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 podcast ep15: Root Cause Analyses (RCA) and incident prevention – do they ‘work’?

Many organisations rely on their root cause analyses (RCA) to help learn about incidents, and, ideally, prevent incident reoccurrences. So the logic goes. But does the published evidence support RCA approaches as effective means for preventing incident reoccurrences? Today’s paper is Martin-Delgado, J., Martínez-García, A., Aranaz, J. M., Valencia-Martín, J. L., & Mira, J. J.… Continue reading Safe As podcast ep15: Root Cause Analyses (RCA) and incident prevention – do they ‘work’?

Safe AF ep #3: Learning Teams vs Root Cause Analyses (+ transcript)

Safe AF pod ep #3 now live! How well can Learning Teams function against more traditional Root Cause Analysis techniques? What things do they focus on, what fixes result from the learning activities? Does one focus more on blame and individuals? Today we explore a paper by Robbins et al., 2021, comparing Learning Teams vs… Continue reading Safe AF ep #3: Learning Teams vs Root Cause Analyses (+ transcript)

Resilient Procedures: Oxymoron or Innovation?

An interesting chapter from the late Bob Wears around ‘resilient procedures’. I’ve skipped heaps. They specifically explore: ·         what baggage tends to accompany procedures ·         what is bad about procedures ·         what is good about them ·         how procedures might be designed to support or even enhance resilience, instead of degrading it. Procedures are said… Continue reading Resilient Procedures: Oxymoron or Innovation?