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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
Another inquiry, the same warning?
The Thirlwall Inquiry makes powerful recommendations on safeguarding, governance and NHS management. This article asks how the NHS can strengthen accountability without weakening systems learning, psychological safety or PSIRF.
Steve Franklin
Sep 1610 min read
Beyond Blame: Can Healthcare Really Build a Just Culture When the Outside World Still Wants Someone to Blame?
When something goes wrong in healthcare, how can organisations recognise system pressures while responding fairly to scrutiny? This article explores how human factors, PSIRF, restorative accountability and effective governance can help healthcare organisations move beyond blame without removing accountability.
Steve Franklin
Sep 1013 min read
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