Walk and Talk Improvement

In this episode of the Walk and Talk Improvement podcast, we are joined by two special guests - Susan O’Reilly and Dr. Rob Cunney.  Susan is an Assistant Director of Nursing for Dementia Quality Improvement for HSE Dublin and Midlands and Rob is a Consultant Microbiologist and QI/Clinical Audit Lead at Children's Health Ireland.     This episode is packed with practical advice that can help you drive meaningful improvements in your own health or social care setting.    Together we explore: how data and storytelling can transform healthcare, lessons from engaging staff the value of co-designing services with patients and service users, and the practical tools that can support your quality improvement efforts.   Join us to hear stories from Susan and Rob’s quality improvement journey.  Whether you’re a seasoned QI professional or just starting out, there’s something here for everyone.  Listen now to the full episode on all major podcast platforms.   Hosted by: Juanita Guidera, National Quality and Patient Safety, Health Service Executive Produced by: Juanita Guidera, National Quality and Patient Safety, HSE and GKMedia.ie   Dr. Rob Cunney is a Consultant Microbiologist and QI/Clinical Audit Lead at Children's Health Ireland. He has long had an interest in quality improvement and patient safety, and is an alumnus of the Scottish Patient Safety Fellowship. His interest in the role of complexity in healthcare led him to discover Liberating Structures as a suite of tools to support improvement work and, in addition to regularly using these tools in his work, he teaches the use of Liberating Structures through in-person and online training workshops.    Susan O’Reilly, FFNMRCSI, is Assistant Director of Nursing for Dementia Quality Improvement for HSE Dublin and Midlands.  From her role as lead nurse for the Genio funded project developing and implementing integrated care pathways for people living with dementia to her leadership of a QI collaborative to reduce harm from falls and pressure ulcers, Susan has a passion for enhancing practice through continuous quality improvement. After completing her initial mental health nurse education in St. Vincent’s Hospital, Fairview, she completed a BNSc degree and MSc Intellectual Disability Nursing (DCU), MSc by Research (RCSI), PG Dip (Dementia) (TCD), PG Dip (Advanced Practice) (UCD), PhD in DCU. Focused on person-centred, holistic care Susan has worked with older persons in a variety of clinical settings across mental health, intellectual disability, community, and acute care where she continues to influence practice through her involvement in several national working groups.

Listen to this episode with special guest Dr. Andy Phillips. Andy is a healthcare leader with coming up to forty years of international experience in health and social care settings around the world.  He is currently the Regional Executive Officer, Health Service Executive South West, Ireland.    Join us as we explore key leadership considerations for developing a culture of quality including: how the social determinants of health are central to delivering health and wellbeing core factors for successful co-design of health and social care services the importance of permission and accountability in putting in place strong governance using insights from a quality dataset to support continual improvement.   If you’re interested in how leaders put in place systems of care that embed quality and patient safety, this podcast is for you.   Hosted by: Juanita Guidera, National Quality and Patient Safety, Health Service Executive Produced by: Juanita Guidera, National Quality and Patient Safety, HSE and GKMedia.ie  

Listen to this episode with special guest Professor Deirdre O’Shea as we explore work motivation, self regulation and performance behaviours to enhance quality and patient safety.   Join us to hear about: - strategies to improve self regulation and motivation - the role of self regulation on silence and voice - how incivility and groupthink can influence psychological safety - the essential role of leaders in influencing their team’s emotional state through positive reinforcement and supportive communication.   Hosted by: Juanita Guidera, National Quality and Patient Safety, Health Service Executive Produced by: Juanita Guidera, National Quality and Patient Safety, HSE and GKMedia.ie

Did you know that the way we interact within healthcare systems can significantly impact outcomes?   In our latest episode of the Walk and Talk Improvement podcast, we speak with Keith McCandless, co-developer of Liberating Structures and author. In our conversation, Keith sheds light on how patterns of relationships shape problem-solving and shares examples of his extensive experience working with healthcare settings. We learn how through the use of "liberating structures," we can foster better communication, collaboration and insight.     This episode is packed with practical advice and inspiring stories that can transform how we approach quality and patient safety in healthcare. Whatever your role, there's something valuable for everyone.   We hope you enjoy our latest Walk and Talk Improvement Podcast: Working together to improve quality: Liberating structures in action with special guest Keith McCandless   Please share your thoughts about this episode by emailing us on qps.connect@hse.ie.   Hosted by: Juanita Guidera, National Quality and Patient Safety, Health Service Executive Produced by: Juanita Guidera, National Quality and Patient Safety, HSE and GKMedia.ie   Keith McCandless Keith is co-developer of Liberating Structures and co-author of the book The Surprising Power of Liberating Structures – Simple Rules to Unleash a Culture of Innovation (2014). Keith operates a global consulting practice focused on strategy development, creative adaptability, and including all voices in shaping next steps. He calls himself a structured improvisationalist.    Learning Materials Website: https://www.liberatingstructures.com/home/ Join the Q Community User Group Read The Liberators blog ; articles by Keith & friends  Get the LS app  Apple Store or Google Play Store LS Selection Matchmaker http://bit.ly/2GN6Y9g Join LS Slack http://bit.ly/lsslackcommunity Join or form a Liberating Structures User Group  The Liberating Structures book is translated into eight languages. Portuguese is the most recent.  

In this episode of the Walk and Talk Improvement podcast, we are joined by Donald M. Berwick, one of the leading scholars, teachers, and advocates in the world for the continual improvement of health care systems. Don shares his extensive experience and insights on leadership, intrinsic motivation, and quality improvement. The discussion delves into systemic issues in healthcare and the ongoing journey of improvement. Don also highlights our interconnectedness, the potential of leaders to foster collaboration and continuous learning, and the power of our collective efforts to improve health and social care services.   We hope you enjoy our latest Walk and Talk Improvement Podcast:  Healing Healthcare: Quality is Goodness with special guest Don Berwick.    Please share your thoughts about this episode by emailing us on qps.connect@hse.ie.   Hosted by:  Dr. John Fizsimons and Juanita Guidera. Dr. John Fitzsimons, Clinical Director for QI, National Quality and Patient Safety and Consultant Paediatrician, Juanita Guidera, Programme Manager, National Quality and Patient Safety, Health Service Executive Produced by:  Juanita Guidera, National Quality and Patient Safety, HSE and GKMedia.ie  

In this episode 22, we speak with Dr Anne Gallen. Anne is a pioneer who spearheaded the introduction of nursing and midwifery quality-care metrics in Ireland. These metrics provide an indication of the quality of the fundamentals of nursing and midwifery care. They enable quality improvement along with accountability for care. Anne is Area Director of Nursing & Midwifery Planning and Development for Dublin and Midlands with the HSE Office of Nursing and Midwifery Services Director (ONMSD). Hosted by: Dr Maureen Flynn, Director of Nursing and the Quality and Patient Safety Lead for the ONMSD. Co-produced by: Sheema Lughmani, HSE National Quality and Patient Safety.  

In part three of our World Patient Safety Day special, Dr John Fitzsimons speaks with Dr John Brennan on diagnosis from the perspective of a general practitioner (GP). Dr John Brennan is a GP and lead faculty for the Royal College of Physicians Ireland Postgraduate Certificate in Quality Improvement and Leadership in Healthcare. Hosted by: Dr John Fitzsimons Clinical Director (NQPSD) and Consultant Pediatrician, Children's Health Ireland at Temple Street. Co- produced with: Sheema Lughmani, Digital Communications Officer, National Quality and Patient Safety, HSE  

In part two of our World Patient Safety Day special, Dr John Fitzsimons and Professor Eva Doherty speak with Dr Hardeep Singh on diagnostic excellence. Dr Singh is a Professor of Medicine at the Center for Innovations in Quality, Effectiveness and Safety (IQuESt) based at the Michael E. DeBakey VA Medical Center and Baylor College of Medicine in Houston, Texas. Dr Singh is also the Co-Chief of the Health Policy, Quality & Informatics Program at IQuESt and Director of the Houston Diagnosis Improvement Safety Center Hosted by: Dr John Fitzsimons Clinical Director (NQPSD) and Consultant Pediatrician, Children's Health Ireland at Temple Street. Co- produced with: Sheema Lughmani, Digital Communications Officer, National Quality and Patient Safety, HSE  

In this three part special, Dr John Fitzsimons speaks with international experts on the topic of diagnostic safety, the theme of the 2024 World Patient Safety Day. In part one, Professor Eva Doherty Eva speaks with us about the psychology of diagnoses, including the impact of cognitive biases and the human factors elements in the diagnostic process. Professor Eva Doherty is a clinical psychologist and Director of Human Factors at the Royal College of Surgeons Ireland. Hosted by: Dr John Fitzsimons Clinical Director (NQPSD) and Consultant Pediatrician, Children's Health Ireland at Temple Street. Co- produced with: Sheema Lughmani, Digital Communications Officer, National Quality and Patient Safety, HSE

In episode 18 we hear a patient (Matthew) share their story after a receiving a sudden and unexpected diagnosis. Matthew shares his diagnostic journey as a young adult who had little experience with the healthcare system, to finding his voice and becoming more actively involved in his care. We also hear from GP Dr John Brennan. John shares the role of communications in helping to improve the diagnostic process and why he thinks listening is the cornerstone of diagnostics. John is a practicing GP and lead faculty for the Royal College of Physicians Ireland Postgraduate Certificate in Quality Improvement and Leadership in Healthcare. This episode was developed as part of the HSE World Patient Safety Day special. Hosted by: Dr John Fitzsimons Clinical Director (NQPSD) and Consultant Pediatrician, Children's Health Ireland at Temple Street. Co- produced with: Sheema Lughmani, Digital Communications Officer, National Quality and Patient Safety, HSE  

Gerry Clerkin has been leader in quality and patient safety in the healthcare system in Ireland for the past 22 years. He has worked in healthcare since 1980, when he commenced his training as a student psychiatric nurse. In this episode of Walk and Talk Improvement, we explore a lifetime of lessons with Gerry on caring for people, just culture and patient partnership. In this time of reforming the HSE, join us to hear his thoughts on how you can design a system with quality and patient safety at the centre of your governance structures and much more. Whether you are a leader of a team, working in Quality and Patient Safety, involved in providing integrated care, or a patient partner, this episode shares invaluable insights which will guide your journey and make a lasting difference. Hosted by: Juanita Guidera, Programme Manager - Staff Engagement for Quality, National Quality and Patient Safety Directorate, HSE Co- produced with: Sheema Lughmani, Digital Communications Officer, National Quality and Patient Safety, HSE  

Close your eyes and imagine this: You’re a surgical nurse in general theatre. It’s the end of a long shift and you’re scrubbed in for your last case. The surgeon has closed up the patient when you realise the instrument count is incorrect and the patient is now already in recovery. What do you do next? In episode 16, we hear from Teresa Donnelly, who shares how this incident in general theatre started her clinical audit journey. Teresa has since revolutionised the culture of general theatre at Sligo University Hospital, improving both patient and staff safety.   Featuring: Teresa Donnelly, Director, HSE Centre of Education for Nursing and Midwifery, Sligo Leitrim W Cavan. Hosted by Selene Daly, Clinical Audit Facilitator, HSE National Centre for Clinical Audit. Co-produced by Sheema Lughmani.  

What does perfectionism look like to you? At some point in our lives we all have experienced perfectionism in some way or another. In the extreme, perfectionist qualities can lead to significant stress and anxiety on the individual and on the team. In this episode, Professor Eva Doherty Eva speaks with us about perfectionism in the workplace and the impact it can have on ourselves, our relationships, and patient safety. Hosted by: Juanita Guidera, Programme Manager - Staff Engagement for Quality, National Quality and Patient Safety Directorate, HSE Co- produced with: Sheema Lughmani, Digital Communications Officer, National Quality and Patient Safety, HSE        

If you work in patient safety, you may have heard the name Margaret Murphy. She is one of the first patient partners in Ireland and has spent her life advocating for patients, their families and healthcare staff. Margaret is the External Lead Advisor for the WHO’s World Alliance for patient safety, a network of 400 patient safety champions from 52 countries. She is the founding member of Patients for Patient Safety Ireland. Margaret shares how she has coped with the loss of her son Kevin Murphy due to a medical error and how she used this experience for change across healthcare. In this powerful episode, Margaret speaks about what transparency and openness would have meant for her family, what it felt like to finally be heard and her thoughts on how patient partnership is improving care in Ireland. Hosted by: Dr Maureen Flynn, Director of Nursing, Office of the Nursing and Midwifery Services Director (ONMSD), HSE. Co-produced with Sheema Lughmani, National Quality and Patient Safety, HSE.  

As a healthcare professional, you’ll likely have heard the public awareness campaign for sepsis. You may be wondering what are the latest resources and tools to help you identify or diagnose the symptoms of sepsis and what you can do to improve patient outcomes. Join our guest Denise McCarthy, Assistant Director of Nursing for Sepsis to hear more.   Hosted by: Juanita Guidera, Programme Manager - Staff Engagement for Quality, National Quality and Patient Safety Directorate, HSE Co- produced by: Sheema Lughmani, Digital Communications Officer, National Quality and Patient Safety, HSE  

What do you need to know about sepsis as a patient, carer or parent? How can you reduce your risk of getting sepsis? Join our guests Maeve Murphy, a busy working mother of three and a sepsis survivor and Denise McCarthy, an Assistant Director of Nursing for Sepsis, HSE to find out more. Hosted by: Juanita Guidera, Programme Manager - Staff Engagement for Quality, National Quality and Patient Safety Directorate, HSE Co- produced by: Sheema Lughmani, Digital Communications Officer, National Quality and Patient Safety Directorate, HSE Hosted on Acast. See acast.com/privacy for more information.

Engagement is the heart of building a culture of quality and patient safety. But how can we successfully engage with patients and staff to improve safety? In this episode, we speak with Professor Helen Bevan on inspiring creativity and innovation to help improve safety and quality of care. Helen is currently a professor of health and care improvement at the University of Warwick, and a strategic adviser to the NHS Horizons team. She has spent more than three decades leading and facilitating many improvement initiatives. We hope this episode encourages you in your own work and ignites your creativity. Hosted by: Juanita Guidera, Programme Manager - Staff Engagement for Quality, National Quality and Patient Safety, HSE   (thumbnail illustration of Helen Bevan: Duncan Smith; BMJ 2018;362:k2467)  

This episode continues the conversation on the impact of patient partnership on the development of the HSE National Clinical Guidelines for Post Mortem Examination Services. In this episode, we speak with Mary Vasseghi and Christine Fenton, who share an insight into their lives, motivation and experience as patient partners.   Through their stories, we explore what you can do to have meaningful and real engagement with patient partners.   Featuring: Mary Vasseghi, Patient Partner, Patients for Patient Safety Ireland Christine Fenton, Patient Partner and Service User   Hosted by: Juanita Guidera, Programme Manager - Staff Engagement for Quality, National Quality and Patient Safety, HSE  

Deconditioning is a harm hidden in plain sight. It may be 10 or 100 times more prevalent than falls or pressure ulcers.   In this episode of “Walk and Talk Improvement” we discuss how through deconditioning, we are unintentionally “killing patients with kindness”. Our three guests are nursing leaders who are spearheading social movements across the world to help prevent deconditioning and encourage us to invest in our older selves. Featuring: Professor Brian Dolan, OBE, Director, Health Service 360 Deirdre Lang, Director of Nursing/National Lead for Older Persons Services, Office of the Nursing and Midwifery Services Director, Health Services Executive Caroline Lecky, Nurse Consultant for Care homes, Public Health Agency, Northern Ireland. Hosted by: Dr Maureen Flynn, Director of Nursing with the National Quality and Patient Safety and the Office of Nursing and Midwifery Services Director, Health Services Executive.  

In this episode, we explore the impact of patient partnership on the development of the HSE National Clinical Guidelines for Post Mortem Examination Services, why patient partners become involved and what you can do as a leader to create meaningful engagement.   Featuring: Professor Linda Mulligan, Chief State Pathologist Mairie Cregan, member of Patients for Patient Safety Ireland   Hosted by: Juanita Guidera, Programme Manager - Staff Engagement for Quality, National Quality and Patient Safety, HSE