What factors influence safe patient care? A review of the dominant models and frameworks

B Bird, B Jolly, D Griffiths, A Williams

Research output: Contribution to conferenceAbstract


Introduction: Doctors practice within complex healthcare system environments. Multiple regulatory and organizational layers, set within a range of system and safety models and frameworks, both facilitate and impinge upon the ability of hospitals and their clinical and administrative departments and affiliates to ensure safe, competent and timely care at the clinical team and individual doctor - patient levels.Methods: Classical evidence –based safety models and frameworks were identified and analysed through a targeted review of the organisational and patient safety literature.Results: Analysis of the findings suggested that patient safety models and frameworks may be considered as belonging to one of three broad categories: the systems approach to organizational error (for example, Vincent, 2010; Van der Shaff, 1992; Reason, 1990, 1995, 1997; Amalberti, Vincent & Auroy, et al, 2006); the clinical practice and regulatory approach based on performance standards (Southgate, Hays, Norcini et al, 2001); and the educational approach through patient safety curriculum frameworks (NPSEF, 2005, WHO Curriculum Guide for Medical Schools, 2008).Conclusion: A composite model, incorporating the complementary elements of the three categories of models and frameworks, is proposed.
Original languageEnglish
Number of pages1
Publication statusPublished - 2016
EventOTTAWA Conference 2016 - Perth Convention and Exhibition Centre, Perth, Australia
Duration: 19 Mar 201623 Mar 2016
Conference number: 17th


ConferenceOTTAWA Conference 2016
Abbreviated titleOTTAWA2016/ANZAHPE 2016
Internet address

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