Safety, significant events, learning events and favourable events

Safety 2 and synesis

‘as few things as possible go wrong’ to ensuring that

‘as many things as possible go right’.

safety-1-safety-2-whte-paper nhs .pdf

Favourable event reporting forms

FERF UP YOUR LIFE! | Learning from ExcellenceThe following guest blog post is from Dr Clarissa Chase , an ST5 trainee in paediatrics, at Southampton General Hospital. Clarissa conceived a positive reporting system called "FERF". The story of FERF is below: It seems almost every day that a negative healthcare story makes its way ...

The Safety-II approach: Learning from what goes wellSafety II starts with what goes well in healthcare. Read in this blog how Safety II offers new insights in addition to the usual incident analysis.

Functional resonance analysis

This is a framework that helps to map work-as-done (versus work-as-imagined). FRAM considers people's routines and context.

This is similar to Appreciative Inquiry (AI), in which the stimulation of what goes well in the workplace is the starting point.

https://www.patientsafety.com/en/blog/fram-analysis-for-safety2

Input
Output
Control
Time constraints/enablers:
Precondition before starting
Resource: Materials or people

Work-As-Imagined

Work-As-Imagined: what should happen under normal working conditions.

Work- As-Done: describes what actually happens.

Data analysis - Translate your data into better healthcareThe Patient Safety company - A clear explanation of various methods to analyze incidents, prospectively and retrospectively. A good basis for improvements.

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