Dr Drew Rae discusses why safety clutter accumulates & why it increases risk
youtube.com/watch?v=g1qx...

#risk #safety #safetyclutter #clutter #safety2 #healthcare #patientsafety

Prof Sidney Dekker on why we should move from Just Culture to Restorative Culture to reduce blame and rebuild trust and empathy

youtube.com/watch?v=YmNQ...

#trust #blame #justculture #restorativeculture #restorativejustice #healthcare #safety2

How Can My Investigations Suck Less? Safety Science 101 · Luma Have you ever asked yourself, 'Why do our investigations suck?'. If so, this is the webinar for you. With a frantic, caffeine-fuelled pace, I'm racing through…

Do your accident investigations suck?

If so, join me for a free webinar racing through a safety science 101 crash course on common pitfalls and better methods

luma.com/p8z4avyr

#safety #ohs #safetyscience #accident #investigation #healthcare #crash #incident #hse #safety2

Part 2 interview with Dr Drew Rae, discussing decision-making, effective safety indicators, what to remove from investigations, false assurance of safety approaches, procedural alchemy, safety evidence and more.
youtu.be/TFmbWDu5IEU
#safety #safety2 #safetyscience #risk

Interview with Assoc Prof Drew Rae, talking New View evidence, safety clutter, risk assessments, Take 5 rituals + more
youtu.be/UTrFeJBXHa0
#newview #safety2 #safety #risk #safetyclutter

Sidney Dekker on whether the drift into failure is inevitable or manageable without benefit of hindsight
youtube.com/watch?v=K8Ze...
#safety #disaster #drift #safety2 #patientsafety

Part 1 interview with Prof Sidney Dekker talking about #zeroharm, #behavioralsafety, restorative culture & more
youtu.be/duQDW0usSpA
#safety #safety2 #hop #resilience #healthcare #patientsafety #humanfactors

How do Learning Teams compare to 'traditional' root cause investigations?

youtu.be/SZw4FHLKyMM?...

#safety #healthcare #medicine #patientsafety #hop #safety2 #complexity

Safety-I Versus Safety-II: A Mixed-Methods Study Revealing the Imbalance of Approaches in Primary Care Medication Safety Extracts from a paper that studied medication safety in primary care from both a Safety-I and Safety-II lens – using “medication management in the wild” as their data. ·    &nbs…

"This study revealed a fundamental limitation in applying #Safety1 principles to ... medication safety, particularly the assumption that all system defects can be feasibly fixed" safetyinsights.org/2025/09/28/s... #safety2 #hop #healthcare #patientsafety

Safe As pod 38: 4Ds for learning - Dumb, Dangerous, Different, Difficult podcasts.apple.com/us/podcast/e... #safety2 #patientsafety #risk #safety

Learning from normal work in complex sociotechnical system—Case in midstream operation This article discussed learning from normal work, via semi-structured episodic interviews. It’s open access, so not a summary. Extracts: ·        Briefly dis…

Learning from normal work in complex sociotechnical system—Case in midstream operation safetyinsights.org/2025/09/11/l... #safety2 #safety

Disinheriting Fitts and Jones `47 (2001 Sid Dekker article) A 2001 article from Sid Dekker discussing a contemporary view of human performance and organisational failure. You may recognise parts of this from Dekker’s later article ‘Is it 1947 yet?’. Too muc…

We can “make progress on safety once we acknowledge that people themselves create it … [but] People are not perfect creators of safety. There are patterns … by which their creation of safety can break down” safetyinsights.org/2025/08/20/d... #safety #risk #aviation #ergonomics #safety2

E23: Safety-II inspired debriefs (Quickisode) Safe As Podcast · Episode

Want a better debrief? Try this #safety2 inspired technique discussed in this 4 min pod open.spotify.com/episode/54H6... #healthcare

E16: Systems thinking and investigations Safe As Podcast · Episode

Safe As podcast ep16: Systems thinking and investigations - are investigations focused on individuals and blame and not systems improvement? open.spotify.com/episode/6PDZ... #safety #construction #safety2

The fallacy of relying on rules for robust risk management in complex high-risk environments A few extracts from chapter 11 in Foundations of Safety Science by Bergström and Dekker I found interesting. Here they discuss research in healthcare how: ·      &nbsp…

The fallacy of relying on rules: nurses can recite 3 rules of 600 that govern their work & would take an anesthetist 2000 years to study all operating room standards safetyinsights.org/2025/07/13/t... #safety2 #healthcare #patientsafety #safety

The Folly of Safety-III Hollnagel’s response to some of the recent (and somewhat bizarre) articles on ‘Safety-III’. Spoiler: It’s not charitable. I’m relying on a lot of direct quotes. Providing context, Hollnagel argues:…

Critical response from Hollnagel "Safety-III not only is an as yet undefined concept but that it also is utterly meaningless and unnecessary with no value for neither current nor future safety practices"
safetyinsights.org/2025/07/11/t... #safety #safety2 #science

Designing for resilient performance & worker participation: design principles This review explored how to design for worker participation, drawing on the design of resilient systems. Not much to say – the extracts cover core resilient design principles. Some extracts to cont…

"some .. use the term reduce the gap between work-as-imagined and work-as-done … others prefer the term align", as align "conveys that work-as-imagined must be compatible with work-as-done, without judging one as superior” #safety #safety2 #osha #Risk #safetyfirst
safetyinsights.org/2025/06/21/d...

ChatGPT in complex adaptive healthcare systems: embrace with caution This discussion paper explored the introduction of AI systems into healthcare. It covers A LOT of ground, so just a few extracts. Extracts: ·   “This article advocates an ‘embrace wi…

This discussion paper explored the introduction of AI systems into healthcare, including benefits, risks, bias, ethics and more safetyinsights.org/2025/06/25/c... #healthcare #health #ai #safety2 #risk #osha #safety

Ep 3: Learning Teams vs Root Cause Analyses by Safe AF Podcast 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 ...

Safe AF podcast ep #3: Learning Teams vs Root Cause Analyses - what do they look at, systems or people? And does one lead to more blame? Apple & Spotify creators.spotify.com/pod/show/ben... #safety #safetyfirst #podcast #safety2 #healthcare #medicine #patientsafety

Ep 2: Are the things that kill or maim us -- SIFS -- the same as the things that hurt us? Safe AF Podcast · Episode

Safe AF podcast ep 2: Are the causal factors underneath fatal accidents the same as non-fatal accidents? Also on Apple podcasts. open.spotify.com/episode/3Wx9... #safetyfirst #osha #workplacesafety #healthandsafety #safety2 #health #wellness #risk #engineering #psychology

Using the hierarchy of intervention effectiveness to improve the quality of recommendations developed during critical patient safety incident reviews This study evaluated the Hierarch of Intervention Effective (HIE) for improving patient safety incident recommendations. They were namely interested in increasing the proportion of system-focused r…

Using the hierarchy of intervention effectiveness, a #humanfactors #ergonomics framework, increased systems-level actions from 16% to >30%
safetyinsights.org/2025/07/09/u... #safety #patientsafety #medicine #healthcare #safety2

Et faire cela sans chercher de coupables - ce n’est pas l’esprit que tu proposes mais malheureusement une habitude trop répandue… comme le jugement a posteriori.
On devrait apprendre des nouvelles approches de la sécurité industrielle… #safety2