Can Safety-II principles expand learning within investigations? This article proposes a Safety-II framed incident review model for healthcare capturing WAI (work-as-imagined), WAD (work-as-done) and WAE (work-as-experienced). Shared under an open access licence. 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: · “A foundational question remains unresolved:… Continue reading Rethinking learning from incidents in healthcare: a Safety-II model integrating work-as-imagined, work-as-done, and work-as-experienced
Tag: resilience engineering
Understanding safety under high workload: adaptive behavior and safety-II mechanisms in healthcare
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
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
Challenges in building resilience engineering (RE) and adaptive capacity: A field study in a chemical plant
Can a complex system effectively navigate risk if it only understands failure in hindsight? This study explores the challenges of building adaptive capacity from a resilience engineering perspective in a chemical plant. On-site observations & interviews were used. 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… Continue reading Challenges in building resilience engineering (RE) and adaptive capacity: A field study in a chemical plant
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
Safer Systems: People Training or System Tuning?
Hollnagel discusses the role of training in complex systems. Shared under open access licence. PS. Check out my YouTube channel: Safe As: A thrifty analysis of safety, AI and risk – YouTube Extracts:· “Safety is usually seen as a problem when it is absent rather than when it is present, where accidents, incidents, and the like… Continue reading Safer Systems: People Training or System Tuning?
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 30: A better way to think about procedures – resources for action
Do you see procedures as concrete actions that specify the one correct way of working, or more as resources to shape work and sensitise people to risk? Let’s unpack the model 1 / model 2 perspective of rules and see which resonates best with workers. Today’s paper is Hendricks, J. W., & Peres, S. C.… Continue reading Safe As 30: A better way to think about procedures – resources for action
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