Abstract for: Understanding the impact of asset failure on patient harm within an acute healthcare setting

The paper aims to explore impact of asset failure on patient outcomes within the National Health Institute (UK). Through the application of qualitative systems dynamic modelling, system variables were identified and analysed to understand key interactions and leverage points within the system. The creation of model boundary, reference modes and causal loop diagrams permitted understand the impact of intervention employing key leverage points. The research found that, despite capital and revenue finance being a key variable in the resolution of the state of the built environment, the feedback loops of information supporting financial decision making is key. Understanding the impact of asset failure, both from an operational response and a patient outcomes perspective, has a significant influence on the application of available funds. Further work needs to be undertaken to develop the qualitative models into specific quantitative analysis. There has been very little research undertaken in the healthcare environment on the impact of the deteriorating assets on the wider healthcare system. With numerous studies are undertaken annually on clinical practice, healthcare research needs to increase the importance placed on the environment in which care is given.