of the team to the most senior paediatric clinical leader - needs to think about patient safety all day every day. A safe culture takes time to build. Shared activities such as handover, huddles and debrief can model good behaviour and benefit performance. Repeating behaviours that represent a safe culture can create a virtuous cycle which can change deeply held attitudes and beliefs, then ultimately the safe culture overall.
Thank you for listening.
Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber RCPCH Head of Quality Improvement
Produced by 18Sixty
Please be advised that this series contains stories relating to child death and harm. All views, thoughts and opinions expressed in this podcast series belong to the guests and not necessarily to their employer, linked organisations or RCPCH.
About the Patient safety podcast series
As doctors we ‘first, do no harm’. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings. We hope you will be entertained, educated, and energised to make strides in improving the safety of the children that you care for.
There are lots of resources that expand on this on the RCPCH Patient Safety Portal, including the theory of patient safety culture and examples of how people across the UK are doing this well. Visit at https://safety.rcpch.ac.uk.
More about Dr Peter Lachman
Dr Peter Lachman develops and delivers programmes to develop clinical leaders in quality improvement at the Royal College of Physicians in Dublin. He works with HSE Global in Africa, and he was Chief Executive Officer of the International Society for Quality in Healthcare (ISQua) from 1 May 2016 to 30 April 2021. Peter was a Health Foundation Quality Improvement Fellow at IHI in 2005-2006 and then went on to be the Deputy Medical Director with the lead for Patient Safety at Great Ormond Street Hospital 2006-2016. Peter was also a Consultant Paediatrician at the Royal Free Hospital in London specialising in the challenge of long-term conditions for children.
Peter is the lead editor of the OUP Handbook on Patient Safety published in April 2022; Co-Editor of the OUP Handbook on Medical Leadership and Management published in December 2022; and Editor of the OUP Handbook on Quality Improvement to be published in 2024.
Topics/organisations/papers referenced in this podcast
- ISQUA (International Society for Quality in Healthcare)
- Oxford Professional Practice: Handbook Of Patient Safety
- IHI (Institute for Health Improvement)
- Human factors - on RCPCH Patient Safety Portal
- S.A.F.E. Collaborative - on RCPCH Patient Safety Portal
- Cincinnati Childrens Hospital patient safety
- Paediatric Early Warning System (NHS England)
- BMJ Quality & Safety journal
- Lachman, P., Linkson, L., Evans, T., Clausen, H., & Hothi, D. (2015). Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ quality & safety, 24(5), 337–344
- Health Foundation
- A framework for measuring quality, with Professor Charles Vincent et al
- WellChild: the national charity for sick children
- Applied human factors - on RCPCH Patient Safety Portal
- 5 whys
- SEIPS (Systems Engineering Initiative for Patient Safety)
- Psychological safety- on RCPCH Patient Safety Portal
- Situational awareness - on RCPCH Patient Safety Portal
- MaPSaF (Manchester Patient Safety Awareness Framework)
- Top Gun
- Irish Certificate in Essential Leadership for New Consultants
- Rolfe et al's reflective model (PDF) (what now what so what)
- NHS England: Improving patient safety - a practical guide