A New Era for Safety Measurement

2015 ◽  
pp. 219-246
Author(s):  
Sarahjane Jones ◽  
Mairi Macintyre

This chapter presents current systems thinking concerning patient safety and explores what patient safety actually means, allowing a foundation for a critical review of tools used for safety measurement. Content considers a range of content from hard measures to softer cultural perspectives, thus ensuring that the patient view is not forgotten.

Author(s):  
Sarahjane Jones ◽  
Mairi Macintyre

This chapter presents current systems thinking concerning patient safety and explores what patient safety actually means, allowing a foundation for a critical review of tools used for safety measurement. Content considers a range of content from hard measures to softer cultural perspectives, thus ensuring that the patient view is not forgotten.


2021 ◽  
Vol 2 (1) ◽  
pp. 153-172
Author(s):  
Gianna Moscardo

This paper argues that that much published tourism and hospitality research has had little influence on tourism or hospitality practice especially with regard to the problems of sustainability because of a failure to use systems thinking to guide research questions and approaches. This critical review and conceptual paper demonstrates how a systems thinking approach could be used to improve both the relevance of, and theoretical development in, tourism and hospitality research in the area of sustainability. This paper reviewed recent published research into tourism’s social impacts to demonstrate the power of taking a systems approach to map out the research problem area. It then critically reviewed the use of concepts from psychology in published research into guest engagement in sustainability programs in hospitality businesses to demonstrate the value of systems thinking for organising theoretical concepts. In both of the reviewed areas the overwhelming conclusion was that the majority of the research lacked both practical relevance and was based on inappropriate or deficient theoretical understanding.


2009 ◽  
Vol 1 (2) ◽  
pp. 316-318
Author(s):  
Patrice M. Weiss ◽  
Eduardo Lara-Torre ◽  
Amanda B. Murchison ◽  
Laurie Spotswood

Abstract The challenges inherent in medical education are multiple, including recognition of different learning styles among students, incorporation of the Accreditation Council for Graduate Medical Education competencies and outcomes measurement into the curriculum, and compliance with mandated duty hours along with a heightened awareness of patient safety required by our regulatory institutions. With the requirement that safety become an explicit part of the residency curriculum across all specialties, educators are charged with innovative ways of achieving this goal. The following commentary addresses this need and suggests an innovative approach to the traditional daily rounds' SOAP (subjective, objective, assessment, and plan) note to incorporate a second S for safety. The use of a SOAPS note elevates each encounter by integrating quality and error avoidance as a component of care. This method teaches the next generation of physicians the importance of patient safety as an integral part of every doctor-patient interaction.


Author(s):  
Edris Kakemam ◽  
Masoud Ghafari ◽  
Mahtab Rouzbahani ◽  
Hamideh Zahedi ◽  
Young Sook Roh

Kybernetes ◽  
2019 ◽  
Vol 49 (7) ◽  
pp. 1915-1934
Author(s):  
Janos Korn

Purpose The current field of systems thinking consists of a variety of views, methods and a number of organisations involved with these views which suggests a state of confusion and fragmentation of the field which fundamentally is supposed to be a uniform view of structures or systems. This can be interpreted as a “crisis situation”. A resolution of the crisis in the form of a “new science of systems” is proposed. Assuming this new science becomes part of the field of systems thinking, a debate of the elements of the field is suggested with a view to consider its current state and future developments. “Crisis - resolution - debate” is the central theme of the paper. Design/methodology/approach The field of current systems thinking is described in terms of views, methods and organisations and is seen as the “problematic issue”. A “new science of systems” strongly rooted in natural language as its primary symbolism and consisting of three general principles of systems and linguistic modelling is outlined to be considered as the resolution of the crisis. A set of criteria is discussed for use of judging the quality of models and element of the field of systems thinking including the “new science of systems”. To demonstrate a preliminary use of these criteria, the same example is worked out using both, the “soft systems methodology” and “linguistic modelling” for comparison. Findings The universal view of parts of the world as structures or systems is inconsistent with the multiple methods basically pursuing the same purpose: modelling aspects of systems which prevail in current systems thinking. To try to resolve this anomaly an equally universally applicable approach, the “new science of systems” is proposed which can also serve as an aid to problem solving, in particular to an integrated systems and product design. This approach is to be part of the suggested debate of the field of systems thinking. In general, there is no alternative to the structural view. Research limitations/implications The “new science of systems”, if found acceptable, can offer research opportunities in new applications of accepted branches of knowledge like logic, linguistics, mathematics of ordered pairs, uncertainties and in the philosophy of science. New teaching schemes can be developed at classroom level combined with engineering as creator of novelties with linguistics as the symbolism to supplement mathematics. Further considerations can be given to current methodologies of systems thinking as part of a debate with a view of future developments in exploring pioneering ideas. New software is needed for working out the dynamics of scenarios. Practical implications The debate, if it takes place, should result in new developments in the field of systems thinking such as concepts accepted as fundamental in the discipline of systems. Applications of the “new science of systems” to larger scale scenarios and organisations guided by the universal scheme in Figure 1 and linguistic modelling with software are needed for development of schemes for problem solving schemes “utilising” or “producing” products. Social implications The “new science of systems” is rooted in accepted branches of knowledge; it is highly teachable at school and university levels and should lead to use by professionals and in everyday life activities once found acceptable. The use of the scheme in Figure 1 should help in clarifying confusing scenarios and to aid problem solving. Originality/value The suggestion of a debate is an original idea. The “new science of systems” consists of three general principles of systems implemented by linguistic modelling of static and dynamic states. Mathematics of uncertainty and topics from conventional science at the object level supplement the “new science” which together form the “scientific enterprise”. The notions of cognitive value and informative content of models are introduced for evaluating their cognitive worth.


2018 ◽  
Author(s):  
Larry I. Palmer

36 Houston Law Review 1609 (1999)"Patient safety" has come of age. With the publication of several empirical studies of medical injuries and the recent Institute of Medicine Report, To Err is Human: Building a Safe Health System, scholars from a variety of disciplines are advocating "systems thinking" as a way of preventing medical accidents. These scholars have been influenced by efforts to reduce accidents in other high risk industries such as aviation and scholarship in law proposing "no fault systems" for compensating medical accident victims. This article proposes that in order to incorporate "systems thinking" about medical error reduction, legal scholarship on the health care system must move beyond its preoccupation with the medical liability system. To develop a new framework for the role of law in enhancing patient safety, this article proposes that law's interaction with the public health system is the appropriate starting point for framing the legal analysis of patient safety. This framing of the issues acknowledges that the liability system may have a role to play in error reduction in medicine, but determining what this role is requires more empirical study of legal institutions as part of the emerging system of patient safety. To discover the appropriate role of law in the prevention of medical errors, this article encourages legal scholars to learn to pose empirical questions about how various institutions interact with the health care system.


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