This paper by Emma Nunez and Patrick Mitchell examines the role of human factors in tackling the human and organisational factors around patient safety. It includes the key roles of staff and how to develop organisational resilience.

The NHS for many years has concentrated on a system focused solution to errors, while attempting to avoid an individual ‘blame culture’. Although this focus has been positive in achieving a more robust understanding of incidents, errors, and their management, the drive for searching out ‘system failures’ has perhaps been at the expense of identifying the accompanying ‘human factors’.