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
Tag: variability
Designing work systems for resilient performance: insights from resilience engineering
This explored Design for Resilient Performance (DfRP) via their framework. Not a summary – just a few extracts, but maybe I’ll summarise it in the future. Some extracts: · “Resilient performance (RP) is a socio-technical system’s ability to adjust its functioning prior to, during, or following changes and disturbances, thereby sustaining operations under both expected and… Continue reading Designing work systems for resilient performance: insights from resilience engineering
Understanding Accidents – From Root Causes to Performance Variability
This 2002 discussion paper from Erik Hollnagel unpacks some assumptions of different accident models. Note: In this work, accident model isn’t the specific tool or method (e.g. ICAM), but a “frame of reference as the accident model, i.e., a stereotypical way of thinking about how an accident occurs”. i.e. the mental models and justifications on… Continue reading Understanding Accidents – From Root Causes to Performance Variability
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
Performance of barrier systems and functions in the construction industry
This study characterised Spanish construction accidents via identified circumstances, the barriers and barrier systems and the specific ways each of the barriers functioned. 241 investigation reports were evaluated. They cover some research on barriers and barrier systems – noting there’s various models and definitions based on perspective. One way to look at them is safety… Continue reading Performance of barrier systems and functions in the construction industry
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