This commentary discusses the challenge of decluttering / de-implementation of low-value practices in healthcare. PS. Check out my YouTube channel: https://www.youtube.com/@safe_as_pod Extracts: · “de-implementation of ineffective patient safety practices presents different challenges than de-implementing low-value clinical care” · “Patient safety practices often arise from pressure to demonstrate or document safety rather than from direct clinical needs; this… Continue reading Decluttering for Safety: Can We Simply Apply Approaches Used in De-Implementing Low-Value Care?
Safety stats: “hitting the target, but missing the point”
“The partnering of an injury rate to a matching severity rate was done with the express knowledge that injury rate statistics would drive underreporting if severity was not considered.” A fascinating chapter from Kevin Geddert in Dekker’s Safety Theatre, exploring why our modern metrics are fundamentally misaligned. As far back as 1915, Royal Meeker and… Continue reading Safety stats: “hitting the target, but missing the point”
Prof Matt Hallowell: Are the causes of SIFs and minor events related?
Are the causes of SIFs and minor events related? Here Matthew Hallowell discusses the research exploring connection. Also the links to both parts of the full interview are linked below the vid. If you find my channel helpful, then please Subscribe, Like and Comment directly on the vids in YT, and share with your network… Continue reading Prof Matt Hallowell: Are the causes of SIFs and minor events related?
Memory hacking: Gaslighting you into a false crime confession
Did you know that it’s quite easy to trick people into falsely remembering a crime that they never committed? This ep unpacks research showing how malleable and shapeable human memory is: rather than being a video recording, it’s a constantly reconstructed experience, influenced by a range of emotions and other factors. Please sub, like and… Continue reading Memory hacking: Gaslighting you into a false crime confession
‘Safety is most needed when it’s least affordable’: David Woods
‘Safety is most needed when it’s least affordable’. Not much else to say here – just a couple of extracts from David Woods that I strongly agree with (among lots of other stuff). PS. Check out my YouTube channel: https://www.youtube.com/@safe_as_pod Sources: 1. Woods. Essential Characteristics of Resilience. 2. Woods. How to Design a Safety Organization:… Continue reading ‘Safety is most needed when it’s least affordable’: David Woods
Antecedents and outcome of situation awareness: a meta-analysis of presence and effect size
Situational Awareness (SA), what is it good for? This meta-analysis unpacked 87 studies exploring the concept. WAY too much to cover. But, I’m recording a systematic analysis of this article for YouTube, which will also throw a mildly ill-tempered cat amongst the pigeons by injecting an article from Dekker, which is a little critical of… Continue reading Antecedents and outcome of situation awareness: a meta-analysis of presence and effect size
Why they ignored the warning signs: a culture of denial
Does a ‘culture of denial’ prevent some organisations from seeing and responding to warning signs before disaster? Yes, according to Andrew Hopkins: in this ep, I unpack his article on the sociological similarities of failure between the Gretley and Moura mine disasters. This culture of denial probably exists in other organisations, too. It involves a… Continue reading Why they ignored the warning signs: a culture of denial
The silent transmission belt: testing safety bullying’s indirect effects on construction incident learning failures via voice suppression
Does bullying impact Learning From Incidents (LFI) in construction? This interesting study explored bullying as an institutionalised governance mechanism, studying how it affects learning from incidents and safety voice. A key concept is silence. Data was from 215 questionnaires. PS. Check out my YouTube channel: https://www.youtube.com/@safe_as_pod. Extracts: · Studies show that LFI is “often constrained by… Continue reading The silent transmission belt: testing safety bullying’s indirect effects on construction incident learning failures via voice suppression
Where you live is killing you
Does living closer to a major road make you sicker? It turns out that the closer you live to busy roads, the worse are your health prospects for cardiovascular disease, respiratory, disease, birth defects and more.
How can we improve our investigations? #lazyrepost
Do your investigations suck? Or looking for tweaks to drive learning and improvement? #lazyrepost In this recording, I covered studies highlighting common traps & limitations of investigations, e.g.: 1. How worldviews and context shapes what you find and construct 2. Delusional clarity and effects of hindsight/outcome bias 3. Local rationality 4. Investigator biases and influences… Continue reading How can we improve our investigations? #lazyrepost