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Design for patient safety: a systems-based risk identification framework

Simsekler, MCE; Ward, JR; Clarkson, PJ; (2018) Design for patient safety: a systems-based risk identification framework. Ergonomics , 61 (8) pp. 1046-1064. 10.1080/00140139.2018.1437224. Green open access

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Abstract

Current risk identification practices applied to patient safety in healthcare are insufficient. The situation can be improved, however, by studying systems approaches broadly and successfully utilised in other safety-critical industries, such as aviation and chemical industries. To illustrate this, this paper first investigates current risk identification practices in the healthcare field, and then examines the potential of systems approaches. A systems-based approach, called the Risk Identification Framework (RID Framework), is then developed to enhance improvement in risk identification. Demonstrating the strengths of using multiple inputs and methods, the RID Framework helps to facilitate the proactive identification of new risks. In this study, the potential value of the RID Framework is discussed by examining its application and evaluation, as conducted in a real-world healthcare setting. Both the application and evaluation of the RID Framework indicate positive results, as well as the need for further research. Practitioner Summary: The findings in this study provide insights into how to make a better amalgamation of risk identification inputs to the safer design and more proactive risk management of healthcare delivery systems, which have been an increasing research interest amongst human factor professionals and ergonomists.

Type: Article
Title: Design for patient safety: a systems-based risk identification framework
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/00140139.2018.1437224
Publisher version: https://doi.org/10.1080/00140139.2018.1437224
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Social Sciences, Technology, Engineering, Industrial, Ergonomics, Psychology, Applied, Psychology, Engineering, Healthcare ergonomics, patient safety, risk identification, systems approach, GLOBAL TRIGGER TOOL, CARE FAILURE MODE, HEALTH-CARE, HOSPITALS, INFORMATION, INTEGRATION, INCIDENTS, QUALITY, ERRORS, STAFF
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > UCL School of Management
URI: https://discovery.ucl.ac.uk/id/eprint/10054894
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