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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"

Carson-Stevens, Andrew ORCID: https://orcid.org/0000-0002-7580-7699, Donaldson, Liam and Sheikh, Aziz 2018. 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 7 (7) , 12. 10.15171/ijhpm.2018.23

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Abstract

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.”

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Kerman University of Medical Sciences
ISSN: 2322-5939
Date of First Compliant Deposit: 15 March 2018
Date of Acceptance: 25 February 2018
Last Modified: 05 May 2023 14:14
URI: https://orca.cardiff.ac.uk/id/eprint/109918

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