Understanding safety in healthcare: the system evolution, erosion and enhancement model

The paper summarises previous theories of accident causation, human error, foresight, resilience and system migration. Five lessons from these theories are used as the foundation for a new model which describes how patient safety emerges in complex systems like healthcare: the System Evolution Erosi...

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Main Author: Jane Carthey
Format: Article
Language:English
Published: PAGEPress Publications 2013-12-01
Series:Journal of Public Health Research
Subjects:
Online Access:http://www.jphres.org/index.php/jphres/article/view/235
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spelling doaj-63c8f552f96f4512be793692277556812020-11-24T22:39:48ZengPAGEPress PublicationsJournal of Public Health Research2279-90282279-90362013-12-0123e25e2510.4081/jphr.2013.e2565Understanding safety in healthcare: the system evolution, erosion and enhancement modelJane Carthey0Jane Carthey Consulting, LondonThe paper summarises previous theories of accident causation, human error, foresight, resilience and system migration. Five lessons from these theories are used as the foundation for a new model which describes how patient safety emerges in complex systems like healthcare: the System Evolution Erosion and Enhancement model. It is concluded that to improve patient safety, healthcare organisations need to understand how system evolution both enhances and erodes patient safety.http://www.jphres.org/index.php/jphres/article/view/235safety, human error
collection DOAJ
language English
format Article
sources DOAJ
author Jane Carthey
spellingShingle Jane Carthey
Understanding safety in healthcare: the system evolution, erosion and enhancement model
Journal of Public Health Research
safety, human error
author_facet Jane Carthey
author_sort Jane Carthey
title Understanding safety in healthcare: the system evolution, erosion and enhancement model
title_short Understanding safety in healthcare: the system evolution, erosion and enhancement model
title_full Understanding safety in healthcare: the system evolution, erosion and enhancement model
title_fullStr Understanding safety in healthcare: the system evolution, erosion and enhancement model
title_full_unstemmed Understanding safety in healthcare: the system evolution, erosion and enhancement model
title_sort understanding safety in healthcare: the system evolution, erosion and enhancement model
publisher PAGEPress Publications
series Journal of Public Health Research
issn 2279-9028
2279-9036
publishDate 2013-12-01
description The paper summarises previous theories of accident causation, human error, foresight, resilience and system migration. Five lessons from these theories are used as the foundation for a new model which describes how patient safety emerges in complex systems like healthcare: the System Evolution Erosion and Enhancement model. It is concluded that to improve patient safety, healthcare organisations need to understand how system evolution both enhances and erodes patient safety.
topic safety, human error
url http://www.jphres.org/index.php/jphres/article/view/235
work_keys_str_mv AT janecarthey understandingsafetyinhealthcarethesystemevolutionerosionandenhancementmodel
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