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Updated: May 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

[Patient safety in a new perspective].

Erik Hollnagel¹, Arne Poulstrup

¹Center for Kvalitet, Institut for Sundhedstjenesteforskning, Region Syddanmark, P.V. Tuxensvej 5, 3-5, Middelfart.

Ugeskrift for Laeger

|November 10, 2012

Summary

Reactive safety management is insufficient for effective healthcare. A proactive approach, understanding why performance succeeds (Safety-II), is crucial for system improvement over merely preventing failures (Safety-I).

Area of Science:

Healthcare systems engineering
Patient safety research
Organizational safety science

Context:

Effective healthcare relies on complex, interconnected systems.
Traditional safety management often employs a reactive, 'fire-fighting' approach post-event.
This reactive strategy proves inadequate for ensuring consistent safety and efficiency.

Purpose:

To advocate for a paradigm shift in safety management within healthcare.
To highlight the limitations of reactive safety (Safety-I) approaches.
To promote the adoption of a proactive Safety-II framework.

Summary:

Healthcare safety requires moving beyond reactive measures that address failures.
A proactive Safety-II approach focuses on understanding why everyday performance is successful.

Related Experiment Videos

Last Updated: May 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

This understanding can be actively leveraged to enhance overall system functioning and resilience.

Impact:

Implementing Safety-II principles can lead to more robust and reliable healthcare systems.
A proactive safety culture enhances the efficiency and effectiveness of specialized services.
This shift promises improved patient outcomes and reduced system vulnerabilities.