KevinMD August 1, 2025
Historically, health care has approached safety with a Safety-I lens, emphasizing the prevention of errors and investigating failures. While this method remains significant, contemporary health care’s complex, dynamic, and interdependent nature necessitates proactive and adaptive safety strategies. The emerging Safety-II and Safety-III frameworks provide novel perspectives on safety by prioritizing resilience, real-time adaptation, and learning from success, rather than from failure.
Safety-II shifts the focus from what goes wrong to what goes right. It acknowledges that most health care processes are successful daily, despite the inherent risks and system variability. Safety-II evaluates successful outcomes to comprehend why processes function effectively under duress. It creates systems that are not only rule-bound but also resilient and adaptable. This helps us to improve...
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