Last edited by The_Shooman (2012-09-04 23:41:23)

I think the systems approach is common across many industries and perhaps nowhere better illustrated than in the Safety discipline and the managing of incidents and near misses. At one time, it was all about apportioning blame down to the individual level, whereas now it's focused on what processes failed and how can we avoid this in the future. Safety checklists and permits to work give an added level of security and yes, it adds another layer of bureaucracy and I myself have complained about the tyranny of Safety on occasion, but it does save lives. When incidents and deaths occur, it is 90% of the time down to indivdiuals on a Friday afternoon rushing to get home and ignore the established processes and safety checks.

chevy - it was deliberate. A lot of the approaches are taken directly from aircraft procedure. Root cause analysis of mistakes, a no blame approach to problems,  and encourage reporting of near misses as incidents.

As you would know - much of it is simple - counting in and out of instruments on trays before and after has minimised instruments, pads left inside patients. Electronic drug cabinet dispensers with smart cards , face recognition login to computers so no passwords are needed.