safety
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Wherever you work in healthcare and whatever role you have you will be wanting to ensure the safety of the patients in your care. You will want to find ways of building safety within your work. However, healthcare is an uncertain world and the difference between safe care and unsafe care can be decided in minutes. Over the…
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It was an absolute honour and joy to deliver the James Reason Lecture in 2016 at the Patient Safety Congress on what was the 68th Birthday of the NHS. Prof Reason was my supervisor for my doctorate and a source of inspiration for over the last 25 years. I will never forget the words; ‘Dr…
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People “tend to overestimate their ability to function flawlessly under adverse condition, such as under the pressures of time, fatigue or high anxiety” and “We must re-examine all that we do and redesign our many and complex systems to make them less vulnerable to human error” Two quotes from an editorial in the BMJ from 18…
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I have mentioned (many times) the excellent series that the BMJ Quality and Safety journal published titled: ‘The problem with…’. The journal published one on incident reporting; the problem with incident reporting written by Carl Macrae, who provides an outstanding addition to the debate that the problem with incident reporting is that reporting and reporting systems are…