The Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”

Who could disagree with the seemingly common-sense reasoning that: “We must learn from the things that go wrong.”? Despite major investments to improve patient safety, relatively few evaluations demonstrate convincing reductions in risk, harm, serious error or death. This disappointing trajectory of...

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Main Authors: Andrew Carson-Stevens, Liam Donaldson, Aziz Sheikh
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2018-07-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:http://www.ijhpm.com/article_3475_ab1d6a9cc95f2c88910541d52e36a997.pdf
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author Andrew Carson-Stevens
Liam Donaldson
Aziz Sheikh
author_facet Andrew Carson-Stevens
Liam Donaldson
Aziz Sheikh
author_sort Andrew Carson-Stevens
collection DOAJ
description Who could disagree with the seemingly common-sense reasoning that: “We must learn from the things that go wrong.”? Despite major investments to improve patient safety, relatively few evaluations demonstrate convincing reductions in risk, harm, serious error or death. This disappointing trajectory of improvement from learning from errors or Safety-I as it is sometimes known has led some researchers to argue that there is more to be gained by learning from the majority of healthcare episodes: the things that go right. Based on this premise, socalled Safety-II has emerged as a new paradigm. In this commentary, we consider the ongoing value of Safety-I based approaches and explore whether now is the time to abandon learning from “the bad” and re-energise data collection and analysis by focusing on “the good.”
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spelling doaj.art-4582ab55695c4c57ad1d4e8dd0a41db92022-12-22T02:50:23ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392018-07-017766767010.15171/IJHPM.2018.23The Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”Andrew Carson-Stevens0Liam Donaldson1Aziz Sheikh2Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UKLondon School of Hygiene and Tropical Medicine, London, UKUsher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UKWho could disagree with the seemingly common-sense reasoning that: “We must learn from the things that go wrong.”? Despite major investments to improve patient safety, relatively few evaluations demonstrate convincing reductions in risk, harm, serious error or death. This disappointing trajectory of improvement from learning from errors or Safety-I as it is sometimes known has led some researchers to argue that there is more to be gained by learning from the majority of healthcare episodes: the things that go right. Based on this premise, socalled Safety-II has emerged as a new paradigm. In this commentary, we consider the ongoing value of Safety-I based approaches and explore whether now is the time to abandon learning from “the bad” and re-energise data collection and analysis by focusing on “the good.”http://www.ijhpm.com/article_3475_ab1d6a9cc95f2c88910541d52e36a997.pdfAdverse EventsPreventable Harm
spellingShingle Andrew Carson-Stevens
Liam Donaldson
Aziz Sheikh
The Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
International Journal of Health Policy and Management
Adverse Events
Preventable Harm
title The Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
title_full The Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
title_fullStr The Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
title_full_unstemmed The Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
title_short The Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
title_sort rise of patient safety ii should we give up hope on safety i and extracting value from patient safety incidents comment on false dawns and new horizons in patient safety research and practice
topic Adverse Events
Preventable Harm
url http://www.ijhpm.com/article_3475_ab1d6a9cc95f2c88910541d52e36a997.pdf
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