A brief discussion paper on safety signals and moving away from reactive harm-based safety. Full article provided under open access licence (see end of post). PS. Check out my YouTube: https://www.youtube.com/@safe_as_pod Extracts: · “Healthcare continues to rely primarily on reactive safety—responding after harm occurs—rather than proactively identifying and addressing system weaknesses upstream” · “‘safety signal’ … refer[s]… Continue reading Safety signals and near misses: exposing the design failures we can prevent
Tag: leading indicators
The safety measurement problem revisited
A response from Kjellén to Hopkins’ 2009 article about indicators (link in comments). [See week’s compendium dedicated to Hopkins & Hale] Extracts: · “LTI-rate gives the same weight to injuries with dramatically different consequences; that the measure is easily manipulated; and that natural statistical fluctuations make it useless for feedback control of other than the largest… Continue reading The safety measurement problem revisited
Visualizing what’s missing: Using deep learning and Bow-Tie diagrams to identify and visualize missing leading indicators in industrial construction
This study, among a few other things, compared 633 incidents against >9 inspection reports with similar contexts to understand the overlap. Data was from a Canadian construction project over 3 years. E.g. They used multi-methods, including natural language processing, text mining, bow ties and more to evaluate if field inspections are looking at the same… Continue reading Visualizing what’s missing: Using deep learning and Bow-Tie diagrams to identify and visualize missing leading indicators in industrial construction