This issue of Hindsight includes articles on:
Malicious compliance by Sidney Dekker
Can we ever imagine how work is done? by Erik Hollnagel
Safety is in the eye of the beholder by Florence-Marie Jegoux, Ludovic Mieusset and Sébastien Follet
I wouldn't have done what they did by Martin Bromiley
The second edition takes a more practical approach with coverage of methods, interventions and applications and a greater range of domains such as medication safety, surgery, anaesthesia, and infection prevention. New topics include:
health information technology development and design
patient safety management.
Reflecting developments and advances in the five years since the first edition, the book explores medical technology and telemedicine and puts a special emphasis on the
This project was commissioned because of an issue with multiple medicines records being held by different agencies for local children with complex needs and at the end of life. The project was highly commended by NICE and a poster was presented at the NICE Annual Conference in 2015 (see poster below).
This duplication of records was believed to be a major risk factor for medicines errors and a waste of clinical time. It also meant that parents needed to repeat information about their children’s medicines time and again, as they accessed services, including inpatient services, tertiary cen
In this blog, Steven questions:
Are we reducing the human to ‘human error’?
Are we reducing the human to a faulty information processing machine?
Are we reducing the human to emotional aberrations?
Are we reducing human involvement in socio-technical systems?
What's new in the NICE shared decision making guideline?
The three main areas of recommendations are:
and recommendations on communication and documentation.
On an organisational level, the 2021 NICE guideline on shared decision making asks organisations to consider the following:
making a senior leader accountable for the leadership and embedding of shared decision making
appointing a patient director to work with this senior leader.
The guidance also states that for effective shared decision making, appointments or c
Why is there more chance we'll believe something if it's in a bold type face? Why are judges more likely to deny parole before lunch? Why do we assume a good-looking person will be more competent? The answer lies in the two ways we make choices: fast, intuitive thinking, and slow, rational thinking. This book reveals how our minds are tripped up by error and prejudice (even when we think we are being logical), and gives you practical techniques for slower, smarter thinking. It will enable to you make better decisions at work, at home and in everything you do.
This document outlines ten key guidance points that designers of procedures should address at all stages of its development, implementation and review:
1. What is a work procedure?
2. Ensure a procedure is needed
3. Involve the whole team
4. Identify the hazards
5. Capture work-as-done
6. Make it easy to follow
7. Test it out
8. Train people
9. Put it into practice
10. Keep it under review.
An explanation of the discipline of Human Factors and Ergonomics (HFE) and the sub-discipline of human-centred design are also provided.