New publication: Incident reporting in healthcare

Dear readers, I have during the past year been involved, as a co-supervisor, in a highly interesting PhD project focusing on the effects of safety interventions in healthcare. The first study in the project: Mind the gap between recommendations and implementation, is now published in the journal BMJ Open, an open access journal making the paper freely accessible for all of you.

The study focuses on incident analyses from the Swedish healthcare system, and more specifically on the recommendations made in the analyses. The PhD student Jonas Wrigstad, himself an anaesthesiologist by profession, has asked the delicate research question "what are the success factors leading to some recommendations actually getting implemented?". The findings are actually rather fascinating and can most easily be summarised as "close in time, close in space". Check out the full paper for the details! 

Kommentarer

Skicka en kommentar

Populära inlägg i den här bloggen

Formal invitation to my thesis defence

Dear readers, again very welcome to my PhD thesis defence. The time is still 10:15 on 15 June in the lecture hall V:B, V-huset, John Ericssons väg 1, Lund. Faculty opponent will be Erik Hollnagel and it will surely be a couple of hours of severe sweating. The defence seminar will be followed by a lunch and a one-hour workshop in which you as the audience will get the opportunity to engage in interesting discussions with four prominent professors: Sidney Dekker, Britt-Marie Drottz Sjöberg, Inge Svedung and Kurt Petersen (unfortunately Erik Hollnagel has had to declare that he is not able to attend). The theme of these discussions will be: The research within Risk Management and Systems Safety in 2020; where are we heading? The formal invitation is found by clicking on this text.  Actually the thesis is now also properly published and available by clicking on this text . I am so looking forward to seeing you in Lund!
Läs mer

Another group of master students have begun their journey

Bild
I have an awesome job! This week I am hosting the first learning laboratory for our new students in our Master Program in Human Factors & Systems Safety . The new students represent industries such as health service delivery, oil and gas, aviation, air traffic control, shipping, railway, and fire fighting. The diversity and level of student experience is what makes this program so fantastic to work with - I learn so much from these students! Together with three colleagues who are former students in the program I am this week tossing theoretical notions from the safety sciences out in the room for the students to play with, mix with reality and toss back. I am really looking forward to spending two years following these students. A journey for us all I think. Below four pictures from the class room. The first two showing Hans Houtman introducing a case study this Monday morning. The second two show the result of yesterday's results of the students' understanding about
Läs mer

Video and slides of my keynote at Velocity 2013 in Santa Clara

Bild
Dear readers, last week I gave a keynote at Velocity , a conference focusing on web operations and performance. The keynote, entitled  What, Where and When is risk in system design?,  focused on the notion of risk from a more philosophical perspective outlining different frames of constructing risk applied to the domain of web operations and web performance. The keynote was recorded and later also edited to also include the slides that I used. It is now published on YouTube, so here you go - a 26 minute introduction to the notion of risk: If you would like to have a closer look at the slides, here is the presentation for you to click your way back and forth as you like (also available at my presentations page) : Connected to this keynote I also authored a blog post which was published by O'Reilley prior to the conference. Go check it out for more references connected to the concepts mentioned in the keynote. I would also like to thank the participants at the confer
Läs mer