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Mishaps, Accidents and Family Bust-Ups

5 March, 2019 by James Lawther 6 Comments

Swiss cheese I went skiing during half term. It is the thing to do. The only (and I mean only) time you will ever prise the British middle classes out of their Volvos and BMWs and onto a bus is during the spring half term break. Then, miraculously, you will find all the little Joshuas […]

Filed Under: Blog, Employee Engagement, Tools & Techniques Tagged With: accident prevention, blame, culture, error proofing, swiss cheese model

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

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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