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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


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


When Presence Changes the System
What can a disputed football goal teach us about patient safety and board governance? This article explores why measurable evidence is not always the complete picture, and why boards need to combine hard data with weak signals, staff experience and soft intelligence.

Steve Franklin
Sep 1717 min read
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