What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare.
The Safety I and Safety II frameworks can be complementary, allowing organizations to focus both on eliminating errors (Safety I) and fostering resilience to understand how things usually go right (Safety II). This article provides an overview of the Systematic Human Error Reduction and Prediction (SHERPA) and Functional Resonance Analysis Method (FRAM) and examines their application in managing post-surgical deterioration from the Safety I and Safety II perspectives.