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Andyb

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  1. Content Article Comment
    It is very unfortunate that such a badly performing system was accepted after initial installation and commissioning. Good to hear it was solved, but this is not an example of alarm management but basic design and engineering. Also, there is no mention of any testing to confirm the alarms are now reliable at detecting the events they are meant to.
  2. Content Article Comment
    A great case study of how technology often fails to achieve its objectives, and a good insight into why this happens. How is the bar code scanning system being changed to addressed these problems?
  3. Content Article Comment
    This sounds like an excellent piece of work. I’m really interested in how you found that labelling it Safety II helped. The reason I ask is because what you’ve done goes beyond that—you haven’t just accepted WAD as “the right way,” you’ve shifted towards a much stronger perspective: work as it should be done, and how we can best support people to achieve it. I’d argue that what you’ve really done here is a task analysis with frontline workers—a practice that’s been advocated for decades, long before Safety II was coined as a buzzword. I believe it’s something that should be applied far more widely in the health and medical sectors.
  4. Content Article Comment
    Claire - well done for taking the initiative. It sounds like it was an excellent workshop. What are your plans now to deal with the existing policies, guidance, standard operating procedures? It sounds like there was consensus that they need to be improved. The process you describe for developing new policies would be great, but potentially onerous. Did the workshop give you any ideas about how it could be optimised to ensure documentation can be made available to support people when it is seen as necessary vs a requirement to get it as close to perfect as possible?

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