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System Safety in Healthcare

Unsafe work practices can happen in many ways. The following lengthy list includes examples of potential causes: 
 
Excessive work for clinicians 
Too many unnecessary reports and requirements 
Over-dependence on technology 
Conflict between the need for professional autonomy and establishing the dynamically changing best processes 
Care delivery “silos” resulting from lack of interdepartmental teamwork 
Constant distractions and interruptions 
Too many policies and procedures, leading to a tendency to follow marginally effective methods 
Over-reliance on electronic medical tracking taking precedence over bedside discussions with patients 
Inattention to detail 
Lack of motivation to get, or resources for, a second opinion 
Quick diagnosis based on past observations 
Inadequate attention to medical equipment dangers 
Insufficient effort in infection prevention 
People pretending the negative would not happen to them 
Hospitals looking for quick profit 
Questionable alternate boards certifying physicians who may not be qualified 
A lack of passion for work 
Unfavorable workflows, such as labs located far from the emergency department 
A lack of clarity of what is required to assure patient safety 
Too much team consensus instead of challenging the quality of intervention 
