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Resilient Health Care as the basis for teaching patient safety - A Safety-II critique of the World Health Organisation patient safety curriculum

Sujan, M. A., Furniss, D., Anderson, J. E. ORCID: 0000-0002-1452-8370, Braithwaite, J. and Hollnagel, E. (2019). Resilient Health Care as the basis for teaching patient safety - A Safety-II critique of the World Health Organisation patient safety curriculum. Safety Science, 118, pp. 15-21. doi: 10.1016/j.ssci.2019.04.046

Abstract

Resilient Health Care (RHC) is predicated on the idea that health care systems constantly adjust to changing circumstances. RHC has become increasingly popular as a new way to improve patient safety, but to date there is no agreed way of using RHC as the basis for teaching patient safety. A key resource for patient safety educators is the World Health Organisation (WHO) patient safety curriculum, released ten years ago. However, it is well established that patient safety thinking in healthcare has been driven largely by Safety-I principles, and this is reflected in the WHO curriculum. The aim of this paper is to review and to provide a critique of the WHO patient safety curriculum from a Safety-II perspective, in order to assess to what extent RHC principles are already incorporated, and to identify areas where RHC might make contributions to the WHO curriculum. Based on this analysis, we argue that RHC thinking could be added in modular fashion to the WHO curriculum, but that in the future a broader curriculum should be developed that integrates RHC thinking throughout.

Publication Type: Article
Additional Information: © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Subjects: J Political Science > JZ International relations
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Departments: School of Health Sciences > Nursing
Date Deposited: 17 Sep 2020 08:52
URI: https://openaccess.city.ac.uk/id/eprint/24928
[img] Text - Accepted Version
This document is not freely accessible until 9 November 2020 due to copyright restrictions.
Available under License Creative Commons Attribution Non-commercial No Derivatives.

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