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All Outputs (3)

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), 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.