In this chapter I describe the research and current data collections in relation to the scale of the problem. Case note reviews are the main way in which the estimations have been made so far. They have had their fair share of critics. For example, I share the arguments set out by Helen Hogan and her colleagues about the limitations of even the most carefully structured case review … They only provide a snapshot of a particular […]
Chapter one provides a brief history of patient safety over the last two centuries – clearly it only skims the surface but demonstrates how little by little what was considered acceptable (risk and harm) over time because unacceptable. There is also the illusion or delusion that we will ‘get to a point where everyone is safe’ – our work will never be done and so instead of seeing the work as getting to an end point, we need […]
Like all introductions I wanted to set the scene. Over the last two decades in particular there has been a concerted effort to understand ‘safety’ and to figure out the scale and nature of the problem as well as the potential solution’s that could be used to improve the safety of healthcare. We know that in all high risk industries – things will always go wrong. This is the very nature of our world. There […]
A quick introduction to the Rethinking Patient Safety Blog Series. In 2016 I took 6 months to write a book .. well actually I took 20 years in a way, because the book was based on my thoughts, feelings and reflections of the world of patient safety for the last two decades. Over the next set of blogs I will share snippets from each chapter and also add further reflections on each chapter, as in all things in life, […]
