This study explored variability and ED clinician proactive adaptations in order to enhance safety in the face of demands and pressures. Data was based on a cross-sectional survey. Background: · Patient safety, according to one agency, is defined as “the prevention of errors, injury, or other preventable harm and reduction of unnecessary harm” · They… Continue reading When Things Go Right: Safety II in an Academic Emergency Department
Tag: safety-ii
Human Factors and New Views of safety applied to management systems: A systematic literature review
This conference paper from Leonidas Brasileiro, Julio Cesar de Faria Alvim Wasserman and Gilson Brito Alves Lima may interest you. It explored how different concepts under HF and New View have been applied to management systems via literature review (2000 – 2023). Note: I’ve skipped a lot, so check out the paper. Some extracts: · “New… Continue reading Human Factors and New Views of safety applied to management systems: A systematic literature review
The harms of promoting ‘Zero Harm’
This brief editorial discussed some challenges to zero harm approaches (‘absolute safety’) in healthcare. I particularly liked how the author argued that not only is zero harm not attainable, in an absolute sense, but “is unknowable”. Some points: · The authors encourage shifting away from ‘absolute safety’ “towards doing a better job of actively managing risk,… Continue reading The harms of promoting ‘Zero Harm’
Doctors are more dangerous than gun owners: a rejoinder to error counting
This 2006 paper from Sid Dekker critically challenges the assumptions underlying “error counting” in safety. Some points: (Not a summary) Error background Complex systems Shout me a coffee Study link: https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=14d15a68409057ad5df9fccd960b47f57c69b911 My site with more reviews: https://safety177496371.wordpress.com LinkedIn post: https://www.linkedin.com/posts/benhutchinson2_this-2006-paper-from-sid-dekker-critically-activity-7247726923190001664-whqy?utm_source=share&utm_medium=member_desktop
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