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suzettew.bsky.social
🦋 Professor #ptsafety expert for over 25 years and 45 in #NHS - author of 3 books so far! Still learning 🤗. Patient Safety Now - on sale - contact and blog via suzettewoodward.org #safetysky #hfesky
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Human error and zero harm In safety today there is a view that error is somehow preventable and that when people make mistakes all we need to do is tell them to stop making mistakes and possibly sanction them if they do.  However, I know it is an obvious statement, but not everything we do will go…

In an extraordinary display of public support, heads of state, heads of government, and foreign ministers from all over Europe and Canada are posting in support of Ukraine in response to the Oval Office meeting with Trump, Zelenskyy, and Vance.

Workarounds – good or bad? One of the ways we try to maintain safety in our everyday work is to do a workaround.   Workarounds in healthcare are common, sometimes planned, sometimes not, but in the vast majority of occasions well meaning.   Often a workaround is a method for overcoming a problem…

NHS England’s next CEO faces immense challenges trying to improve care after the last 15 years. But caring for the carers is vital. The NHS *is* its staff, its people. The discretionary effort. The quiet acts of kindness. Rebuilding morale is imperative. www.theguardian.com/society/2025...

We need facts as never before. 3 years after Putin invaded Ukraine, I spent 24 hours with combat medics on the Ukrainian frontline. Their courage, compassion, dedication & skill are astounding. Please read & please never stop standing up for Ukraine. 🇺🇦 www.theguardian.com/world/2025/f...

Ability to disclose Don Norman wrote the Design of Everyday things in 1988. It is a brilliant book which is underrated in the area of safety. If you do work in safety I would encourage you to read it. A little taster. Don was once asked by a computer company to evaluate a new keyboard.  He spent…

Great article on “safety culture” with relevance to healthcare. Despite decades of discussion and constant calls to improve it, are we clear in what it is and what it means? TLDR: is it time to abandon the concept of “safety culture”. Probably. www.sciencedirect.com/science/arti...

This email from a senior medical consultant hit me hard. How can we establish #PsychologicalSafety when it's never been there for so many of us? 💔 #OperateWithRespect

Work as imagined and more Work as imagined is what we imagine work is like or what we imagine the work could look like.  The ‘we’ is often policy makers, standard settings, guideline developers, regulators and commissioners.  It also includes us. The term work as imagined can also apply to…

What is safety I? Safety-I is defined by Professor Hollnagel as a state where as few things as possible go wrong (Hollnagel 2014).  In order to achieve this 'state' our aim is to try to prevent things from going wrong. Being proactive and prevent harm or injury is at the very heart of risk…

Can we prescribe daily work? Directly linked to this way of thinking about safety is the view that what people do can be prescribed in some way; policies, procedural documents, guidelines, standards and so on. This view asserts that all the people need to do is adhere to them and care will be…

suzettewoodward.org/2024/12/16/s...

Patient Safety Now – summary of my book Wherever you work in healthcare and whatever role you have you will be wanting to ensure the safety of the patients in your care. You will want to find ways of building safety within your work. However, healthcare is an uncertain world and the difference…

Bravery, compassion and strength. God bless this woman.

I have a few new followers - welcome - so thought I would let you know who I am and what I do

People in Control❓ Last week I did a talk for LVNL (the Dutch air navigation service provider) for one of their safety days. The talk was entitled ‘People in Control? Work-as-Imagined and Work-as-Done’. youtu.be/fanYF8cXNYU?...

A short journal editorial on Human Factors and Ergonomics, adapted for hospital medicine readers, by Dr Craig Bailey, me and Dr Kevin Fong @drkevinfong.bsky.social www.magonlinelibrary.com/doi/full/10.... 🧵

The James Reason Lecture 2016 It was an absolute honour and joy to deliver the James Reason Lecture in 2016 at the Patient Safety Congress on what was the 68th Birthday of the NHS.  Prof Reason was my supervisor for my doctorate… http://suzettewoodward.org/2024/12/01/the-james-reason-lecture-2016/

I am seeing lots of comments about RCA. That is was/is a good tool just used badly and that PSIRF should include it in the repertoire of methods. What do you all think?

Really like this framing of Psychological safety by Timothy Clark. Need to start with inclusion, then learner then contributor then challenger. We need to get to challenger level to enable innovation & to enable all to feel able to speak up / challenge / have a different opinion…

Welcome 😊

Loving this new paper on complexity in medicine, using pediatrics as the worked example. Too many medical authors (and the MRC) run fast and loose with the terms 'complexity' and 'complex interventions'. They should read this paper. #medsky #academicsky #philsci 🧪 www.nature.com/articles/s41...

The James Reason Lecture 2016 It was an absolute honour and joy to deliver the James Reason Lecture in 2016 at the Patient Safety Congress on what was the 68th Birthday of the NHS.  Prof Reason was my supervisor for my doctorate… http://suzettewoodward.org/2024/12/01/the-james-reason-lecture-2016/

Our conclusion after 6 years working across the healthcare system #safety

Totally agree

A positive culture in the NHS People “tend to overestimate their ability to function flawlessly under adverse condition, such as under the pressures of time, fatigue or high anxiety” and “We must re-examine all that we do… http://suzettewoodward.org/2024/11/23/a-positive-culture-in-the-nhs-copy/

I am reposting a few of my blogs for my new followers - may be of interest to some http://suzettewoodward.org/2024/11/23/the-problem-with-incident-reporting-copy/

Today, @thisinstitute.bsky.social Director, @marydixonwoods.bsky.social was awarded an honorary doctorate by @rcsi.bsky.social celebrating the work she has done to make a difference to healthcare through education. Congratulations, Mary from the team at THIS Institute

On my way back from Plymouth. Can you guess I am on a train. 😄. The last few months have totally reenergised me and having the absolute privilege of being freelance to do the things that bring me joy, I will start again to share my opinions on safety, which I had stopped doing on X

What a lovely thing to say. Which will show others how kind you are and totally worth a follow too 💞

Absolutely thrilled to have @doctoroxford.bsky.social speaking about the power of storytelling in medicine at our @gerisoc.bsky.social meeting today #BGSconf

…They had one main rule which was to ban any conversation which concerned things beginning with C.  This was to rule out computing, which was their main work related activity and therefore encourage people to broaden the conversations to help learn more from and about each other. Love this.

In the 1960s my Uncle worked at the Radar Research Establishment in Malvern. There were a number of divisions within the establishment who stuck together in their different groups.  My uncle decided that every day the different groups should be invited to come together for coffee and conversation

To help build those relationships I mention we need to bring back the spaces for people to interact on a personal and professional level….

As an addendum to my top 3. We were also on the cusp of really helping when our time was up. In the NHS quite a few interventions get curtailed before they have been able to achieve much. So the NHS approach to short term ‘projects’ wastes the valuable time spent and knowledge gained.

Third and most important. Safety will only be achieved if we care for the people who care for patients. Genuine care and support. Time and space to think. Compassion and kindness. A restorative just culture and a psychologically safe environment.

Second. Healthcare is always about relationships and these are being eroded by the conditions people are working in and the behaviours all around them. Particularly incivility and a general lack of kindness.