Knowledge and Safety

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To learn to read is to light a fire; every syllable that is spelled out is a spark. ― Victor Hugo
  • "Patient safety is a relentless task."
  • "Never say those things happen."
  • "We hurt more people just by being in hospital than some of the superspecialties."
  • "You can't lead by e-mail."

NASA Aviation Safety Reporting System.

  • "In case an engine fails we would still like to be able to fly. An aircraft engine is much more reliable than medicine."
  • "Components fail but outcomes seem to still be okay in aviation ." Redundancy.
  • " Everybody needs to know"
  • "If it looks unsafe then it is unsafe."

Designing high reliability organisations.

  • "Once you loose trust its gone!"
  • "If you are unconscious (IE not looking ahead) then every event is exciting."
  • "People do not come to work to hurt someone or make a mistake."

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