Sorry, you need to enable JavaScript to visit this website.
Skip to main content
Commentary

Early warnings, weak signals and learning from healthcare disasters.

Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685.

Save
Print
May 20, 2014
Macrae C. BMJ Qual Saf. 2014;23(6):440-5.
View more articles from the same authors.

This commentary examines how minor risks, when propagated and not addressed, may result in organizational disasters, as evidenced in the Francis report. The author advocates for early detection of workarounds and routine investigations into system causes of errors to reveal latent safety hazards in health care.

Save
Print
Cite
Citation

Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685.