What does Safety-II tell us about workload, adaptations, and error? This study analysed the effects of workload on error and adaptations across >580 days in 6 hospital departments and 924 reported safety events. PS. Check out my YouTube and recent Critical Control / barrier vid: https://youtube.com/@safe_as_pod?si=iUaDPJynPemQRZhY Shout a coffee: https://buymeacoffee.com/benhutchinson Extracts: · “From a Safety-I perspective,… Continue reading Understanding safety under high workload: adaptive behavior and safety-II mechanisms in healthcare
Tag: safety-ii
Part 2 interview Dr Guido Carim Jr on Safety-II, adaptive capacities, procedures & more
Part 2 interview with Dr. Guido Carim Junior, PhD, Associate Professor of Aviation, pilot, researcher, and safety scientist. PS. Check out my YouTube and recent Critical Control / barrier vid: https://youtube.com/@safe_as_pod?si=iUaDPJynPemQRZhY Shout a coffee: https://buymeacoffee.com/benhutchinson We continue our convo about digital checklists, unpacking the potential role of AI and how so-called ‘smart’ features risk narrowing… Continue reading Part 2 interview Dr Guido Carim Jr on Safety-II, adaptive capacities, procedures & more
Part 1 Dr Guido Carim Jr: Safety-II, rules, workarounds, adaptive capacity, learning & more
Part 1 interview with Dr Guido Carim Junior, an Associate Professor of Aviation, pilot, researcher, and safety scientist. We explore what safety ‘is’ beyond absence of incidents, limitations of procedures in complex environments, and why real-world situations rarely unfold how manuals anticipate. Guido shares insights from aviation research on adaptive capacity, informal learning, crew expertise,… Continue reading Part 1 Dr Guido Carim Jr: Safety-II, rules, workarounds, adaptive capacity, learning & more
Resilient health and safety performance on construction sites from a safety-II perspective
“These findings .. emphasizes that resilience stems from dynamic, iterative practices that foster adaptive capacity” How do construction management practices influence resilient health and safety performance? Shared under an open access licence. PS. Check out my YouTube: https://youtube.com/@safe_as_pod?si=iUaDPJynPemQRZhY Extracts: · “Instead of implementing proactive interventions that address planning deficiencies, poor coordination, and organizational decision-making under dynamic… Continue reading Resilient health and safety performance on construction sites from a safety-II perspective
Tuning into whispered frequencies: Harnessing Large Language Models to detect Weak Signals in complex socio-technical systems
This study evaluated whether LLMs can support a scaled and systematic analysis of surveyed data about worker adaptive practices, to foster weak signal ID. E.g. can LLMs help identify weak signals from large-scale data. In this case, textual data describing frontline personnel adaptive behaviours during everyday operations. This was obtained via survey. PS. Check out… Continue reading Tuning into whispered frequencies: Harnessing Large Language Models to detect Weak Signals in complex socio-technical systems
Safety-I Versus Safety-II: A Mixed-Methods Study Revealing the Imbalance of Approaches in Primary Care Medication Safety
Extracts from a paper that studied medication safety in primary care from both a Safety-I and Safety-II lens – using “medication management in the wild” as their data. · 2 decades after the ‘To Err is Human’ report has “given way to hard bitten realism that there has been little measurable improvement in the overall rates… Continue reading Safety-I Versus Safety-II: A Mixed-Methods Study Revealing the Imbalance of Approaches in Primary Care Medication Safety
Safe As 38: 4Ds – Dumb, Dangerous, Different, Difficult – for learning (quickisode)
This quickisode unpacks the 4D method for learning: Dumb, Dangerous, Different, Difficult. The source is Sutton et al. 2023. 4Ds for HOP and Learning Teams: A practical how-to guide to facilitate learning from everyday work, critical and dynamic risks with the 4Ds. Spotify: https://open.spotify.com/episode/5kVSsQBISQK3vMREbUGExv?si=LOvB1DE1SfCE-8E7uYSK_Q Apple: https://podcasts.apple.com/us/podcast/e38-4ds-dumb-dangerous-different-difficult-for-learning/id1819811788?i=1000727889641 Make sure to subscribe to Safe As on Spotify/Apple,… Continue reading Safe As 38: 4Ds – Dumb, Dangerous, Different, Difficult – for learning (quickisode)
Learning from normal work in complex sociotechnical system—Case in midstream operation
This article discussed learning from normal work, via semi-structured episodic interviews. It’s open access, so not a summary. Extracts: · Briefly discussing historical safety progression, “safety progress was achieved by expanding existing rules to cover more potential failures, and safety failures resulted from gaps in rules or their lack of application” · “However, no procedure, no matter… Continue reading Learning from normal work in complex sociotechnical system—Case in midstream operation
Safe As week in review – 22, 23, 24: Zombie leaders, Safety-II debriefs, and causal illusions of leadership styles
Safe As week in review: E22: Zombie leadership … being “dead ideas [about leadership] that still walk amongst us”. Zombie leadership is covered by several axioms: images 1 and 2. These dead ideas, being already dead can “absorb all kinds of damage and keep lumbering on towards their targets”; that is, difficult to slay. Zombie… Continue reading Safe As week in review – 22, 23, 24: Zombie leaders, Safety-II debriefs, and causal illusions of leadership styles
Safe As ep 23 (quickisode 2): Safety-II debrief tool
Want to add a garnish of Safety-II inspired thinking into debriefs? Check out this 4 min quickisode. Today’s article is: Bentley, S. K., McNamara, S., Meguerdichian, M., Walker, K., Patterson, M., & Bajaj, K. (2021). Debrief it all: a tool for inclusion of Safety-II. Advances in Simulation, 6(1), 9. Spotify: https://open.spotify.com/episode/54H6o9h4ZiSSlgVFOjAqC6?si=kY5uaG1sRlyCW10ylAsmgw Apple: https://spotifycreators-web.app.link/e/ukQV4y4RRVb Make sure to subscribe… Continue reading Safe As ep 23 (quickisode 2): Safety-II debrief tool
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