Most of these risk controls – 35 out of 42 – would be classified as ‘administrative’ by the HoC, and thus considered weak.
The risk controls that fell into this ‘administrative’ category included training, standardising processes and procedures, and changing the design and organisation of care.
Since other evidence shows these approaches can sometimes be very successful in healthcare, it is probably a mistake to automatically assume they are weak.
Completely eliminating reliance on human behaviour is very difficult in the healthcare context and would introduc
To begin the interview, we discussed the events leading up to Keith joining HSIB as its first Chief Investigator. He spoke about his background as a pilot and then joining the Air Accidents Investigation Branch, first as an investigator before later becoming its Chief Investigator. There has been much written about the safety lessons that healthcare can learn from the aviation industry. Keith reflected on how his investigation roles in aviation helped to develop his understanding of the importance of creating a safety culture and the role of investigations as part of this.
This free webinar will uncover the intricacies of accident investigation from a human factors perspective. It will feature examples from rail, air and maritime from our speakers who are all specialist human factors investigators. Hear first hand how they tackle investigations and get insights into this vital work that lead to improvements in safety across all travel sectors.
Will Tutton will briefly mention the Herald of Free Enterprise, but will mainly talk about the cargo vessel Kaami, which ran aground in Scotland in March 2020. The investigation focused on front line operators.
This free webinar will explore near misses in three different sectors and how controls can, or cannot, be developed to prevent future events.
It will start with an introduction to the concept of near misses in healthcare and the challenges faced in learning from these near misses to improve safety. You will then hear how near misses are approached in rail and nuclear and how controls are developed in their processes.
At this event, you’ll:
Gain valuable insights from all three sectors: healthcare, rail and nuclear.
Hear discussion about defining near misses with respect
The aim of this study, published in Human Factors journal, was to examine the effects of interruptions and retention interval on prospective memory for deferred tasks in simulated air traffic control. This can be translated into a healthcare environment.