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.
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.
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.
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.
What does George Orwell's Nineteen Eighty-Four have to do with healthcare investigations? More than you might think. Investigators hold the pen, shaping how events are understood and what organisations learn. Exploring PSIRF, Human Factors and Safety-II thinking, this article examines the power of investigative narratives, the risks of confirmation bias and premature closure, and why meaningful patient safety learning depends on curiosity, evidence and systems thinking.