Patient Safety, Human Factors and PSIRF Insights for Healthcare Organisations

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.

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.

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.

On 14 July 2026, NHS England published the new Quality Strategy for NHS-funded care in England on behalf of the National Quality Board. It describes a 10-year approach intended to make quality the organising principle for NHS-funded care. The strategy applies across the system, not only to NHS trusts, and places safety, effectiveness and experience at the centre of how quality should be understood, managed and improved. At first glance, some of this will feel familiar. Safety

What if the person labelled as "difficult" is actually responding to challenges you cannot yet see? Using Nami's story from One Piece, this blog explores Human and Organisational Performance (HOP), safety leadership, human factors and safety culture. It examines how leaders can move beyond first impressions, understand the stories behind behaviour, and design work around people to build stronger teams, better performance and safer, more resilient organisations.

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

What can leaders learn from Monkey D. Garp? Exploring mentorship, values-based leadership, speaking up cultures and organisational learning through One Piece.

A lack of reporting does not always mean an absence of risk. This article explores weak signals, human factors, PSIRF, governance review and the importance of hearing the right voices in healthcare decision-making.