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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
Tess of the D’Urbervilles; Blame culture and the human factors lesson we still need to learn.
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.
Katie Franklin
Oct 68 min read
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 Hidden Story: How Leaders Help the Pieces Fit
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.
Steve Franklin
Aug 216 min read
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