Adaptation of Systems Thinking Principles
| EUROCONTROL’s 10 system principles for safety | Principles sent as first electronic survey | Number (%) who agreed the principle is important in systems thinking in care n=14 | Number (%) who agreed that the wording of this concept makes sense, is unambiguous and understandable n=14 | Principles sent as second electronic survey | Number (%) who agreed the principle is important in systems thinking in care n=14 | Number (%) who agreed that the wording of this concept makes sense, is unambiguous and understandable n=14 | Final principles after adaptation at appraisers’ workshop (note order changed after feedback from appraisers) |
| The foundation concept: system focus | Foundation principle: system focus | 13 (93) | 10 (71) | Foundation concept | 13 (93) | 14 (100) | Foundation concept |
| Field expert involvement | Field expert involvement | 13 (93) | 8 (57) | Seek multiple perspectives | 13 (93) | 14 (100) | Seek multiple perspectives |
| Local rationality | Local rationality | 13 (93) | 13 (93) | Understand why decisions make sense at the time | 14 (100) | 13 (93) | Understand why decisions make sense at the time |
| Just culture | Just culture | 12 (86) | 9 (64) | ||||
| Demand and pressure | Demand and pressure | 13 (93) | 8 (57) | Consider work conditions | 14 (100) | 14 (100) | Consider work conditions |
| Resource and constraints | Resources and constraints | 10 (71) | 10 (71) | ||||
| Interactions and flow | Interactions and flows | 13 (93) | 8 (57) | Analyse interactions and flow | 14 (100) | 13 (93) | Analyse interactions and flow |
| Trade-offs | Trade-offs and performance variability | 13 (93) | 9 (64) | Consider performance variability | 14 (100) | 14 (100) | Consider performance variability |
| Performance variability | |||||||
| Emergence | Equivalence and emergence | 13 (93) | 13 (93) | Explore everyday work | 14 (100) | 13 (93) | (Removed as application of principles as a whole defines everyday work) |
| Equivalence |
EUROCONTROL, European Organisation for the Safety of Air Navigation.