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Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/22917

Title: More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England?
Authors: Hignett, Sue
Lang, Alexandra
Pickup, Laura
Ives, Christine
Fray, Mike
McKeown, Celine
Tapley, Sarah
Woodward, Matthew
Bowie, Paul
Keywords: Human factors
Ergonomics
Patient safety
Systems
Healthcare
Human factors integration
Education
Issue Date: 2016
Publisher: © Taylor & Francis
Citation: More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? Ergonomics, doi:10.1080/00140139.2016.1245446.
Abstract: 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).
Description: This paper is closed access until 20th October 2017.
Sponsor: The Taster Workshops were funded by national and regional groups of Health Education England.
Version: Accepted for publication
DOI: 10.1080/00140139.2016.1245446
URI: https://dspace.lboro.ac.uk/2134/22917
Publisher Link: http://dx.doi.org/10.1080/00140139.2016.1245446
ISSN: 0014-0139
Appears in Collections:Closed Access (Design School)

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