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Adapting organisational behaviour to safeguard against the threat of corporate manslaughter  Stuart Emslie  BSc MSc CEng MIHM FIOSH Healthcare Governance director & Visiting Fellow, Loughborough University Business School Former Department of Health Head of Controls Assurance for the NHS in England
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1992: Compliance with Health & Safety Laws & Regulations ,[object Object],[object Object],[object Object]
Safecode……. ,[object Object],[object Object],[object Object]
1994
1999 Controls assurance H&S standard 38 pages…..
 
2004 Standards for better health “ While  Standards for Better Health  will synthesise a large number of existing rules and guidance, NHS bodies will continue to be subject to the wider regulatory framework, such as health and safety legislation.”
Organisational behaviour – a function of organisational systems Systems make things happen – people make it work Adapting organisational behaviour to safeguard against the threat of corporate manslaughter
 
r=.73, p<.001
Quality of job design (r=.59) Job satisfaction (r=.53) Intention to leave job (r=.53) Positive feeling with organisation (r=.62)
 
 
 
Norfolk and Norwich University Hospital NHS Trust ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
The Scotsman 14 October 2007 - http://news.scotsman.com/index.cfm?id=1641252007
‘ UK: blunders by doctors kill 40,000 a year’ Sunday Times, 19 Dec 1999 “ Medical error is the third most frequent cause of death in Britain after cancer and heart disease…….kills four times more people than die from all other types of accidents.” NB – USA approx. 98,000/year; Australia approx. 10,000/year
www.jcaho.org
Failure Mode and Effects Analysis   FMEA HFMEA TM SFMEA Failure Mode and Effect Analysis Failure Modes and Effects Analysis
FMEA Steps… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1 2a 2b 4b 3b 3c 5 4a 3a
 
Ten steps to compliance? ,[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from Local Government Employers - www.lge.gov.uk
Ten steps to compliance?…..cont… ,[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from Local Government Employers - www.lge.gov.uk
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Stuart Emslie Hsj Corp Manslaughter 2008

  • 1. Adapting organisational behaviour to safeguard against the threat of corporate manslaughter Stuart Emslie BSc MSc CEng MIHM FIOSH Healthcare Governance director & Visiting Fellow, Loughborough University Business School Former Department of Health Head of Controls Assurance for the NHS in England
  • 2.
  • 3.
  • 4.
  • 6. 1999 Controls assurance H&S standard 38 pages…..
  • 7.  
  • 8. 2004 Standards for better health “ While Standards for Better Health will synthesise a large number of existing rules and guidance, NHS bodies will continue to be subject to the wider regulatory framework, such as health and safety legislation.”
  • 9. Organisational behaviour – a function of organisational systems Systems make things happen – people make it work Adapting organisational behaviour to safeguard against the threat of corporate manslaughter
  • 10.  
  • 12. Quality of job design (r=.59) Job satisfaction (r=.53) Intention to leave job (r=.53) Positive feeling with organisation (r=.62)
  • 13.  
  • 14.  
  • 15.  
  • 16.
  • 17.  
  • 18.  
  • 19. The Scotsman 14 October 2007 - http://news.scotsman.com/index.cfm?id=1641252007
  • 20. ‘ UK: blunders by doctors kill 40,000 a year’ Sunday Times, 19 Dec 1999 “ Medical error is the third most frequent cause of death in Britain after cancer and heart disease…….kills four times more people than die from all other types of accidents.” NB – USA approx. 98,000/year; Australia approx. 10,000/year
  • 22. Failure Mode and Effects Analysis FMEA HFMEA TM SFMEA Failure Mode and Effect Analysis Failure Modes and Effects Analysis
  • 23.
  • 24. 1 2a 2b 4b 3b 3c 5 4a 3a
  • 25.  
  • 26.
  • 27.