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Patient Safety, Human Factors and PSIRF Insights for Healthcare Organisations
Featured Articles.
Start with our practical guides to PSIRF, human factors in healthcare, systems-based learning, patient safety investigations and healthcare governance.


Healthcare risk management and patient safety: why yesterday’s controls may not protect tomorrow
Yesterday’s successful control may not protect tomorrow’s patient. Steve Franklin explores ergodicity, complex systems and Taleb’s risk principles, with practical implications for PSIRF, healthcare risk management and board assurance.

Steve Franklin
17 hours ago


Unauthorised access to health records: why punishment alone is not a patient safety strategy
Recent NHS record-access cases demand accountability. This article asks what system owners, boards and digital leaders must do before a breach creates another victim.

Steve Franklin
5 days ago


Are Our Chimps Running the Organisation? Emotional Decision-Making, Human Factors and Learning Culture
When something goes wrong, does the organisation ask what it needs to learn, or how quickly it can show that it has acted? Steve Franklin explores whether our emotional “Chimps” are shaping leadership decisions.

Steve Franklin
Oct 19

Inclusive Work Design and Wellbeing
Insights on inclusive work design and wellbeing, with a focus on women’s health, menopause, accessibility, neurodiversity, flexible working, ergonomics and psychological safety. Explore practical ways to design healthier workplaces that support people across different bodies, needs and life stages.


What Middlemarch teaches us about bias, blame, psychological safety and just culture
Using George Eliot’s candle metaphor and Daniel Kahneman’s WYSIATI principle, Katie Franklin explores how partial perspectives shape judgement, why blame culture restricts learning, and how psychological safety, diversity and just culture help organisations see more clearly

Katie Franklin
Oct 146 min read


Compassion in the NHS: Why Listening Is a Patient Safety Intervention
Poppy Russell’s preventable death and her family’s response ask a wider question of the NHS: do we treat listening as a courtesy, or as a safety intervention? This article connects compassion, PSIRF, family liaison, candour, human factors and good governance.

Steve Franklin
Oct 1214 min read


A Listening Organisation Is a Learning Organisation
A listening organisation does more than invite people to speak. It hears weak signals, responds with curiosity and acts before warning becomes harm.

Steve Franklin
Oct 99 min read


Tess of the D’Urbervilles; Blame culture and the human factors lesson we still need to learn.
Tess is not undone by one isolated mistake. Across the novel, she is repeatedly denied meaningful choice, judged by unequal standards and made to carry failures created by people and systems with far more power.

Katie Franklin
Oct 68 min read


LEGO® SERIOUS PLAY®: Building Different Perspectives on Complex Problems
Discover how LEGO® SERIOUS PLAY® helps healthcare teams explore complex problems, strengthen reflection and turn insight into practical action across PSIRF, human factors, patient safety, governance, strategy, coaching and mentoring.

Steve Franklin
Sep 306 min read


East of Eden: Tom Hamilton and the Second Victims We Fail to See.
Through Tom Hamilton’s story in East of Eden, Katie Franklin asks whether the second victim concept should extend beyond healthcare professionals to family caregivers and others affected by unintended harm.

Katie Franklin
Sep 286 min read


Human Factors in Digital Healthcare: Designing Integrated Records for Success
Integrated NHS records offer major benefits, but also create new risks. Explore how SEIPS, clinical safety and Human Factors Integration can support safer digital healthcare.

Steve Franklin
Sep 2510 min read


Ambient Voice Technology in the NHS
Ambient voice technology could return valuable time to clinicians and patients. But as AI scribes become more accurate, human checking may become less reliable. This article examines the changing risk profile through Human Factors, behavioural science, inclusive design and DCB0160 clinical safety.

Steve Franklin
Sep 1120 min read


When the Ridiculous Becomes Normal: Why Diverse Perspectives Matter
When questionable behaviours become familiar, we can stop noticing how inequitable, ineffective or unsafe they are. Katie Franklin explores how humour, fresh perspectives and constructive challenge can expose the ridiculousness we have accepted as normal, helping organisations strengthen workplace culture, inclusive work design and safety.

Katie Franklin
Aug 275 min read


Human Factors, Decision Making and PSIRF: What Dobble Can Teach Us About Safer Healthcare
Human Factors in healthcare is fundamentally about understanding how people make decisions within complex systems. Whether we're implementing PSIRF, investigating a patient safety incident, improving medicines management or strengthening clinical governance, the key question remains the same: how do people actually get work done in the real world? Surprisingly, a family game of Dobble provided a useful reminder of why understanding work-as-done matters so much for patient saf

Steve Franklin
Aug 107 min read
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