Patient safety and the problem of many hands

March 23, 2016

Source: BMJ Quality & Safety [Epub ahead of print]

Follow this link for abstract

Date of publication: February 2016

Publication type:  Journal article

In a nutshell:  Healthcare worldwide is faced with a crisis of patient safety. Notwithstanding occasional successes in relation to specific harms, safety as a system characteristic has remained elusive. The authors of this article propose that one neglected reason why the safety problem has proved so stubborn is that healthcare suffers from a pathology known in the public administration literature as the problem of many hands. It is a problem that arises in contexts where multiple actors—organisations, individuals, groups—each contribute to effects seen at system level, but it remains difficult to hold any single actor responsible for these effects. This paper calls for recognition of the problem of many hands and for attention to be given to how it might most optimally be addressed in a healthcare context.

Length of publication:  5 pages

Some important notes:  Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library


Darzi: The NHS’s approach to patient harm is simplistic and myopic

July 29, 2015

Source:  Health Service Journal, 10 July, 2015

Follow this link for item

Date of publicationJuly 2015

Publication type:  News item

In a nutshell: In this comment piece from the HSJ, Lord Darzi, a surgeon and director of the Institute of Global Health Innovation at Imperial College London, argues that changes are needed across cultural, technological and procedural boundaries so as to reduce patient harm. He also says that it is time to learn from other health systems.

Length of Publication:  1 web page