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Monday, November 9, 2020

Setting the Bar for Healthcare: Patient Care Goals from the Joint Commission

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Joint Commission HQ The need for a more effective safety culture (SC) in the field of healthcare is acute: every year tens of thousands of p...
Tuesday, August 25, 2020

How to Consider Unknown Unknowns: Hints from McKinsey

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Our July 31, 2020 post on medical errors discussed the importance of the “differential diagnosis” where a doctor thinks “I believe this pat...
Friday, July 31, 2020

Culture in Healthcare: Lessons from When We Do Harm by Danielle Ofri, MD

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In her book*, Dr. Ofri takes a hard look at the prevalence of medical errors in the healthcare system.   She reports some familiar statistic...
Monday, June 29, 2020

A Culture that Supports Dissent: Lessons from In Defense of Troublemakers by Charlan Nemeth

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Charlan Nemeth is a psychology professor at the University of California, Berkeley.  Her research and practical experience inform her conc...
Monday, June 15, 2020

IAEA Working Paper on Safety Culture Traits and Attributes

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Working paper cover The International Atomic Energy Agency (IAEA) has released a working paper * that attempts to integrate (“harmonize”...
Thursday, December 19, 2019

Requiescat in pace – Bob Cudlin

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Robert L. Cudlin passed away on Nov. 23, 2019. Bob was a co-founder of Safetymatters and a life-long contributor to the nuclear industry. ...
Wednesday, November 6, 2019

National Academies of Sciences, Engineering, and Medicine Systems Model of Medical Clinician Burnout, Including Culture Aspects

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Source: Medical Academic S. Africa We have been posting about preventable harm to health care patients, emphasizing how improved organiz...
Wednesday, October 9, 2019

More on Mental Models in Healthcare

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Source: Clipart Panda Our August 6, 2019 post discussed the appalling incidence of preventable harm in healthcare settings.  We suggest...