Importance of understanding work-as-done: Fascinating extracts from CEO due diligence prosecution

Understanding work-as-done seen as critical for PCBUs and CEOs/Officers, according to this prosecution of a CEO who failed to exercise due diligence relating to a work-related fatality (Ports of Auckland Limited (POAL). Extracts: ·        “[234] “Work as done” is the reality of work as it is actually carried out by the workers on the shop floor.… Continue reading Importance of understanding work-as-done: Fascinating extracts from CEO due diligence prosecution

Strategies and tools to learn from work that goes well within healthcare patient safety practices: a mixed methods systematic review

This systematic review covers strategies and tools used in healthcare patient safety for learning from normal work and Safety-II. 22 articles met inclusion. For background: ·         In healthcare “underreporting is highly prevalent, and is linked to, among other things, shaming and blaming mentality, insufficient visible measures and inadequate communication about errors” ·         “most reporting systems… Continue reading Strategies and tools to learn from work that goes well within healthcare patient safety practices: a mixed methods systematic review

Open-access healthcare debriefing videos need to incorporate more Safety-II learnings

Are Safety-II concepts used in debriefing? This explored the language and framings used in open access debriefing videos, to ascertain whether the questioning probes deeper into S-I (focus on failure/error) or S-II (focus on normal work, variability, success) questioning. Note: Only 7 videos met inclusion for transcription/evaluation. They note that learning from success isn’t “uncommon… Continue reading Open-access healthcare debriefing videos need to incorporate more Safety-II learnings