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Process Design and Human Nature

30 June, 2012 by James Lawther 5 Comments

Mothers were dying In 1840’s Vienna they were dying of “childbed fever”.  In one hospital the death rate was alarming, roughly 1 in 10 mothers perished after childbirth, some months this statistic climbed to a horrific  30%. A young doctor, Ignaz Semmelweis, working in the maternity hospital noticed that in a neighbouring hospital death rates were a far […]

Filed Under: Blog, Employee Engagement Tagged With: accident prevention, error proofing, human nature, medicine, reinforcing behaviour, service design

Swiss Cheese: It’s Bad for Your Health

20 December, 2011 by James Lawther 5 Comments

Things go wrong: People sleep in Training isn’t acted on Doors get left open Staff members resent each other Taps get stuck open People put boxes on the wrong pile Shit, as they say, happens. Normally “things gone wrong” are just an irritant, a minor expense, nothing to get too worried about.  Sometimes however, it […]

Filed Under: Blog, Process Improvement Tagged With: accident prevention, aviation, error proofing, risk assessment, swiss cheese model, video

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