The knowledge that poor systems can cause harm is not new, but the size of this problem has not been established systematically. This report provides groundbreaking evidence of the extent to which important clinical systems and processes fail, and the potential these failings have to harm patients. This study forms part of the Health Foundation’s work to help healthcare organisations improve the quality of services they offer. Our Safer Patients Initiative has highlighted the need to take a clinical systems approach to improving safety, since it is failings in these systems that often contribute to breakdowns in patient safety
The application of concepts, theories and methods from systems ergonomics to the domain of patient s...
Background: Patient safety measurement remains a global challenge. Patients are an important but ne...
textabstractThis paper reviews safety initiatives in the health systems of the UK, Canada, Aus...
The knowledge that poor systems can cause harm is not new, but the size of this problem has not been...
‘Rather than being the instigators of an accident, operators tend to be the inheritors of system def...
Background It is well known that many healthcare systems have poor reliability; however, the size...
BACKGROUND: It is well known that many healthcare systems have poor reliability; however, the size a...
Developing a system resilience approach using Rasmussen's (1997) safe working envelope to develop th...
Background Patient safety is concerned with preventable harm in healthcare, a subject that became a ...
Considering human factors and developing systems-thinking behaviours to ensure patient safet
In response to a weight of evidence that patients are frequently harmed as a result of their care, t...
BACKGROUND: Several event studies, including the Australian Safety and Quality in Healthcare Study, ...
‘Systems thinking’ is an important feature of the emerging ‘patient safety’ agenda. As a key compone...
The objective of this thesis is to explore how a systems approach can be used to provide an insight ...
Objective Health IT (HIT) systems are increasingly becoming a core infrastructural technology in hea...
The application of concepts, theories and methods from systems ergonomics to the domain of patient s...
Background: Patient safety measurement remains a global challenge. Patients are an important but ne...
textabstractThis paper reviews safety initiatives in the health systems of the UK, Canada, Aus...
The knowledge that poor systems can cause harm is not new, but the size of this problem has not been...
‘Rather than being the instigators of an accident, operators tend to be the inheritors of system def...
Background It is well known that many healthcare systems have poor reliability; however, the size...
BACKGROUND: It is well known that many healthcare systems have poor reliability; however, the size a...
Developing a system resilience approach using Rasmussen's (1997) safe working envelope to develop th...
Background Patient safety is concerned with preventable harm in healthcare, a subject that became a ...
Considering human factors and developing systems-thinking behaviours to ensure patient safet
In response to a weight of evidence that patients are frequently harmed as a result of their care, t...
BACKGROUND: Several event studies, including the Australian Safety and Quality in Healthcare Study, ...
‘Systems thinking’ is an important feature of the emerging ‘patient safety’ agenda. As a key compone...
The objective of this thesis is to explore how a systems approach can be used to provide an insight ...
Objective Health IT (HIT) systems are increasingly becoming a core infrastructural technology in hea...
The application of concepts, theories and methods from systems ergonomics to the domain of patient s...
Background: Patient safety measurement remains a global challenge. Patients are an important but ne...
textabstractThis paper reviews safety initiatives in the health systems of the UK, Canada, Aus...