Safe AF pod ep #3 now live! How well can Learning Teams function against more traditional Root Cause Analysis techniques? What things do they focus on, what fixes result from the learning activities? Does one focus more on blame and individuals? Today we explore a paper by Robbins et al., 2021, comparing Learning Teams vs… Continue reading Safe AF ep #3: Learning Teams vs Root Cause Analyses (+ transcript)
Tag: writing
A new perspective on blame culture: an experimental study
This study explored how fear of blame and punishment affects different healthcare professions, experience levels and gender. 249 healthcare practitioners were involved, and were asked how fear of blame or punishment resulting from an error which caused no, mild, severe or death of a patient. Extracts: · “blame culture can be defined as a set of… Continue reading A new perspective on blame culture: an experimental study
1912 article discussing the role of fatigue in industrial accidents and arguing against ‘carelessness’ as an “ultimate cause”
This was an interesting article from 1912 highlighting the role that fatigue has in industrial accidents. Also challenges ‘carelessness’, saying it doesn’t account for the effects of fatigue. While scientific knowledge has progressed over the century, it’s cool how well they articulated the issue. · Image 1 top panel shows a breakdown of accidents per time… Continue reading 1912 article discussing the role of fatigue in industrial accidents and arguing against ‘carelessness’ as an “ultimate cause”
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