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A recent British Medical Journal report indicates that “Patient Safety Incidents” or avoidable mistakes are now the leading cause of death in England. This download report explains why NHS hospitals experience such a high level of patient safety incidents and explores the concept of oganisational stress as a means to avoid them cost effectively.
We can now identify that in general terms NHS hospitals suffer from at least 10 "organisational stressors" or stress factors. Collectively these stressors dampen motivation, corrupt rational thinking, suppress mutual collaboration, and create all kinds of problems with operational activity and decision-making.
Not least of these 10 stressors are the imposition of government targets on local operational procedures and the bureaucratic culture generated by a centralised top down command and control style management structure. The report outlines the top ten stressors, the precise impact they are having and how to remove or at leastalleviate them.
The download report is for anyone genuinely interested in improving the NHS. It explains how removing these stressors will restore the NHS to its former excellence and in the process reduce the high level of PSIs that are so damaging to patient health.
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Taking The Grief Out Of Growth 
Do public sector shared services save money?
How organ-isational stress is wrecking the NHS
The problem with top down command and control management
Nine classic business planning mistakes