Key points

  • The power of transparency is a core theme.
  • Leaders who promote and model transparent behaviours and instil a transparent culture in their organisations can use crises as learning and improvement opportunities.
  • Those that don’t work in this way may be destined to recurrent failure.

In this thought paper, Blair Sadler and Kevin Stewart draw on experiences from their roles as chief executive of a children’s hospital in San Diego, California and as chief medical officer of a general hospital trust in the south of England.

The authors review the management of serious clinical crises in the United States, lessons learned from other industries, the experience of the Mid-Staffordshire crisis in the NHS and the subsequent reports by Robert Francis and Don Berwick. They look at legal and media barriers to effective action, review lessons learned from the ‘second victim’ literature and provide recommendations for action for both organisations and leaders.

 

Further reading

Learning report

Continuous improvement of patient safety

November 2015
Learning report

Over the past decade, the Health Foundation has supported front-line teams working in different...

You might also like...

Project

AuguR: a scalable open-source interactive cancer analytics web application for routinely collected data

Project

This project is aiming to embed data science into clinical care and hospital management. Will build...

Project

Predicting inpatient flow and improving experiences with machine learning algorithms

Project

Project aiming to accurately forecast length of stay of inpatients at the trust and to predict...

Improvement project

Delivering insight for decision makers

Improvement project

Aiming to improve patient flow and safety in the trust’s intensive care unit by providing staff with...

Kjell-bubble-diagramArtboard 101 copy

Get social

While policymakers' response to COVID-19 has necessarily been short term, Sir Andrew Dilnot argues the pandemic has… https://t.co/4f7fk3TkJS

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more