Letters Mid Staffs inquiry

Changing behaviour with a human factors approach

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f1416 (Published 05 March 2013) Cite this as: BMJ 2013;346:f1416
  1. Rhona Flin, professor of applied psychology1,
  2. Martin Bromiley, chair2,
  3. Peter Buckle, professor3,
  4. Jane Reid, professor4
  1. 1Industrial Psychology Research Centre, University of Aberdeen, King’s College, Old Aberdeen AB24 2UB, UK
  2. 2Clinical Human Factors Group, North Marston, UK
  3. 3Department of Surgery and Cancer, Division of Surgery, Faculty of Medicine, Imperial College London, St Mary’s Hospital, London, UK
  4. 4School of Health and Social Care, Bournemouth University, Bournemouth, UK
  1. r.flin{at}abdn.ac.uk

The Francis report identified multiple problems relating to the safety culture of Stafford Hospital during 2005-09.1 In a safe culture, system leaders are sensitive to the unintended consequences of policy, and staff at every level share responsibility for safety.2

The aviation industry began to recognise 30 years ago that certain behaviours were …

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