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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


Human Factors in Digital Healthcare: Designing Integrated Records for Success
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.

Steve Franklin
Sep 2510 min read


Human Factors, Decision Making and PSIRF: What Dobble Can Teach Us About Safer Healthcare
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

Steve Franklin
Aug 107 min read
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