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All Outputs (33)

Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events (2018)
Journal Article
Macrae, C. (2018). Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simulation in Healthcare, 13(4), 227-232. https://doi.org/10.1097/SIH.0000000000000315

Copyright © 2018 Society for Simulation in Healthcare. One of the most fundamental principles of patient safety is to investigate and learn from the past in order to improve the future. However, healthcare organizations can find it challenging to dev... Read More about Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events.

Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice (2018)
Journal Article
Macrae, C., Chatburn, E., Carthey, J., & Vincent, C. (2018). Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Quality and Safety, 27(10), 818-826. https://doi.org/10.1136/bmjqs-2017-007175

The Measurement and Monitoring of Safety Framework provides a conceptual model to guide organisations in assessing safety. The Health Foundation funded a large-scale programme to assess the value and impact of applying the Framework in regional and... Read More about Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice.

Emergency Manuals: How Quality Improvement and Implementation Science Can Enable Better Perioperative Management During Crises (2018)
Journal Article
Goldhaber-Fiebert, S. N., & Macrae, C. (2018). Emergency Manuals: How Quality Improvement and Implementation Science Can Enable Better Perioperative Management During Crises. Anesthesiology Clinics, 36(1), 45-62. https://doi.org/10.1016/j.anclin.2017.10.003

© 2017 Sara N. Goldhaber-Fiebert, Carl Macrae How can teams manage critical events more effectively? There are commonly gaps in performance during perioperative crises, and emergency manuals are recently available tools that can improve team performa... Read More about Emergency Manuals: How Quality Improvement and Implementation Science Can Enable Better Perioperative Management During Crises.

Safety analysis over time: seven major changes to adverse event investigation (2017)
Journal Article
Vincent, C., Carthey, J., Macrae, C., & Amalberti, R. (2017). Safety analysis over time: seven major changes to adverse event investigation. Implementation Science, 12(1), Article 151. https://doi.org/10.1186/s13012-017-0695-4

© 2017 The Author(s).

Background

Every safety-critical industry devotes considerable time and resource to investigating and analysing accidents, incidents and near misses. The systematic analysis of incidents has greatly expanded our understand... Read More about Safety analysis over time: seven major changes to adverse event investigation.

When no news is bad news: communication failures and the hidden assumptions that threaten safety (2017)
Journal Article
Macrae, C. (2018). When no news is bad news: communication failures and the hidden assumptions that threaten safety. Journal of the Royal Society of Medicine, 111(1), 5-7. https://doi.org/10.1177/0141076817738503

Communication failures in healthcare can be catastrophic. Lost test results, delayed diagnoses, missing handover information: all can have serious impacts on the safety of care with tragic consequences for patients. Even seemingly trivial mishaps can... Read More about When no news is bad news: communication failures and the hidden assumptions that threaten safety.

Delivering high reliability in maternity care: In situ simulation as a source of organisational resilience (2016)
Journal Article
Macrae, C., & Draycott, T. (2019). Delivering high reliability in maternity care: In situ simulation as a source of organisational resilience. Safety Science, 117, 490-500. https://doi.org/10.1016/j.ssci.2016.10.019

© 2016 Elsevier Ltd The fields of resilience engineering and high reliability organising both seek to explain the key sources and characteristics of safety in organisations that operate under conditions of considerable complexity, variability and sur... Read More about Delivering high reliability in maternity care: In situ simulation as a source of organisational resilience.

Human factors at sea: common patterns of error in groundings and collisions Human factors at sea: common patterns of error in groundings and collisions (2009)
Journal Article
Macrae, C. (2009). Human factors at sea: common patterns of error in groundings and collisions Human factors at sea: common patterns of error in groundings and collisions. Maritime Policy and Management, 36(1), 21-38. https://doi.org/10.1080/03088830802652262

This research aimed to identify and map the common patterns of human and organizational causes underlying two types of marine accident: groundings and collisions. Generalising patterns of causality from relatively unique and individual accident event... Read More about Human factors at sea: common patterns of error in groundings and collisions Human factors at sea: common patterns of error in groundings and collisions.