Everything posted by Aditi Desai
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Beyond inquiries: reflecting on systems thinking approach in maternity safety
Content ArticleIn this blog, hub topic lead Aditi Desai considers whether retrospective inquiries alone are enough to improve maternity safety, arguing that individual errors rarely explain the full picture. Aditi explores how systems thinking and human factors expertise can reveal the pressures, interactions and everyday working practices that create hidden risks across maternity services. She calls for the considerable energy currently devoted to investigating harm to go towards designing safer maternity systems before the next incident occurs.
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When 'never' happens: what two wrong-side nerve blocks taught us about patient safety
Content Article CommentA really thoughtful and important reflection about this 'never event', one of the most common in the 'wrong site surgery'. I particularly appreciated the systems-based and human factors/ergonomics approach. Your work highlighted the recognition that clinicians were working within conditions of cognitive overload and workflow friction rather than simple “human error”. The concept of reintroducing physical safety barriers and visual prompts back into increasingly digital environments is extremely valuable. The ‘Prep Stop Block Lid’ is a powerful example of human factors-informed safety design in practice. This is valuable work ! Best Wishes Aditi Desai
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Recognising unsafe surgeons—looking for early warning signs
Content ArticleWhen repeated harm occurs in healthcare, public debate often centres on identifying an individual responsible. Although accountability is essential, patient safety may be better served by asking another question first: Were there earlier signals that something was going wrong? This blog reflects the perspective of Aditi Desai, a surgeon with nearly three decades of clinical experience and an interest in patient safety systems, surgical quality monitoring and organisational learning.
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Patient safety by design: a systems approach to preventing harm (MedTech Europe, 27 January 2026)
Content Article CommentHi Greg, This is a thoughtful and timely piece. The shift from reactive investigation to proactive system design is exactly where healthcare needs to focus now. Too often, we treat safety as something to be reviewed after harm occurs, rather than something that should be engineered into everyday practice from the outset. What resonates most is the emphasis on human factors, culture, and usability. When systems are designed to support clinicians in reducing cognitive load, standardising critical processes, and making the safest action the easiest one, both patients and staff benefit. Patient safety will only improve at scale when prevention, learning, and design are treated as core infrastructure rather than optional add-ons. Collaboration between clinicians, patients, industry, and policymakers is essential to achieving that. Thank you for helping move the conversation in this direction. Best Wishes Aditi Desai NHS Consultant Gynaecologist & Obstetrician www.linkedin.com/in/aditidesai2thinkoutofbox
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Lost tissue samples a thing of the past with new innovative tracking system?
Content Article CommentAditi Desai commented on Patient_Safety_Learning's article in Innovation programmes in health and careThis is a really valuable.
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Patient Safety Specialists celebrating the completion of the National Patient Safety Syllabus Training
Content Article CommentThis work is valuable, meaningful and will go a long way in improving the understanding of safety science in healthcare. Ultimately, this will leas to more resilient healthcare systems which make it easier for staff to deliver the right care. aditi desai
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Absence of user-centric design: a threat to patient safety
Content ArticleAditi Desai is a Consultant Obstetrician and Gynaecologist and has worked as a doctor in maternity and women's healthcare for the last 25 years. Having recently read the blog ‘Dangerous exclusions: The risk to patient safety of sex and gender bias‘, Aditi highlights how many aspects presented in the blog resonate with staff working in healthcare and other industries.