by admin | Jun 20, 2017 | Human Factors & Ergonomics, Primary & Social Care, Secondary Care, Tools & Methods
Most errors and inefficiencies in patient care arise not from the solitary actions of individuals but from conflicting, incomplete, or sub-optimal systems of which they are a part and with which they interact. To improve the design of these systems, the US Institute...
by admin | May 3, 2017 | Human Factors & Ergonomics, Primary & Social Care, Secondary Care
Much of the early research and focus in human factors/ergonomics (HF/E) in healthcare has been in the acute sector. This is partly because the early high profile interest has been from people in acute areas learning lessons from other safety-critical industries who...
by admin | Mar 31, 2017 | Improvement, Policy & Investigation, Secondary Care
This thought paper explores how healthcare systems can develop a system-wide approach to investigating and learning from the most serious patient safety issues, and examines the organisational infrastructure that is needed to support this. Many safety-critical...
by admin | Mar 21, 2017 | Improvement, Primary & Social Care, Secondary Care
England’s 15 Patient Safety Collaboratives play an essential role in identifying and spreading safer care initiatives from within the NHS and industry, ensuring these are shared and implemented throughout the system. They are based in the 15 Academic Health Science...
by admin | Jan 30, 2017 | How To Guides, Primary & Social Care, Secondary Care, Tools & Methods
How does a consultant confirm all the initial steps in management have been completed? How does the doctor new to the emergency department learn how to deal with a condition they have never managed before? How does the team confirm all the safety critical points for a...
by admin | Jan 12, 2017 | Human Factors & Ergonomics, Primary & Social Care, Secondary Care
Dr Sangeeta Mahajan, a consultant Anaesthetist, tells her story of how her only son took his own life and her subsequent investigation into what went...