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PSNet: Patient Safety Network
Newspaper/Magazine Article

Considering human factors and developing systems-thinking behaviours to ensure patient safety.

Vosper H; Lim R; Knight C; Bowie P; Edwards B; Hignett S; CIEHF Pharmaceutical Human Factors Special Interest Group.

Traditionally, efforts to reduce medical errors have focused on modifying individual behavior rather than systems. This article reviews the use of systems thinking models to address failure and discusses how small problems can combine into organizational failure. The authors suggest that the health care workforce develop human factors engineering competencies to achieve improvements.