René Amalberti

The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system. There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need to see safety through the patient’s eyes, to consider how safety is managed in different contexts and to develop a wider strategic and practical vision in which patient safety is recast as the management of risk over time. Most safety improvement strategies aim to improve reliability and move closer toward optimal care. However, healthcare will always be under pressure and we also require ways of managing safety when conditions are difficult. We need to make more use of strategies concerned withdetecting, controlling, managing and responding to risk. Strategies for managing safety in highly standardised and controlled environments are necessarily different from those in which clinicians constantly have to adapt and respond to changing circumstances. This work is supported by the Health Foundation. The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. The charity’s aim is a healthier population in the UK, supported by high quality health care that can be equitably accessed. The Foundation carries out policy analysis and makes grants to front-line teams to try ideas in practice and supports research into what works to make people’s lives healthier and improve the health care system, with a particular emphasis on how to make successful change happen. A key part of the work is to make links between the knowledge of those working to deliver health and health care with research evidenceand analysis. The aspiration is to create a virtuous circle, using what works on the ground to inform effective policymaking and vice versa. Good health and health care are vital for a flourishing society. Through sharing what is known, collaboration and building people’s skills and knowledge, the Foundation aims to make a difference and contribute to a healthier population.

Drawing on decades of industrial experience, this insightful and practical guide uses case studies and an interdisciplinary perspective to explain the fundamentals of simulation training to improve performance of high-risk professional activities. It seeks to identify those conditions under which simulation training has been shown to improve professional practice while employing extensive real examples. Simulation Training: Fundamentals and Application helps readers to develop their own synthesis of the simulation learning method and to use such training to enhance their skills and performance. Case studies demonstrate five specific theatres of professional practice - the nuclear-power industry, aeronautics, surgery, anesthesia and metallurgy – and then detailed analysis highlights the common factors and key results. The author’s background as a Human Factors Consultant, Physicist and Physiologist has enriched studies of humans in work situations, work organization and management and he has also been involved in pedagogical conception of experimental training on simulators based on his experience as a safety expert on nuclear power plant. The book is useful to practitioners, researchers and students, both in industry and in university. It is clearly cross disciplinary as it presents and discusses applications in engineering, professional practice (airline pilots) and medicine.

The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system. There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need to see safety through the patient’s eyes, to consider how safety is managed in different contexts and to develop a wider strategic and practical vision in which patient safety is recast as the management of risk over time. Most safety improvement strategies aim to improve reliability and move closer toward optimal care. However, healthcare will always be under pressure and we also require ways of managing safety when conditions are difficult. We need to make more use of strategies concerned withdetecting, controlling, managing and responding to risk. Strategies for managing safety in highly standardised and controlled environments are necessarily different from those in which clinicians constantly have to adapt and respond to changing circumstances. This work is supported by the Health Foundation. The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. The charity’s aim is a healthier population in the UK, supported by high quality health care that can be equitably accessed. The Foundation carries out policy analysis and makes grants to front-line teams to try ideas in practice and supports research into what works to make people’s lives healthier and improve the health care system, with a particular emphasis on how to make successful change happen. A key part of the work is to make links between the knowledge of those working to deliver health and health care with research evidenceand analysis. The aspiration is to create a virtuous circle, using what works on the ground to inform effective policymaking and vice versa. Good health and health care are vital for a flourishing society. Through sharing what is known, collaboration and building people’s skills and knowledge, the Foundation aims to make a difference and contribute to a healthier population.

Drawing on decades of industrial experience, this insightful and practical guide uses case studies and an interdisciplinary perspective to explain the fundamentals of simulation training to improve performance of high-risk professional activities. It seeks to identify those conditions under which simulation training has been shown to improve professional practice while employing extensive real examples. Simulation Training: Fundamentals and Application helps readers to develop their own synthesis of the simulation learning method and to use such training to enhance their skills and performance. Case studies demonstrate five specific theatres of professional practice - the nuclear-power industry, aeronautics, surgery, anesthesia and metallurgy – and then detailed analysis highlights the common factors and key results. The author’s background as a Human Factors Consultant, Physicist and Physiologist has enriched studies of humans in work situations, work organization and management and he has also been involved in pedagogical conception of experimental training on simulators based on his experience as a safety expert on nuclear power plant. The book is useful to practitioners, researchers and students, both in industry and in university. It is clearly cross disciplinary as it presents and discusses applications in engineering, professional practice (airline pilots) and medicine.

Managing safety in a professional environment requires constant negotiation with other competitive dimensions of risk management (finances, market and political drivers, manpower and social crisis). This is obvious, although generally not said in safety manuals. The book provides a unique vision of how to best find these compromises, starting with lessons learnt from natural risk management by individuals, then applying them to the craftsman industry, complex industrial systems (civil aviation, nuclear energy) and public services (like transportation and medicine). It offers a unique, illustrated, easy to read and scientifically based set of original concepts and pragmatic methods to revisit safety management and adopt a successful system vision. As such, and with illustrations coming from many various fields (aviation, fishing, nuclear, oil, medicine), it potentially covers a broad readership.