3 August 2026
What Baking a Cake Taught Me About Patient Safety
How much of what actually happens is invisible even to the person doing it? When asking for the…
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Ideas and perspectives on patient safety, shaped by human factors thinking.
Thanks for another great post; really enjoy reading them with amazing content to add to my knowledge
Alastair
3 August 2026
The Link Analysis of Christmas Dinner: A Festive Study in Controlled Chaos
When I come home for Christmas and can't help but analyse the kitchen workflow... sometimes the most inefficient…
Read more →3 August 2026
The Being Fair Tool: From Skeptic to Convert
Could a tool built around three simple questions; who's hurt, what do they need, whose job is it…
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3 August 2026
Staying engaged in the safety space
Where do you go for fresh thinking when the usual patient safety sources feel a bit too familiar?…
Read more →3 August 2026
Priority Report (Like the Film, But Without the Tom Cruise Addition)
Thinking about reviewing your PSIRF priorities? This insight makes the case for pausing first, and shares what "meaningful…
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3 August 2026
Loss of situation awareness
Was the information never perceived, misunderstood, or simply not predicted? This insight makes the case for going a…
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3 August 2026
Lambing Factors – Easter Insights
Healthcare has a lambing shed problem. Here's what to do about it: when did you last see how…
Read more →3 August 2026
How do you tie your kayak down?
A loose kayak, a dented car, and a lesson in systems thinking. This insight shares what SEIPS can…
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