More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England?

Figures & data

Figure 1. Word cloud of challenges preventing the delivery of effective, high quality and safe care.

Figure 2. HFE framework used in Taster workshops (Hignett 2015).

Figure 3. Challenges preventing the delivery of effective, high quality and safe care.

Figure 4. More holes than [Swiss] Cheese to represent the lack of barriers for unsafe acts (inspired by Reason 2000).

Figure 5. Management hierarchies in Service Industries (modified from Hignett 2003).

Figure 6. Human Factors in the Rail Industry (Office of Road and Rail; http://orr.gov.uk/publications/guidance/health-and-safety/human-factors-guidance).

Figure 7. Human Factors Integration principles for Healthcare: who, what, when, where, how and why.

Hignett, S. 2015. “Healthcare Ergonomics: Reaching Out Into All Areas of Clinical Practice or ‘Touching and Analysing the Elephant.” Proceedings of the 19th Triennial Conference of the International Ergonomics Association, Melbourne, Australia, August 11–15.

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Hignett, S. 2003. “Hospital Ergonomics: A Qualitative Study to Explore the Organisational and Cultural Factors.” Ergonomics 46 (9): 882–903.10.1080/0014013031000090143

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