Abstract

AbstractOver the past 20 years, there has been rapid growth in interventions to improve the safety of people who receive care. These have focused on process and developing interventions to address the risks that people face when they are treated either in the community or in hospital. It is clear that the improvement in safety is evident, though not uniform, and that the challenge is more than one of improving process but more complex. In this chapter, four key areas are covered. The concept of culture and language is the foundation for safety and a change in culture is the first step. This will then include the development of psychological safety and well-being for people who deliver care, and co-production of safety with those who receive care. The social determinants of safety require further delineation and research. Finally, harnessing the potential of the new technologies and artifical intelligence will be the next step in developing as harm free care as is possible. Redesign of healthcare delivery is essential.

Highlights

  • It has been argued that the ideal of Zero Harm is unrealistic [7], that we should accept the inherent risk in the delivery of healthcare and actively adopt patient safety initiatives to improve outcomes and minimise risk

  • The transferability of the information and how data matches complexity of different health systems and how we as clinicians interact with the new technology [27]. While it is still early in the development of Artificial Intelligence (AI) solutions that can assist us in our safety journey, we in the patient safety field must join with AI developers to harness the potential of predictive modelling in the future

  • We have come a long way in the patient safety movement

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Summary

Introduction

I will explore the issues that we need to address as we proceed on the safety journey This will include reflections on the beliefs that have resulted in the healthcare system we have created. People who became patients were cured or provided longevity This in turn has resulted in the new challenges of chronic disease and the ageing population [2]. Amalberti and Vincent [5] have taken the view that the healthcare delivery system has inherent risk and that the focus of patient safety should be on the proactive management of that risk This is true of any complex adaptive system, which makes it difficult to be safe all the time [6].

The Vision for the Future
The Challenges to Overcome to Facilitate Safety
Develop the Language and Culture of Safety
Promote Psychological Safety
Design for Health and for Safety
Social Determinants of Patient Safety
Conclusion
Design for Safety
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