No Harm Done Podcast

We’re back! – for Season 2. Looking forward to more human services’ quality revelations, lessons, ruminations – and fun! Shorter episodes will cover 3-4 of our favourite segments in bite-size chunks! 1. The Point (Time: 2:30) Impact on care quality of consumers accessing their Electronic Health Records Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access...

We all have them, we all need them, we all suffer in them (at times). Necessary evil or force for good, it’s time to delve into the good, bad and ugly of meetings. And in an ironic tribute to poorly chaired meetings, we have somehow let this podcast go 5 minutes over time. Sorry! 1....

It’s time to dive into the Aged Care Royal Commission Report – well, the quality and clinical/care governance bits, anyway… 1. QUALITY QUANDARY: (time 8:20) Can RC findings on Q&S in aged care be applied to all human service sectors? So, another massive report on safety and quality in the human services’ sector. Can the...

Ep 30 is a little different! – it was originally recorded as a videocast for the Australian Safety and Quality Commission’s online program series: Better Care Everywhere, Healthcare Variation in practice – basically a conference held live online in February 2021, and later on demand. We explore ways to ‘vanish’ unwarranted clinical variation as part...

We know that compassion and alleviating pain and symptoms generally feature high on consumers’ wish lists. But do healthcare providers feel that the latter is more useful than the former? There’s plenty of science now that suggests that this is the wrong way around. There are many examples, backed by randomised control trials, of compassion...

We’re revisiting the gnarly topic of change – this is our third ep on the subject, because there is so much to unpack! And because there is only one way to improve – and that is to change – successfully. And because the stats say we’re still struggling with this. This time we focus on...

Culture – we talk about it constantly. And Patient Safety Culture – we all know what that is – right? And how to create it? This episode delves into the patient safety culture world to look for answers to common – but tricky – questions about the whys and hows of a patient safety culture....

There are a few sacred cows in the world of quality improvement – as there are in any sector. This episode takes a closer look at some of those cows – to reveal they aren’t so sacred after all. 1. QUALITY QUANDARY Our QQ for this episode reminds us that accepted norms and truths may...

As we keep saying, ‘quality’ is about way more than accreditation. But is it also about accounting? Get the quality right and the dollars will follow, so they say. Or will they? 1. QUALITY QUANDARY Our QQ for today reminds us that sometimes it ‘pays’ to show management that quality improvement is handy for more...

Ep 24 is a special NHD edition that explores the pandemic from the perspective of healthcare administration, evidence based care and planning. (Otherwise known as the ‘Zoomami’ edition. Advance apologies for the Zoom recording quality which is a little echo-y.) 1. QUARANTINE QUANDARY (3:34) We wade through tales of pandemic planning and execution, through the...

In Ep 23, everything old is new again. We delve into management theories from 100 years ago that not only have relevance for change and improvement in 2020 – but are often wrapped up in shiny paper and touted as new. And why does a change in CEO bring a quality system to a grinding...

Ep 22 finds Jones and Balding cogitating on value based care. What’s it all about? Is it a fad? Old thinking wrapped up in new language? Or is it exactly what we need to break through to next level care and service quality? We shall see… 1. QUALITY QUANDARY (4:26) What is value in health and...

Jones and Balding take a walk on the quality bright side. What do the improvement experts say about our relentless focus on removing defects to achieve quality care? How could this be applied to all health and human services – including aged care and the recommendations emanating from the Royal Commission? 1. QUALITY QUANDARY: ACCENTUATE...

In this episode we discuss the upsides of failure for learning and improvement – and just to show that we’re serious, we conduct our own failure experiment… QQ (Quality Quandary): FAILURE! Course Corrections: How Health Care Innovators Learn from Setbacks to Achieve Success. Klein S, Hostetter M, McCarthy D. New York: The Commonwealth Fund; 2019....

Welcome to No Harm Done! – a podcast about improving, managing, monitoring and getting on with quality and safety in health and human services. In this episode we unpack more components of leading and managing quality improvement, including tips for working with doctors, reinforcing the key role of consumer input and partnerships, project management, a...

Welcome to No Harm Done Episode18: All About Accreditation In this ep we wander the accreditation maze, looking for clues.   Does it work?  Do consumers have a role?  Can it be managed without light years of stress? And find out how relatives and friends ‘protect’ their loved ones in hospital – this we must do something about… QQ: ( QUALITY QUANDARY) – The Triple A (All About Accreditation) 21:00 Swiers R, Haddock R. Assessing the value of accreditation to health service organisations. Deeble Institute Evidence Brief No. 18, Canberra: Australian Healthcare and Hospitals Association; 2019. p. 20 https://ahha.asn.au/publication/health-policy-evidence-briefs/evidence-brief-no-18-assessing-value-accreditation-health NSQHSS Workbook: https://www.safetyandquality.gov.au/sites/default/files/migrated/National-Safety-and-Quality-Health-Service-Standards-Accreditation-Workbook.pdf NSQHSS Monitoring Tool: https://www.safetyandquality.gov.au/wp-content/uploads/2018/04/NSQHS-Standards-2nd-ed-monitoring-tool-for-hospitals.xlsx...

WELCOME TO NO HARM DONE! In this episode, Jones and Balding revisit the thorny and vexed area of quality measurement – but this time we have the good sense to call in the experts – well, one expert, anyway. Cousin David joins us – that’s David Balding, Professor of Statistical Genetics at the University of Melbourne, and Director of Melbourne Integrative Genomics. We think he’ll keep up! QUALITY QUANDARY: Are we as good – or as bad – as we think we are??? We discuss Don Berwick’s recent rant about measurement and get an  outsider’s perspective on whether we’ve got it completely wrong or not....

WELCOME TO NO HARM DONE! In this episode we examine engaging with consumers from a few different perspectives, Jones gives some super productive tips for being super productive,  and we answer a lovely listener FAAAQQ about how to enrapture staff with clinical governance – in 15 minutes! QUALITY QUANDARY: Let’s Get Engaged – with consumers! There’s a lot of material around about consumer engagement – in this episode we explore it from a few angles. 2:00 NHS use of PROMS...

Welcome to No Harm Done Episode 15 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode we get proactive about Risk Management in RM Part 2 – ‘Safety 2’ – as our Quality Quandary and TLDR. What’s it all about? In Quality Hacks, Balding describes how to develop your story using...

Welcome to No Harm Done Episode 14 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode we muse over appropriateness and effectiveness. 0:00 QUALITY QUANDARY:  The QQ is a big issue we unpack, argue about, talk about conflicting perspectives etc. This time we ponder: what is appropriateness, what is effectiveness, and...

Welcome to No Harm Done Episode 13 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode we wade into the clinical risk management swamp where danger lurks… What would you like us to talk about next? Send us a message below! 1:00 Quality Quandary The QQ is a big issue we unpack,...

Welcome to No Harm Done Episode 12 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode we S-P-R-E-A-D change! What would you like us to talk about next? Send us a message below! 0:00 QQ: Our ‘QUALITY QUANDARY’ in this ep is ‘Change: Embed and Spread.’  No-one seems to have nailed this...

Welcome to No Harm Done Episode 11 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this ep we talk and talk and talk about public speaking and presentations, as well as facilitation tips & activities for workshops. What would you like us to talk about next? Send us a message below!  ...

Welcome to No Harm Done Episode 10 –  we made it! – hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode, we muse over the slow progress of change and doing the same things and expecting a different result.  And then – trying some different things for better results, and ideas for...

Welcome to No Harm Done Episode 9 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this ep we revisit seven important habits, spotlight the role of kindness in human services and discuss data nerd delights such as the best data display styles and the value of process data – or not. What would...

Welcome to No Harm Done Episode 8 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this ep we take a slightly quirky look at leadership and how recent research relates to leading human services care quality improvement; as well as performance warning bells, the simplicity and importance of introductions and a listener...

Welcome to No Harm Done Episode 7 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. Most of this episode is dedicated to grappling with the big, hairy issue of cost and quality.  Understanding a bit about this can help a lot with getting high quality care high on the executive agenda! We also...

Welcome to No Harm Done Episode 6 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode we cycle around the quality cycle: PDCA / PDSA – as our Quality Quandary. What does it really mean? We discuss doing something useful with data from patient surveys,  and whether or not electronic medical records...

Welcome to No Harm Done Episode 5 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode we dive into ‘change’ as our Quality Quandary.  It’s got to involve more than policy and education to stick! Plus we discuss the barriers to successful quality improvement in Dr Dr and Wrangling Quality explores what makes...

Welcome to No Harm Done Episode 4 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode we zoom in on data as our Quality Quandary.  Adverse events. Complications. Audit. Public reporting. What does it all mean? Plus we discuss the advantage of getting rid of rules in Dr Dr and The Point considers...

Welcome to Episode Three of “No Harm Done”, hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. Includes the usual segments Quality Quandary, The Point, TLDR and DrDr, as well as a couple of new ones: Wrangling Quality and Cracking Quality. What would you like us to talk about next? Send us a message...

We’re back! – for another episode of “No Harm Done”, hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. This episode unpacks some different perspectives on patient centred care, with segments Quality Quandary, TLDR, Latest News, DrDr, Quality Myths and FAAAQQS. What would you like us to talk about next? Send us a message!...