We focus a lot on learning from incidents, but are some of the best opportunities hidden inside work that went, apparently, successfully?
In this Safe As Quickisode on YouTube, just 7 mins of your life, we rapidly unpack a healthcare study that used a Safety-II / HOP inspired debrief to learn from daily work, not just failures.
One example revealed a major workaround that staff used every day because of poorly laid out equipment. The workaround worked, the job was successful, but the debrief exposed a latent system condition.
So in all: debrief the jobs that go well. Ask how they go well, what adaptations are needed, and how those conditions can be reproduced.
You might uncover some useful improvements that don’t require waiting for failure.
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#SafetyII #HOP #LearningTeams #HumanFactors #SafetyLeadership #patientsafety #healthcare #resilienceengineering
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