• Reducing health-system harm: Safety I vs Safety II


    Daniel Jolley.

    4 articles.

    Created January 19, 2022, last updated over 2 years ago.

    Collection: 149, Score: 537, Trend score: 0, Read count: 781, Articles count: 4, Created: 2022-01-19 01:52:24 UTC. Updated: 2022-01-19 02:05:39 UTC.


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    Collected Articles

    • BMJ quality & safety · Jan 2020

      Editorial Comment

      The harms of promoting 'Zero Harm'.

      "...I encourage all patient safety stakeholders to resist an overemphasis on absolute safety, and instead draw on the strengths of both the safety I and safety II approaches. We should be clear about what types of harms can or cannot be prevented and anticipated, work to eliminate those where there is good evidence for preventability by adopting evidence-based practices, improve the ability of everyone responsible for safety to identify risks, conduct better risk analyses to anticipate and reduce unintended harms, measure and celebrate the routine adaptations that prevent harm, and reward organisational learning and improvement." – Thomas, 2020.


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    • BMJ quality & safety · Jan 2020


      Managing risk in hazardous conditions: improvisation is not enough.

      To improve overall safety and reduce harm, focus should be on reducing risk instead of eliminating harm.


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    • Curr Opin Anaesthesiol · Dec 2015


      Safety-II and resilience: the way ahead in patient safety in anaesthesiology.

      Anaesthesiology is a specialty with a remarkable track record regarding improvements in safety. Nevertheless, modern healthcare poses increasing demands on quality and outcome: more complexity, more patients with increasing risk-factors, more regulation from society concerning quality and outcome and finally more demand of the stakeholders for efficiency. This leads us to ask the question if our traditional way of handling 'risk' and 'safety' will stand the challenges of the future? ⋯ We are well advised to consider adapting these modern concepts of 'resilience' and 'safety-II' thinking when we want to substantially improve patient safety in anaesthesiology.

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    • Curr Probl Pediatr Adolesc Health Care · Dec 2015


      Safety-I, Safety-II and Resilience Engineering.

      In the quest to continually improve the health care delivered to patients, it is important to understand "what went wrong," also known as Safety-I, when there are undesired outcomes, but it is also important to understand, and optimize "what went right," also known as Safety-II. The difference between Safety-I and Safety-II are philosophical as well as pragmatic. Improving health care delivery involves understanding that health care delivery is a complex adaptive system; components of that system impact, and are impacted by, the actions of other components of the system. ⋯ These qualities can, respectively, detract from or contribute to the emergence of organizational resilience. Resilience is characterized by the ability to monitor, react, anticipate, and learn. Finally, this article celebrates the importance of humans, who make use of system capabilities and proactively mitigate the effects of system limitations to contribute to successful outcomes.

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