Toward the translation of systems thinking methods in patient safety practice: Assessing the validity of Net-HARMS and AcciMap

Paul M. Salmon; Brandon King; Adam Hulme; Satyan Chari; Linda McCormack; Michael Tresillian; Kate Bennett; Gemma J.M. Read

doi:10.1016/j.ssci.2022.106003

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Toward the translation of systems thinking methods in patient safety practice: Assessing the validity of Net-HARMS and AcciMap

Journal article

Peer reviewed

Toward the translation of systems thinking methods in patient safety practice: Assessing the validity of Net-HARMS and AcciMap

Paul M. Salmon, Brandon King, Adam Hulme, Satyan Chari, Linda McCormack, Michael Tresillian, Kate Bennett and Gemma J.M. Read

Safety Science, Vol.159, pp.1-11

2023

DOI: https://doi.org/10.1016/j.ssci.2022.106003

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Abstract

Accident analysis

Healthcare

Medication safety

Reliability and validity

Risk assessment

Safety

In healthcare practice, state-of-the-art safety science methods are overlooked in favour of established methods. Bridging this ‘research-practice’ gap is critical to support safe, high-quality healthcare; however, it is not clear whether contemporary methods work as intended when used by practitioners. This study aimed to assess the criterion-referenced validity of systems thinking-based risk assessment (Net-HARMS) and accident analysis methods (AcciMap). Sixty-seven healthcare practitioners from Queensland, Australia, received training in each method and used Net-HARMS to identify risks associated with patient medication administration tasks and AcciMap to analyse an adverse medication administration event. Validity was assessed by comparing participants’ analyses to ‘gold standard’ expert analyses. Net-HARMS achieved poor levels of validity for both task and emergent risk identification. AcciMap achieved high levels of validity for the placement of contributory factors at the correct healthcare system level but only moderate levels when identifying relationships between contributory factors. The findings highlight the need for further work to support the use of state-of-the-art safety science methods in practice. This includes the provision of education in systems thinking, methods training programs, the development of further support materials, and modification of the methods to improve their usability.

Details

Title: Toward the translation of systems thinking methods in patient safety practice: Assessing the validity of Net-HARMS and AcciMap
Authors: Paul M. Salmon (Corresponding Author) - University of the Sunshine Coast, Queensland, Centre for Human Factors and Sociotechnical Systems
Brandon King (Author) - University of the Sunshine Coast, Queensland, Centre for Human Factors and Sociotechnical Systems
Adam Hulme (Author) - University of Queensland
Satyan Chari (Author) - Queensland Health
Linda McCormack (Author) - Queensland Health
Michael Tresillian (Author) - Queensland Health
Kate Bennett (Author) - Queensland Health
Gemma J.M. Read (Author) - University of the Sunshine Coast, Queensland, Centre for Human Factors and Sociotechnical Systems
Publication details: Safety Science, Vol.159, pp.1-11
Publisher: Elsevier BV
DOI: 10.1016/j.ssci.2022.106003
ISSN: 1879-1042
Organisation Unit: School of Health - Psychology; University of the Sunshine Coast, Queensland; Centre for Human Factors and Sociotechnical Systems
Language: English
Record Identifier: 99697098602621
Output Type: Journal article

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Web Of Science research areas: Engineering, Industrial; Operations Research & Management Science

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