[Article] Human Factors in Incident and Adverse Event Management: From Individual Error to Systemic Analysis in Patient Safety
Summary: The occurrence of adverse events in healthcare institutions is still often attributed to individual error—an approach that is both technically limited and institutionally counterproductive. International human factors frameworks applied to incident management, such as the Swiss Cheese Model, HFACS and
[Article] Patient Safety – What we learned in 2025 and how to plan for 2026
Patient safety has long ceased to be treated merely as a set of good intentions formalized in institutional documents. In 2025, a clear paradigm shift was consolidated: effective safety is the result of structured governance, a mature organizational culture, well-defined processes,
[Article] Risk Management and Patient Safety: From Regulatory Compliance to Organizational Maturity in Healthcare Services
Abstract: The integrated management of care-related risk has become a central element of governance in contemporary healthcare systems, driven by increasing clinical complexity, digital transformation and expanding regulatory and institutional accountability requirements. In this context, fragmented and reactive models have been
[Article] Trends for 2026 in Quality and Patient Safety
Trends for 2026 in Quality and Patient Safety In 2026, patient safety is no longer treated merely as a regulatory requirement and assumes a central role in healthcare organisations’ strategic agendas. In the face of increasing clinical complexity, pressure for efficiency,
Safety Huddle: Optimize the risk management process
We know that the Safety Culture is an important pillar in the structural component of the services, which encourages the implementation of safe practices and decreases incidents and adverse events. The term “safety culture” was first used by the International
3 Steps to perform Safety Huddle in your institution
Healthcare institutions have been seeking strategies to implement a safety culture. And the Safety Huddle is a tool that increases efficiency, quality of information sharing, and definition of responsibilities. The Safety Huddle is a tool consisting of short (10 to 15
e-book: Strategies for optimizing incident management at healthcare institutions
Studies estimate that, in developed countries, healthcare incidents, and adverse events (AE), in particular, affect between 4% and 16% of hospitalized patients. Incidents in healthcare are extremely complex as a range of factors related to the care can contribute to increased
Disclosure: what is the role of top management in reporting adverse events?
When developing and implementing a disclosure policy or process, it must be understood that each patient and each patient's safety incident are unique. Thus, the disclosure process requires flexibility to ensure it is effective and meets the information needs of
Disclosure: How to report incidents and adverse events to patients and family members
In aiming to achieve a culture of safety, clear, effective, open communication is necessary between healthcare services and patients. Patients have the right to access information on the state of their health and the risks inherent to the care provided. When
Find out more about the WHO Global Patient Safety | Action Plan 2021-2030
1. Background of the WHO’s approach to the topic of “patient safety” In May 2002, the 55th World Health Assembly encouraged member states to be aware of the problem of patient safety, establishing and strengthening the evidence-based systems necessary for improving