Ken Catchpole has spent the last 15 years studying safety and human performance in acute clinical care in general and surgery in particular. Using examples from cardiac, orthopaedic, neurological, spinal, trauma and urological surgery, he describes the results of observational studies that have helped to understand how surgical performance arises from the interaction between what people do, how they work together, and what they do it with; how the introduction of new technologies can have far profound, and not always beneficial effects; and what this might mean for the future of healthcare delivery and workforce management.
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