Analysing the emergence of risk : - an opportunity for patient safety
(2023)- Abstract
- The notion of patient safety entails protecting patients from preventable harm. This thesis presents suggestions on how the healthcare system, notably psychiatric healthcare, can understand and analyse patient safety risk as an emergent property of everyday interactions and relations. This view has its
conceptual roots in complexity theory.
The overall aim is to understand patient safety risk as an emergent property, and how risk can be analysed using patient visits to a psychiatric healthcare facility, based on a holistic approach. Four studies are presented, and two main research questions are asked.
The first research question is addressed through a scoping review, and the second (along with three subquestions) uses a... (More) - The notion of patient safety entails protecting patients from preventable harm. This thesis presents suggestions on how the healthcare system, notably psychiatric healthcare, can understand and analyse patient safety risk as an emergent property of everyday interactions and relations. This view has its
conceptual roots in complexity theory.
The overall aim is to understand patient safety risk as an emergent property, and how risk can be analysed using patient visits to a psychiatric healthcare facility, based on a holistic approach. Four studies are presented, and two main research questions are asked.
The first research question is addressed through a scoping review, and the second (along with three subquestions) uses a psychiatric clinic as a case study to analyse patient visit patterns over time. This thesis suggests that increased patient safety requires an understanding of interactions between multiple system
levels, with a focus on how risk emerges from performance variability, adaptive capacities and changing conditions over time. It proposes new methods for analysing and interpreting dynamic emergent risk in psychiatric healthcare.
The methods used in Paper II, III, and IV illustrate how patient visit patterns can be used to analyse emerging risks in the healthcare system. The results help to create an understanding of how patient safety risk is dynamic and changes over time. Overall, the thesis provides a conceptual framework for mapping sources
of adaptive capacities and performance variability, together with the risk emerging from their interactions. This knowledge can be used to create new forms of feedback from the meso to the micro level (e.g. via electronic medical records), which, in turn, could increase patient safety. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/ba216cd0-9258-49aa-acc2-a30519f7411d
- author
- Svensson, Jakob LU
- supervisor
- opponent
-
- Dr. Ros, Axel, Jönköping Academy, Sweden.
- organization
- publishing date
- 2023
- type
- Thesis
- publication status
- published
- subject
- keywords
- Patient safety, Psychiatry, Risk, Emergence, Performance variability, adaptive capacities
- pages
- 138 pages
- publisher
- Division of Risk Management and Societal Safety, Faculty of Engineering, Lund University
- defense location
- Lecture Hall V:B, building V, John Ericssons väg 1, Faculty of Engineering LTH, Lund University, Lund.
- defense date
- 2023-06-09 13:00:00
- ISBN
- 978-91-8039-718-6
- 978-91-8039-717-9
- language
- English
- LU publication?
- yes
- id
- ba216cd0-9258-49aa-acc2-a30519f7411d
- date added to LUP
- 2023-05-09 14:41:00
- date last changed
- 2023-05-12 09:58:59
@phdthesis{ba216cd0-9258-49aa-acc2-a30519f7411d,
abstract = {{The notion of patient safety entails protecting patients from preventable harm. This thesis presents suggestions on how the healthcare system, notably psychiatric healthcare, can understand and analyse patient safety risk as an emergent property of everyday interactions and relations. This view has its<br/>conceptual roots in complexity theory.<br/>The overall aim is to understand patient safety risk as an emergent property, and how risk can be analysed using patient visits to a psychiatric healthcare facility, based on a holistic approach. Four studies are presented, and two main research questions are asked.<br/>The first research question is addressed through a scoping review, and the second (along with three subquestions) uses a psychiatric clinic as a case study to analyse patient visit patterns over time. This thesis suggests that increased patient safety requires an understanding of interactions between multiple system<br/>levels, with a focus on how risk emerges from performance variability, adaptive capacities and changing conditions over time. It proposes new methods for analysing and interpreting dynamic emergent risk in psychiatric healthcare.<br/>The methods used in Paper II, III, and IV illustrate how patient visit patterns can be used to analyse emerging risks in the healthcare system. The results help to create an understanding of how patient safety risk is dynamic and changes over time. Overall, the thesis provides a conceptual framework for mapping sources<br/>of adaptive capacities and performance variability, together with the risk emerging from their interactions. This knowledge can be used to create new forms of feedback from the meso to the micro level (e.g. via electronic medical records), which, in turn, could increase patient safety.}},
author = {{Svensson, Jakob}},
isbn = {{978-91-8039-718-6}},
keywords = {{Patient safety; Psychiatry; Risk; Emergence; Performance variability; adaptive capacities}},
language = {{eng}},
publisher = {{Division of Risk Management and Societal Safety, Faculty of Engineering, Lund University}},
school = {{Lund University}},
title = {{Analysing the emergence of risk : - an opportunity for patient safety}},
url = {{https://lup.lub.lu.se/search/files/146174307/Jakob_Svensson_WEBB.pdf}},
year = {{2023}},
}