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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Online Access: | http://www.jphres.org/index.php/jphres/article/view/235 |
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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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1725707538014404608 |