Presentation is loading. Please wait.

Presentation is loading. Please wait.

Flirting with the margin and marginal creep.

Published byDarren Woods Modified over 4 years ago

Similar presentations

Presentation on theme: "Flirting with the margin and marginal creep."— Presentation transcript:

1 Flirting with the margin and marginal creep.
 Flirting with the margin and marginal creep. The location of the marginal boundary is determined by sociotechnical processes. Over time, excursions of the operating point beyond the marginal boundary (“flirting with the margin”) that are not accompanied by overt accidents may lead to outward creep of the marginal boundary and regular operation of the system in what used to be the marginal region. R Cook, and J Rasmussen Qual Saf Health Care 2005;14: Copyright © BMJ Publishing Group Ltd and the Health Foundation. All rights reserved.

Download ppt "Flirting with the margin and marginal creep."

Similar presentations

 Categorisation of direct and indirect admissions to the intensive care unit (ICU) from emergency departments (EDs), using source of admission.  Categorisation.

 Categorisation of direct and indirect admissions to the intensive care unit (ICU) from emergency departments (EDs), using source of admission.  Categorisation.
QI Tools: Run Charts.

QI Tools: Run Charts.
Number of days from insertion of intrauterine device or intrauterine system to first major event in patients receiving frequent or infrequent systematic.

Number of days from insertion of intrauterine device or intrauterine system to first major event in patients receiving frequent or infrequent systematic.
Sagittal T1 weighted spin echo MR images of the brain (TR = 387 ms, TE = 20 ms): (A) normal corpus callosum; (B) noticeable thinning of corpus callosum,

Sagittal T1 weighted spin echo MR images of the brain (TR = 387 ms, TE = 20 ms): (A) normal corpus callosum; (B) noticeable thinning of corpus callosum,
The hierarchy of effectiveness depicts the various strategies for modifying behaviour ranked by their effectiveness. The hierarchy of effectiveness depicts.

The hierarchy of effectiveness depicts the various strategies for modifying behaviour ranked by their effectiveness. The hierarchy of effectiveness depicts.
Chapter 5: Referral to specialists and models of care

Chapter 5: Referral to specialists and models of care
Chart 3: Working example of oxygen section for hospital prescription charts (two panels are required on the prescription chart because oxygen may change.

Chart 3: Working example of oxygen section for hospital prescription charts (two panels are required on the prescription chart because oxygen may change.
Lifecycle of the urinary catheter

Lifecycle of the urinary catheter
A, B, C, D show outcome results for individual symptoms using GSRS-IBS scoring system and mean symptom severity scores before and after IBS dietetic management.

A, B, C, D show outcome results for individual symptoms using GSRS-IBS scoring system and mean symptom severity scores before and after IBS dietetic management.
The 11 dimensions of simulation applications.

The 11 dimensions of simulation applications.
Masashi Maeda et al. Heart Asia 2013;5:7-14

Masashi Maeda et al. Heart Asia 2013;5:7-14
Preprocedure patient ranking of aspects of their care important for obtaining satisfaction with their colonoscopy experience (1=high, 15=low for importance)

Preprocedure patient ranking of aspects of their care important for obtaining satisfaction with their colonoscopy experience (1=high, 15=low for importance)
Measure-specific reasons for exclusion (2010-Q4–2013-Q3).

Measure-specific reasons for exclusion (2010-Q4–2013-Q3).
Example action effect diagram for a chronic obstructive pulmonary disease improvement initiative constructed retrospectively at the end of the initiative.

Example action effect diagram for a chronic obstructive pulmonary disease improvement initiative constructed retrospectively at the end of the initiative.
Systematic framework of the literature review process11 (

Systematic framework of the literature review process11 (
Comparison between the individual experience and the data shadow: We map the life course of a hypothetical individual, showing age in 5-year increments,

Comparison between the individual experience and the data shadow: We map the life course of a hypothetical individual, showing age in 5-year increments,
A multidimensional framework for patient and family engagement in health and healthcare.33 This figure builds upon Arnstein's34 widely quoted ‘ladder of.

A multidimensional framework for patient and family engagement in health and healthcare.33 This figure builds upon Arnstein's34 widely quoted ‘ladder of.
The 11 instalments of SHAPE

The 11 instalments of SHAPE
Predicted probability of reporting high speaking up frequency (≥the population median) relative to encouraging environment (EES, increasing values with.

Predicted probability of reporting high speaking up frequency (≥the population median) relative to encouraging environment (EES, increasing values with.
Example reporting events by odds ratio using hierarchal modelling with shrinkage adjustment. Example reporting events by odds ratio using hierarchal modelling.

Example reporting events by odds ratio using hierarchal modelling with shrinkage adjustment. Example reporting events by odds ratio using hierarchal modelling.

Similar presentations

Ads by Google