Procedure excellence: Changing paradigms to enable human reliability

This paper from Elliot Wolf-Stokes and Rob Fisher may interest peeps – around orientating towards operational excellence. Covers a lot of ground – systemic drivers to procedural departures, error drivers in written guidance, mental models, enablers of human reliability and more. I’ve skipped HEAPS, so just a few extracts (link to full paper in comments):… Continue reading Procedure excellence: Changing paradigms to enable human reliability

Doctors are more dangerous than gun owners: a rejoinder to error counting

This 2006 paper from Sid Dekker critically challenges the assumptions underlying “error counting” in safety. Some points: (Not a summary) Error background Error counts by organisations are seen to have numerous benefits – providing “an immediate, numeric estimate of the probability of accidental death, injury or other undesirable event” However, categorising errors requires “a number… Continue reading Doctors are more dangerous than gun owners: a rejoinder to error counting