Translating concepts into field reality. Rene Amalberti Haute Autorité de Santé Charles Vincent Department of Experimental Psychology, Nuffield Department of Surgical Sciences University of Oxford. Overview. Reconsidering AE definition and AE analysis
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Translating concepts into field reality
Haute Autorité de Santé
Department of Experimental Psychology,
Nuffield Department of Surgical Sciences
University of Oxford
Focus on event journey
Capture the story of the care
Think in terms of risk control rather than causation
Expand the analysis to recovery and mitigation
Adapt solutions to the safety model
Local recovery without global vision (stabilization, symptom oriented strategy)
Global control. Treatment delayed because of competitive priority
Mitigation creating room for further problems
Why compensatory strategies instead of compliance?
Who does what?
Seven points for a successful control
Note that Middle and front line Managers are not safety managers
Best safety practices is a matter of safety specialists
Risk control is ultimately a matter of non specialists
A changing paradigm
Patients enter home health care (HHC) ‘‘sicker and quicker,’’ often with complex health problems that require extensive intervention.
Lang , Macdonald, Storchet al HealthcareQuartely, 12, Special Issue, 2009, 97-101