• BMJ quality & safety · Jan 2020

    Editorial Comment

    The harms of promoting 'Zero Harm'.

    "...I encourage all patient safety stakeholders to resist an overemphasis on absolute safety, and instead draw on the strengths of both the safety I and safety II approaches. We should be clear about what types of harms can or cannot be prevented and anticipated, work to eliminate those where there is good evidence for preventability by adopting evidence-based practices, improve the ability of everyone responsible for safety to identify risks, conduct better risk analyses to anticipate and reduce unintended harms, measure and celebrate the routine adaptations that prevent harm, and reward organisational learning and improvement." – Thomas, 2020.

    summary
    • Eric J Thomas.
    • McGovern Medical School at The University Texas Health Science Center at Houston, Houston, Texas, USA eric.thomas@uth.tmc.edu.
    • BMJ Qual Saf. 2020 Jan 1; 29 (1): 4-6.

    no abstract available

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    This article appears in the collection: Reducing health-system harm: Safety I vs Safety II.

    Notes

    summary
    1

    "...I encourage all patient safety stakeholders to resist an overemphasis on absolute safety, and instead draw on the strengths of both the safety I and safety II approaches. We should be clear about what types of harms can or cannot be prevented and anticipated, work to eliminate those where there is good evidence for preventability by adopting evidence-based practices, improve the ability of everyone responsible for safety to identify risks, conduct better risk analyses to anticipate and reduce unintended harms, measure and celebrate the routine adaptations that prevent harm, and reward organisational learning and improvement." – Thomas, 2020.

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