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Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model
The paper summarises previous theories of accident causation, human error, foresight, resilience and system migration. Five lessons from these theories are used as the foundation for a new model which describes how patient safety emerges in complex systems like healthcare: the System Evolution Erosi...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2013
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147744/ https://www.ncbi.nlm.nih.gov/pubmed/25170496 http://dx.doi.org/10.4081/jphr.2013.e25 |
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author | Carthey, Jane |
author_facet | Carthey, Jane |
author_sort | Carthey, Jane |
collection | PubMed |
description | The paper summarises previous theories of accident causation, human error, foresight, resilience and system migration. Five lessons from these theories are used as the foundation for a new model which describes how patient safety emerges in complex systems like healthcare: the System Evolution Erosion and Enhancement model. It is concluded that to improve patient safety, healthcare organisations need to understand how system evolution both enhances and erodes patient safety. |
format | Online Article Text |
id | pubmed-4147744 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-41477442014-08-28 Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model Carthey, Jane J Public Health Res Review The paper summarises previous theories of accident causation, human error, foresight, resilience and system migration. Five lessons from these theories are used as the foundation for a new model which describes how patient safety emerges in complex systems like healthcare: the System Evolution Erosion and Enhancement model. It is concluded that to improve patient safety, healthcare organisations need to understand how system evolution both enhances and erodes patient safety. PAGEPress Publications, Pavia, Italy 2013-12-01 /pmc/articles/PMC4147744/ /pubmed/25170496 http://dx.doi.org/10.4081/jphr.2013.e25 Text en ©Copyright J. Carthey, 2013 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Carthey, Jane Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model |
title | Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model |
title_full | Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model |
title_fullStr | Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model |
title_full_unstemmed | Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model |
title_short | Understanding Safety in Healthcare: The System Evolution, Erosion and Enhancement Model |
title_sort | understanding safety in healthcare: the system evolution, erosion and enhancement model |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4147744/ https://www.ncbi.nlm.nih.gov/pubmed/25170496 http://dx.doi.org/10.4081/jphr.2013.e25 |
work_keys_str_mv | AT cartheyjane understandingsafetyinhealthcarethesystemevolutionerosionandenhancementmodel |