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Weak signals in healthcare: A case study on community-based patient discharge

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conference contribution
posted on 2018-03-14, 15:54 authored by Evi Carman, Michael FrayMichael Fray, Patrick WatersonPatrick Waterson
To adjust performance to ensure the success of a task and prevent error, it is necessary to anticipate, identify and respond to variations in the work system. The objectives of this study were to develop a framework for the analysis of signals, which provide an indication of variations in the system, in the healthcare environment and qualitatively investigate signals in the context of community-based patient discharge. In addition to the signals, both traditional (Safety-I) and proactive safety (SafetyII) elements were investigated with six expert groups, from the field of community-based patient discharge. The signals identified and the safety elements were analysed using the SEIPS 2.0 model. The sources of the signals were identified as originating from work system elements. The proposed framework and method provide a preliminary basis for the investigation of signals and assists in highlighting the role that these can play in safety behaviour.

Funding

The project was commissioned as a result of a successful joint bid for funding by Health Partnerships, a Division within Nottinghamshire Health Care NHS Foundation Trust and Loughborough University Design School.

History

School

  • Design

Published in

The 13th International Conference on Naturalistic Decision Making

Pages

314 - 321

Citation

CARMAN, E-M., FRAY, M. and WATERSON, P., 2017. Weak signals in healthcare: A case study on community-based patient discharge. IN: Gore, J. and Ward, P. (eds). NDM13 Naturalistic Decision Making and Uncertainty. Proceedings of the 13th International Conference on Naturalistic Decision Making, Bath, UK, 20-23 June 2017, pp.314-321.

Publisher

© The University of Bath

Version

  • AM (Accepted Manuscript)

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

2017-03-17

Publication date

2017

Notes

This is a conference paper.

ISBN

9780861971947

Language

  • en

Location

Bath, UK

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