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More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England?

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posted on 2016-10-20, 11:00 authored by Sue HignettSue Hignett, Alexandra Lang, Laura Pickup, Christine Ives, Michael FrayMichael Fray, Celine McKeown, Sarah Tapley, Matthew Woodward, Paul Bowie
What prevents the delivery of effective, high quality, and safe healthcare in the National Health Service (NHS) in England? This paper presents 760 challenges which 330 NHS staff reported as preventing the delivery of effective, high quality and safe care. Some problems have been known for over 25 years (staff shortages, finance and patient complexity) but other challenges raise questions about the commitment of the NHS to patient and staff safety. For example Organisational Culture leading to ‘stifling bureaucracy’, ‘odds stacked against smooth […] working’ and Workload resulting in ‘firefighting daily’ and ‘perpetual crisis mode’. The role of Human Factors/Ergonomics professional input (engagement with safety scientists) is discussed in the context of success stories and examples of Human Factors Integration from other safety critical industries (Defence, Nuclear and Rail).

Funding

The Taster Workshops were funded by national and regional groups of Health Education England.

History

Published in

Ergonomics: an international journal of research and practice in human factors and ergonomics

Volume

61

Issue

1

Pages

5 - 14

Citation

HIGNETT, S. ...et al., 2018. More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? Ergonomics, 61(1), pp.5-14.

Publisher

© Taylor & Francis

Version

  • NA (Not Applicable or Unknown)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Acceptance date

2016-10-02

Publication date

2016-10-20

Notes

This is an Open Access Article. It is published by Taylor and Francis under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (CC BY-NC-ND). Full details of this licence are available at: http://creativecommons.org/licenses/by-nc-nd/4.0/

ISSN

0014-0139

eISSN

1366-5847

Language

  • en

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