Safety I to Safety II: A Paradigm Shift or More Work as Imagined? Comment on "False Dawns and New Horizons in Patient Safety Research and Practice".

MedStar author(s):
Citation: International Journal of Health Policy & Management. 7(7):671-673, 2018 03 07.PMID: 29996589Institution: MedStar Health Research InstituteForm of publication: Journal ArticleMedline article type(s): Comment | Journal ArticleSubject headings: *Patient Safety | *Thinking | Decision Making | Humans | IN PROCESS -- NOT YET INDEXED | ResearchYear: 2018ISSN:
  • 2322-5939
Name of journal: International journal of health policy and managementAbstract: Copyright (c) 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.In their editorial, Mannion and Braithwaite contend that the approach to solving the problem of unsafe care, Safety I, is flawed and requires a shift in thinking to what they are calling Safety II. We have reservations as to whether by itself the shift from Safety I to Safety II is sufficient. Perhaps our failure to improve outcomes in the field of patient safety and quality lies less in our approach - Safety I vs. Safety II - and more in the lack of an agreed upon, commonly understood set of core competencies (knowledge, skills, and attitudes) needed in its workforce. The authors explore in this commentary the need to establish core competencies as part of the pathway to professionalism for the discipline of patient safety and quality.All authors: Smith KM, Valenta ALFiscal year: FY2018Digital Object Identifier: Date added to catalog: 2018-07-30
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Journal Article MedStar Authors Catalog Article 29996589 Available 29996589

Copyright (c) 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

In their editorial, Mannion and Braithwaite contend that the approach to solving the problem of unsafe care, Safety I, is flawed and requires a shift in thinking to what they are calling Safety II. We have reservations as to whether by itself the shift from Safety I to Safety II is sufficient. Perhaps our failure to improve outcomes in the field of patient safety and quality lies less in our approach - Safety I vs. Safety II - and more in the lack of an agreed upon, commonly understood set of core competencies (knowledge, skills, and attitudes) needed in its workforce. The authors explore in this commentary the need to establish core competencies as part of the pathway to professionalism for the discipline of patient safety and quality.

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