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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
Martha’s Rule: listening as a safety system, not a safety net
Martha’s Rule is changing care when patients deteriorate and concerns go unheard. Its deeper value lies in what every activation reveals about the safety of the system.
Steve Franklin
Oct 1613 min read
Safety cases in healthcare: can we make the case for safety before harm occurs?
What healthcare can learn from safety-critical industries about evidence, human factors, independent challenge and proactive assurance before major change.
Steve Franklin
Oct 712 min read
PSIRF, Human Factors and the Resource to Turn Patient Safety Learning into Action
The Patient Safety Incident Response Framework asks healthcare providers to learn proportionately and improve meaningfully. This article examines how NHS and independent healthcare leaders can use Human Factors, clinical governance and corporate governance to match expertise to the work, improve value and prevent AI from shifting the bottleneck from producing information to reviewing and acting on it.
Steve Franklin
Sep 915 min read
Leading from the Front: Garp's Golden Rule
What can leaders learn from Monkey D. Garp? Exploring mentorship, values-based leadership, speaking up cultures and organisational learning through One Piece.
Steve Franklin
Jul 314 min read
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