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Are You Too Clever for Your Own Good?

5 October, 2013 by James Lawther 10 Comments

Locked or Not

I travel a lot with work. It is not glamorous.  I’d love tell you that when I said I was in K.L. I meant Kuala Lumpur, but unfortunately it is far more likely to be Kings Lynn (for those of you who are not from the UK, Kings Lynn is sometimes, albeit unkindly, referred to […]

Filed Under: Blog, Process Improvement Tagged With: accident prevention, automation, complexity, East Midlands Trains, human nature, less is more, service design, simplicity

How to Sink a Ship

24 August, 2013 by James Lawther 8 Comments

The Titanic

Come at once. We have struck a berg. It’s a CQD, old man You have heard this story On the 15th April 1912 the Titanic sank on her maiden voyage from Southampton to New York. Whilst steaming at high-speed through an area of pack ice she hit an iceberg and broke in two.  Over fifteen […]

Filed Under: Blog, Employee Engagement Tagged With: accident prevention, cost of poor quality, cost saving, human nature, targets

92 People Die for Lack of Trust

8 December, 2012 by James Lawther 8 Comments

TWA flight 514

In 1974 TWA flight 514 was flying into Washington Dulles airport.  As it came into land the air traffic controller said “cleared for approach”.  The flight crew thought it meant one thing (we will guide you in) but the control tower meant something ever so slightly different (guide yourself in).  It was simple miscommunication. Flight […]

Filed Under: Blog, Process Improvement Tagged With: accident prevention, aviation, Aviation Safety Reporting System, bad process, blame, reinforcing behaviour, trust

Blame Culture: More Dangerous Than You’d Think

10 September, 2012 by James Lawther 7 Comments

Blame Culture

In January 2001, 18-year-old Wayne Jowett died whilst receiving treatment for Leukaemia at the Queens Medical Centre, in my home city, Nottingham. The chemotherapy consisted of two drugs: Cytosine, a drug that is injected directly into the spinal fluid and Vincristine, a drug that is injected into the patient’s blood. A tragic accident The doctor […]

Filed Under: Blog, Employee Engagement Tagged With: accident prevention, blame, error proofing, medicine, swiss cheese model

Boring but Deadly: Roles and Responsibilities

18 August, 2012 by James Lawther 3 Comments

Florida Everglades

I am a good boss I run a fair-sized team.  I like to think I am a good boss, reasonable, fair, open-minded.  Perhaps I am kidding myself. There is however one thing I do that drives my team nuts, makes them apoplectic, I have an infuriating habit of asking two people to do the same […]

Filed Under: Blog, Wild Cards Tagged With: accident prevention, accountability, aviation, roles and responsibilities, teamwork

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