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Re-Imagining Safety in HealthCare

Traditional Safety activities in Healthcare Care keep people safe BUT Contemporary Safety Science can extend Safety Learning to include how we Learn About & From Real World Practice

This website Provides information about the latest developments in Safety Science and how they can be used to improve Care Desig & Delivery in a Complex healthcare System

A Nurse's Perspective

This is the story of Petra (not a real person!). This is the story of how her practice has evolved over time and how she experiences contemporary nursing requirements in her daily practice. This video is intended to provide context for how complexity in healthcare has created a range of unintended consequences. Providing a justification for re-imagining health systems design using principles central to Safety II.

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Strange Name - Powerful Concept!

SAFETY II

Safety II or Resilience engineering is a different way of looking about how care is delivered and directed.It suggests that safe outcomes predominately occur because individuals adapt their practice to match the uniqueness of the context of their practice. It is a combination of those adaptions, and not solely the design of safety regulations that work to ensure safe outcomes
The absence of harm traditionally indicated safe practice- Therefore, Safety Learning occurs predominately from When Things Go Wrong If harm occurs, looking back to identify the cause helps prevent future occurrence (Safety I) Safety II suggests that we have more to Learn about Safety from When Things Go Right also. The majority of care delivered is safe and free from harm Understanding how that occurs, can broaden our Insights into Safety Practice & Safety Learning

WHAT IS SAFETY II ? Learn More Here

“Trying to anticipate what may happen is not like playing a game of chess. No actual situations are as orderly and constrained as a board game, the ‘opposition’ in real life rarely behaves as imagined. but seems either not to follow the rules or to follow different rules. The planned work (Work-as-Imagined) will therefore never correspond precisely to the Actual work (Work-as-Done), no matter how meticulous the planning. In order to do their work, people and organisations must adjust what they do to match the conditions. The adjustments will furthermore be approximate, rather than precise - for the very reasons that makes them necessary in the first place'’

— Safety II: Erik Hollnagel 2019

Learn More: Presentations & Resources

breeding risk out of system Design Can Jeopardise innovation

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If you are interested in these concepts and want to know more or how they can be used to improve safety learning and practice in your workplace- please join our Community of Practice by adding your email belowYou will be added to our community of practice list and receive updates about events and developments related to Safety II Go to our Contact us page if you have a specific question or would like to meet and discuss how Safety II could be implemented in your practice and workplace

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