Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model | Zendy

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Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model

Author(s) -

Jane Carthey

Publication year - 2013

Publication title -

deleted journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.579

H-Index - 13

ISSN - 2279-9028

DOI - 10.4081/jphr.2013.e25

Subject(s) - futures studies , causation , healthcare system , patient safety , health care , resilience (materials science) , causality (physics) , risk analysis (engineering) , foundation (evidence) , psychological resilience , computer science , business , psychology , political science , artificial intelligence , social psychology , law , thermodynamics , physics , quantum mechanics

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

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