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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
18 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


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


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
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