Tag: Human Error

Blaming “Human Error” Isn’t an Excuse for Wasting 500 Doses of...

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During this "let's try to get people vaccinated" phase of the Covid-19 pandemic, almost every article that I've seen about the vaccine and its...

The Response to the Hawaii False Alarm Can’t End With Firing...

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Saturday, you might have seen the news about a "false alarm" push alert that was sent to many iPhones and other smart phones in Hawaii. An alert was also sent out over many TV channels through the Emergency Response System. Is the response one that focuses on blame and punishment? Or is it focused on understanding how systems fail and how to improve them to prevent future recurrence? How does this all apply to your organization?

Using a Checklist is Better Than Reprimanding Someone and Saying “Don’t...

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I bet the company that services my pool was surprised that I had a checklist-related process improvement suggestion for them after a mistake was made instead of being angry and wanting somebody punished or talked to...

#Throwback Thursday: Wrong House Gets Demolished (And It Happened Again)

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Today's Throwback Thursday looks back to an article from April 2010: Should Have Posted a "Caution: Don't Knock Our House Down" Sign? A house in Denton,...

Two Recent Wrong-Site Landings & Many Wrong-Side Surgeries

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In healthcare patient safety circles, there's always a lot of discussion about lessons learned from aviation safety. Aviation has gotten much safer over the...

What I’m Reading 12/30/13: GM’s CEO, Human Error, Costing, and Really...

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To close out the year 2013, I once again need to close some browser tabs that are full of things that I was maybe...