This study explored how fear of blame and punishment affects different healthcare professions, experience levels and gender. 249 healthcare practitioners were involved, and were asked how fear of blame or punishment resulting from an error which caused no, mild, severe or death of a patient. Extracts: · “blame culture can be defined as a set of… Continue reading A new perspective on blame culture: an experimental study
Tag: error
Short video from James Reason on types of errors
I’m sure others have posted this recently, but it’s an interesting video from James Reason talking about error and performance. I particularly love the retro-ambience. It’s like something you’d see on VHS in science class. Jim talks about some interesting properties of task errors. Like making tea, “these errors aren’t random or bizarre…we don’t find… Continue reading Short video from James Reason on types of errors
Human Error: Trick or Treat?
This 2007 chapter from Hollnagel unpacked whether we really need the concept of “human error” (HE). It’s a whole chapter, so I’ve skipped HEAPS. Tl;dr according to Hollnagel: · “there is no need of a theory of “human error” because the observed discrepancies in performance should be explained by a theory of normal performance rather… Continue reading Human Error: Trick or Treat?
Constructions of “Human Error” (Mini-Compendium)
Here’s a bunch of linked articles (and a video) unpacking the constructs, or uses, of “human error”. (‘Keep calm’ header image source is my own, from a presentation) Welcome any additions. Shout me a coffee Link: https://safety177496371.wordpress.com/2021/08/05/searching-for-the-origins-of-the-myth-80-human-error-impact-on-maritime-safety/ Link: https://safety177496371.wordpress.com/2025/01/31/hollnagel-on-human-error-error-as-cause-process-or-outcome/ Link: https://safety177496371.wordpress.com/2024/09/05/the-emperors-new-clothes-or-whatever-happened-to-human-error/ Link: https://safety177496371.wordpress.com/2024/07/24/human-error-and-violation-of-rules-in-industrial-safety-a-systematic-literature-review/ Link: https://safety177496371.wordpress.com/2024/07/01/design-rules-based-on-analyses-of-human-error/ Link: https://safety177496371.wordpress.com/2024/06/21/understanding-human-error-in-naval-aviation-mishaps/ Link: https://safety177496371.wordpress.com/2024/05/24/state-of-science-evolving-perspectives-on-human-error/ Link: https://safety177496371.wordpress.com/2024/05/14/six-stages-to-the-new-view-of-human-error/ Link: https://safety177496371.wordpress.com/2024/04/16/human-performance-in-barrier-thinking-problems-with-human-error-post-1/ Link: https://safety177496371.wordpress.com/2024/01/18/perspectives-on-human-error-hindsight-biases-and-local-rationality/… Continue reading Constructions of “Human Error” (Mini-Compendium)
Hollnagel on “Human error”: error as cause, process or outcome
Not much to say – some extracts from a 2007 chapter from Erik Hollnagel, unpacking whether we really need “human error”? I knocked the summary up last night and will probably post in the next couple of weeks. Oh man, I need to give up on chapters…what a slog. He argues: · Human error “is not… Continue reading Hollnagel on “Human error”: error as cause, process or outcome
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