Systemic Analysis of a Large-scale organization Failure in UK Healthcare

Gyuchan Thomas Jun & Aneurin Canham

Simple linear approach prevalent in the majority of healthcare incident analyses has been the target of criticism and is not felt to be effective in complex systems, such as healthcare. STAMP (System Theoretic Accident Modelling and Process) is felt to be a promising method for the improvement of healthcare incident analysis. This study, therefore, aims to explore the applicability of STAMP in healthcare through the case study of the STAMP application to the large-scale organisational failure at Mid-Staffordshire NHS Trust between 2005-2009.

The effectiveness of the STAMP applications was evaluated with feedback from healthcare stakeholders on the usability and utility of STAMP. Healthcare stakeholders were generally positive about the utility of STAMP in providing a system view and guiding consideration of interactions between system components. However, many felt it to be a complicated method that would require specialist expertise. From the findings of the research, recommendations are made to improve STAMP and to assist future applications of STAMP in healthcare.

Posted Oct-2019

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