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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
3 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
4 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
East of Eden: Tom Hamilton and the Second Victims We Fail to See.
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.
Katie Franklin
Sep 286 min read
The NHS Quality Strategy 2026: What Does It Mean for Patient Safety and PSIRF?
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
Steve Franklin
Aug 2610 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
Absence of Evidence is Not Evidence of Absence: Weak Signals, Patient Safety and Governance
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.
Steve Franklin
Jul 286 min read
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