The development of safety cases for healthcare services: Practical experiences, opportunities and challenges. (August 2015)

• Record Type: Journal Article
• Authors: Sujan, Mark; Spurgeon, Peter; Cooke, Matthew; Weale, Andy; Debenham, Philip; Cross, Steve
• Is Part Of: Reliability engineering & system safety. Volume 140(2015:Aug.)
• Page Start: 200
• Page End: 207
• Publication Date: 2015-08
• Subjects: Patient safety -- Healthcare -- Safety case -- Risk management -- Safety assurance -- Safety regulation; Reliability (Engineering) -- Periodicals; System safety -- Periodicals; Industrial safety -- Periodicals; Fiabilité -- Périodiques; Sécurité des systèmes -- Périodiques; Sécurité du travail -- Périodiques; 620.00452
• DOI: 10.1016/j.ress.2015.03.033
• Languages: English
• ISSNs: 0951-8320

Abstract

Abstract: There has been growing interest in the concept of safety cases for medical devices and health information technology, but questions remain about how safety cases can be developed and used meaningfully in the safety management of healthcare services and processes. The paper presents two examples of the development and use of safety cases at a service level in healthcare. These first practical experiences at the service level suggest that safety cases might be a useful tool to support service improvement and communication of safety in healthcare. The paper argues that safety cases might be helpful in supporting healthcare organisations with the adoption of proactive and rigorous safety management practices. However, it is also important to consider the different level of maturity of safety management and regulatory oversight in healthcare. Adaptations to the purpose and use of safety cases might be required, complemented by the provision of education to both practitioners and regulators. Highlights: Empirical description of safety case development at service level in healthcare. Safety cases can support adoption of proactive and rigorous safety management. Adaptation to purpose and use of safety cases might be required in healthcare. Education should be provided to practitioners and regulators.