ArticleInternational journal of health policy and management2018
Safety I to Safety II: A Paradigm Shift or More Work as Imagined? Comment on "False Dawns and New Horizons in Patient Safety Research and Practice".
Article in International journal of health policy and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed.
- Navigating safety in practice: a qualitative study of how health care personnel organize medication management in Norwegian home care services.BMC health services research · 2026Article
- From Blame to Learning: The Evolution of the London Protocol for Patient Safety.Healthcare (Basel, Switzerland) · 2025Review
- Improving cross-learning in clinical teams using daily on-site reflective meetings.Frontiers in health services · 2025Article
- Is It Still Time for Safety Walkaround? Pilot Project Proposing a New Model and a Review of the Methodology.Medicina (Kaunas, Lithuania) · 2024Article
- Exploring homecare leaders' risk perception and the link to resilience and adaptive capacity: a multiple case study.BMC health services research · 2024Article
- Patient safety for people experiencing advanced dementia in hospital: A video reflexive ethnography.Dementia (London, England) · 2023Article
- Article
- Performance variability in perioperative sentinel events: report on a nationwide data set.The British journal of surgery · 2022Article
- DEEP SCOPE: A Framework for Safe Healthcare Design.International journal of environmental research and public health · 2021Review
- Where is Patient Safety Research and Practice Heading? A Response to Recent Commentaries.International journal of health policy and management · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In their editorial, Mannion and Braithwaite contend that the approach to solving the problem of unsafe care, Safety I, is flawed and requires a shift in thinking to what they are calling Safety II. We have reservations as to whether by itself the shift from Safety I to Safety II is sufficient. Perhaps our failure to improve outcomes in the field of patient safety and quality lies less in our approach - Safety I vs. Safety II - and more in the lack of an agreed upon, commonly understood set of core competencies (knowledge, skills, and attitudes) needed in its workforce. The authors explore in this commentary the need to establish core competencies as part of the pathway to professionalism for the discipline of patient safety and quality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.