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Examining healthcare professionals' communication across the surgical pathway to improve patient safety. Recent data show breakdowns in communication contributed to 16% of sentinel events in Australia, the majority of which were of a surgical nature. Financial costs associated with adverse events are enormous, estimated at around $A2billion/year. Economic burden is predicted to increase with further complexities surrounding patients' surgical care. This study will result in new knowledge about c ....Examining healthcare professionals' communication across the surgical pathway to improve patient safety. Recent data show breakdowns in communication contributed to 16% of sentinel events in Australia, the majority of which were of a surgical nature. Financial costs associated with adverse events are enormous, estimated at around $A2billion/year. Economic burden is predicted to increase with further complexities surrounding patients' surgical care. This study will result in new knowledge about communication patterns to inform the development of reporting methods and strategies that positively influence the practices of healthcare professionals. Strategies could be extrapolated to the broader healthcare sector, and provide tactical direction aimed at averting clinical errors, preventing patient harm and reducing healthcare costs.Read moreRead less
Systemic Safety: the meanings of behaviour in contexts of surgical care. This collaborative project aims to improve our understanding of interacting systems of communication, as exemplified by the context of surgery. Increasingly, adverse events in operative care are considered systemic rather than a product of system breakdown. Existing systems, and how they lead to adverse events, need to be made more explicit. We will describe surgical practice as a system of meaning-bearing systems, integra ....Systemic Safety: the meanings of behaviour in contexts of surgical care. This collaborative project aims to improve our understanding of interacting systems of communication, as exemplified by the context of surgery. Increasingly, adverse events in operative care are considered systemic rather than a product of system breakdown. Existing systems, and how they lead to adverse events, need to be made more explicit. We will describe surgical practice as a system of meaning-bearing systems, integrated from context to content to expression, and incorporating language and other symbolic systems. We will display the ensemble effects of choices in these systems and how they predispose towards or inhibit adverse outcomes through systemic networks.Read moreRead less