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?

Contextualising new safety paradigms: A study in a large Australian construction company

This study explored the presence, implementation, appetite and feasibility of 12 principles representing “new safety paradigms”. It involved focus groups with 53 participants and a cross-sectional survey of 514 employees. I’ve skipped HEAPS (actually, the entire results section – so check out the full paper). Background: ·         “The review by Karanikas et al. (2022) revealed… Continue reading Contextualising new safety paradigms: A study in a large Australian construction company

Time pressure in surgical teams, a help or a hindrance to patient safety?

I found this an interesting and brief read about the mindful routines of operating room staff, using a naturalistic decision making approach. Extracts: Ref: van Harten, A., Niessen, T. J., Koksma, J. J., Gooszen, H. G., & Abma, T. A. (2025). Heliyon. Shout me a coffee Study link: https://doi.org/10.1016/j.heliyon.2025.e41967 Shout me a coffee: https://buymeacoffee.com/benhutchinson LinkedIn post:… Continue reading Time pressure in surgical teams, a help or a hindrance to patient safety?

When Things Go Right: Safety II in an Academic Emergency Department

This study explored variability and ED clinician proactive adaptations in order to enhance safety in the face of demands and pressures. Data was based on a cross-sectional survey. Background: ·         Patient safety, according to one agency, is defined as “the prevention of errors, injury, or other preventable harm and reduction of unnecessary harm” ·         They… Continue reading When Things Go Right: Safety II in an Academic Emergency Department