Human Factors Template

This resource, Human Factors Template, is part of our growing library of practical patient safety material. It is placeholder content for design and will be replaced with real copy.

Small, well-supported changes that stick will always outperform ambitious changes that quietly fade once attention moves elsewhere.

Getting started

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Patient safety work rarely fails for a single reason. More often, outcomes emerge from the interaction of people, tools, processes and the wider system around them.

Where teams get stuck

• Focus on a small number of high-value improvements
• Start from how work is really done, not how it is described on paper
• Involve patients, families and staff as partners in the process
• Separate understanding the problem from agreeing the response

Bringing it together

Taking a systems view means looking beyond individual actions to the conditions that shaped them. This shift in perspective is the foundation of meaningful learning.

1. Map what happened and who was involved
2. Explore the conditions and contributing factors
3. Identify the most promising opportunities to improve
4. Agree proportionate, owned actions

The goal is not to find someone to blame, but to understand the system well enough to make it safer.

When teams slow down to understand how work actually happens — rather than how it is imagined to happen — they uncover the most useful opportunities to improve.

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