Can Safety-II principles expand learning within investigations? This article proposes a Safety-II framed incident review model for healthcare capturing WAI (work-as-imagined), WAD (work-as-done) and WAE (work-as-experienced). Shared under an open access licence. PS. Check out my YouTube and recent Critical Control / barrier vid: https://youtube.com/@safe_as_pod?si=iUaDPJynPemQRZhY Shout a coffee: https://buymeacoffee.com/benhutchinson Extracts: · “A foundational question remains unresolved:… Continue reading Rethinking learning from incidents in healthcare: a Safety-II model integrating work-as-imagined, work-as-done, and work-as-experienced
Tag: safety ii
Challenges in building resilience engineering (RE) and adaptive capacity: A field study in a chemical plant
Can a complex system effectively navigate risk if it only understands failure in hindsight? This study explores the challenges of building adaptive capacity from a resilience engineering perspective in a chemical plant. On-site observations & interviews were used. PS. Check out my YouTube and recent Critical Control / barrier vid: https://youtube.com/@safe_as_pod?si=iUaDPJynPemQRZhY Shout a coffee: https://buymeacoffee.com/benhutchinson… Continue reading Challenges in building resilience engineering (RE) and adaptive capacity: A field study in a chemical plant
HOP improves learning and reduces quality deviations – new research
Does HOP improve organisational learning behaviours and reduce quality deviations? It turns out, probably. This Master’s thesis from Chris Mastrangelo studied the effects of HOP principles on learning-behaviours, multi‑year trends in deviations, root‑cause classifications, corrective and preventive actions (CAPAs), and Human Performance Assessment (HPA) maturity assessments. Thesis link in comments. The HOP adoption was also… Continue reading HOP improves learning and reduces quality deviations – new research
Can BBS & HOP be integrated?
Are BBS & HOP destined for conflict and silos, or can–should–they be integrated? This article from Williams & Roberts argues that they’re complimentary and proposes how we can go about this integration. Shout a coffee: https://buymeacoffee.com/benhutchinson
Dr Drew Rae: Does the limited New View / HOP / Safety-II empirical evidence challenge its credibility?
Does the limited empirical interventional evidence underpinning New View / HOP / Safety-II approaches challenge their credibility? Here Dr Drew Rae unpacks his perspective on how this is often framed as a confused question. We also discuss the limited evidence behind Risk Matrices, which prompts the foundational question: what are they actually used for?
Is ‘safety’ the presence of capacities?
What is your definition of ‘safety’? For some, safety is defined as the presence of capacities. Here, Drew Rae discusses his thoughts, and scientific logics, of this definition. #safety #hse #risk #science #safetyscience #safetyii
Safer Systems: People Training or System Tuning?
Hollnagel discusses the role of training in complex systems. Shared under open access licence. PS. Check out my YouTube channel: Safe As: A thrifty analysis of safety, AI and risk – YouTube Extracts:· “Safety is usually seen as a problem when it is absent rather than when it is present, where accidents, incidents, and the like… Continue reading Safer Systems: People Training or System Tuning?
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