SafetyInsights.org

This is long overdue – but I wanted to cover some of the work from these giants who have played a significant part in modern safety thinking.

Focus is on articles I’ve written about or used extracts from, or could find a full-text link for, and higher-cited articles. It’s not systematic – and unfortunately a lot of the really cool stuff is locked behind paywalls.

I’ve also included some other authors who have leveraged the work from these researchers.

I think the target audience is more practitioners, since academics likely already have access to many of these.

Richard Cook

‘Mistaking error’ – an earlier paper from David Woods & Richard Cook

How complex systems fail (a classic from Richard Cook)

“Those found responsible have been sacked”: some observations on the usefulness of error

Incidents – Markers of Resilience or Brittleness?

Nine Steps to Move Forward from Error

https://pmc.ncbi.nlm.nih.gov/articles/PMC1117777/

Click to access Operating-at-the-Sharp-End-The-Complexity-of-Human-Error.pdf

Click to access v014p00130.pdf

https://www.researchgate.net/publication/245102691_A_Tale_of_Two_Stories_Contrasting_Views_of_Patient_Safety

Click to access Resilience_Engineering_New_directions_fo20220411-23835-1ipo8pk.pdf

Click to access Collaborative_cross-checking_to_enhance_20151030-28002-e6lstn.pdf

https://europepmc.org/article/NBK/nbk43670

Click to access download.pdf

https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=b4f626576f05e623fae22426ffef140d11999841

https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=97cac689ed97189fa977975bfba13e25c131ce48

Click to access Distancing-Through-Differencing-An-Obstacle-to-Organizational-Learning-Following-Accidents.pdf

https://dl.acm.org/doi/pdf/10.1145/3380774.3380777

Click to access Thinking-about-accidents-and-systems.pdf

https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=ffe74633027ee354ebbf0ff9a6418e75f3b7a047

https://journals.sagepub.com/doi/pdf/10.1177/2327857923121021

Click to access The-New-Look-at-Error-Safety-and-Failure-A-Primer-for-Health-Care.pdf

Click to access Thinking-about-accidents-and-systems.pdf

Click to access Adapting-to-New-Technology-in-the-Operating-Room.pdf

https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=15f31969c4e1f4f599c5c68aa63f3bf930e0406f

https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=ffe74633027ee354ebbf0ff9a6418e75f3b7a047

https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=97cac689ed97189fa977975bfba13e25c131ce48

Click to access beingbump.pdf

https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=8e516e7eb67035a7a2021f3b67b488e762488323#page=99

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JENS RASMUSSEN

Click to access SAFESCI.PDF

Click to access 16252.pdf

Click to access SkillsRulesAndKnowledge-Rasmussen.pdf

Click to access ERTAX1.PDF

Click to access HISMC.PDF

Click to access ERRROLE_1_.PDF

Click to access ROYSOC.PDF

https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=5fb7644d205b342aa52c594b7982a9e208086238

Click to access TROUB.PDF

https://doi.org/10.1016/S0925-7535(00)00036-9

Click to access ris_m_2293.pdf

https://doi.org/10.1016/j.apergo.2016.10.002

Click to access DIAACT.PDF

Click to access ris_m_2519.pdf

Click to access AUTO.PDF

Click to access TREND.PDF

https://doi.org/10.1016/j.apergo.2015.10.015

Click to access LEPRAS.PDF

Click to access multi0page.pdf

Click to access ris_m_2349.pdf

Click to access ris_m_2139.pdf

Click to access 16948643.pdf

Click to access accepted-version-developing-a-contributing-factor-classification-scheme.pdf

Click to access SPE-174020-MS_Applying_the_AcciMap_Metho20210421-17955-gzen52.pdf

Click to access Applying-AcciMap-to-test-the-common-cause-hypothesis-using-aviation-near-misses.pdf

Click to access ris_m_2240.pdf

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BOB WEARS

The Tragedy of Adaptability

The science of human factors: separating fact from fiction

Relying on Resilience: Too Much of a Good Thing?

Replacing Hindsight With Insight: Toward Better Understanding of Diagnostic Failures

A Bottom-Up Approach to Understanding the Efficacy of Event-Analysis in Healthcare: Paradigm Shift from Safety to Resilience Engineering

The Error of Counting “Errors”

Resilience skills as emergent phenomena: A study of emergency departments in Brazil and the United States

Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?

https://pmc.ncbi.nlm.nih.gov/articles/PMC1464040/

Click to access safety-1-safety-2-whte-papr.pdf

Click to access 468.full.pdf

Click to access Patient-Handoffs-Standardized-and-Reliable-Measurement-Tools-Remain-Elusive.pdf

https://europepmc.org/article/NBK/nbk43670

https://www.annemergmed.com/article/S0196-0644(02)00030-6/abstract

https://www.annemergmed.com/article/S0196-0644(02)08255-0/fulltext

https://pmc.ncbi.nlm.nih.gov/articles/PMC4319563/

Click to access Resilience-is-Not-Control-Healthcare-Crisis-Management-and-ICT.pdf

Click to access YMEM3527.pdf

https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1553-2712.2000.tb00457.x

https://europepmc.org/article/nbk/nbk43774

https://onlinelibrary.wiley.com/doi/pdf/10.1197/j.aem.2004.07.001

https://www.annemergmed.com/article/S0196-0644(07)01451-5/fulltext

Click to access Wears_R.-Sutcliffe_K.-Safety-error-and-resilience-a-meta-narrative-review-Paper.pdf

LinkedIn post: https://www.linkedin.com/pulse/ode-drs-richard-cook-jens-rasmussen-bob-wears-ben-hutchinson-ctjvc