Understanding safety holistically –
without oversimplification.
Weekly articles from research and consulting practice: safety culture, human factors, high-reliability organisations, learning from incidents, and risk management. Every Monday.
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The Shadow Initiation Phase: When the Project Starts Before It Is Approved.
Read article: The Shadow Initiation Phase: When the Project Starts Before It Is Approved.Every project method treats discontinuation as a proper decision. In practice it counts as failure, and somebody has to answer for it. People avoid that…
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98 Per Cent Ticked: What Became of Gawande’s Checklist.
In 2010 Ontario required every hospital to report publicly on its use of a surgical safety checklist. The teams reported near-complete use, and nothing changed…
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Cooperating with an Investigation That May Never Happen
Both chambers of the Swiss Parliament have agreed to make exemption from prosecution for slight negligence conditional on cooperation with the official safety investigation. Over…
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Resilience Out of Necessity: What the Volunteer Fire Service Knows About the First Minutes
High-reliability research developed its principles on aircraft carriers, in nuclear power stations and in air traffic control: full-time staff, stable crews, constant practice. The Swiss…