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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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Detalles Bibliográficos
Autor principal: Carthey, Jane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2013
Materias:
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
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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.
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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
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