Paraphrased English Version:
This book presents a comprehensive framework of safety strategies and practical interventions designed to support the effective management of patient safety in daily healthcare practices while promoting continuous improvement over time. The approaches discussed are relevant across all levels of healthcare systems, ranging from healthcare professionals working directly with patients to policymakers, regulators, and organizational leaders responsible for governance.
Although significant progress has been achieved in the field of patient safety, the authors emphasize the need for a broader and more integrated perspective that considers the entire patient care journey. They highlight the importance of understanding safety from the patient’s perspective, examining how risks are managed in various healthcare environments, and developing a strategic approach that views patient safety as an ongoing process of identifying, controlling, and responding to risks over time.
Many existing safety improvement initiatives focus on increasing reliability and achieving ideal standards of care. However, healthcare environments are often complex and unpredictable, requiring additional strategies to maintain safety under challenging conditions. Therefore, healthcare organizations must strengthen their ability to detect potential hazards, manage risks effectively, and adapt responses according to changing situations. Safety management approaches in highly structured environments may differ from those required in settings where healthcare professionals must continuously adjust their decisions and actions based on evolving circumstances.
This publication is supported by the Health Foundation, an independent charity dedicated to improving health and healthcare quality in the United Kingdom. The organization works toward creating a healthier population by supporting accessible, equitable, and high-quality healthcare services. Through policy research, funding for frontline healthcare innovations, and studies on effective improvement strategies, the Health Foundation contributes to the development of better healthcare systems.
A central focus of the Foundation’s work is connecting practical experiences from healthcare providers with research evidence and policy development. By encouraging collaboration, knowledge sharing, and capacity building, the organization aims to support sustainable improvements in healthcare delivery and contribute to a healthier society.
René Amalberti is a medical professor (MD, PhD) with extensive experience in human factors, patient safety, and healthcare system management. After completing his residency training in psychiatry, he joined the French Air Force in 1977 and obtained a permanent position in military research in 1982. He was appointed Professor of Medicine in 1995 and retired from active military service in 2007. Currently, he serves as a Senior Advisor for Patient Safety at the Haute Autorité de Santé (HAS) and as Chief Scientific Officer of the French organization La Prévention Médicale. Throughout his career, he has contributed significantly to the field of safety science, publishing more than 100 international scientific articles and writing or co-writing 10 books focusing on human error, risk management, and system safety. His most recent publication, Navigating Safety (Springer, 2013), explores approaches to improving safety in complex systems.
Charles Vincent is a clinical psychologist and a leading researcher in the field of patient safety. Since 1985, he has conducted extensive research on the causes and consequences of patient harm, the impact of adverse events on patients and healthcare professionals, and strategies for improving healthcare safety. He previously served as Professor of Psychology at University College London before joining the Department of Surgery and Cancer at Imperial College London in 2002, where he led the Imperial Centre for Patient Safety and Service Quality. Vincent is widely recognized for his contributions to healthcare risk management and patient safety research. He edited Clinical Risk Management (BMJ Publications, 2nd edition, 2001), authored Patient Safety (2nd edition, 2010), and has published numerous scientific papers addressing medical errors, healthcare risks, and safety improvement. He currently serves as a Health Foundation Fellow and holds a professorship in Psychology at the University of Oxford.
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