23 08, 2018

Learning from errors: zooming in on healthcare incident data

2018-08-23T15:50:43+02:00Healthcare, News|

Can we do more with the incident data that we collect? That was the subject of the study that Wouter van Kempen (student Msc. Occupational Health Psychology, at Leiden University) successfully completed in close cooperation with a respectable Dutch hospital, during his CGE internship. Read Wouter's account on how they approached the research and what [...]

22 08, 2018

3 concepts of great process safety minds that should be in your bowtie diagram


In 2006, the Journal of Loss Prevention in the Process Industries published an excellent article on barriers by Snorre Sklet. The name of the article is “Safety barriers: Definition, classification, and performance” and it is highly recommended to read for everyone in the process (safety) industry who is into barrier thinking. In the article, Sklet [...]

16 08, 2018

Principles of Forensic Engineering Applied to Industrial Accidents


Guest blog by Prof. Luca Fiorentini and Prof. Luca Marmo A good investigator collects evidence, analyzes them, finds the root causes and the relations among these causes that lead to the accident and provides suggestions about corrective actions to avoid the reoccurrence of the undesired event. In this blog, Prof. Luca Fiorentini and Prof. Luca [...]

8 08, 2018

5 Reasons why you should communicate risk with a bowtie


Risk assessments are usually executed by the safety department of an organization, so for them, the management of safety is quite clear. The struggle comes when they try to communicate risk outside the safety department at different levels, from higher management to the work floor. We see more and more organizations using the bowtie method [...]

6 08, 2018

Using bowties to classify barriers – The Chemical Engineer


Earlier this month, The Chemical Engineer issued an article on ‘Using bowties to classify barriers’. Bowtie diagrams provide a simple and powerful description of how risks are managed and readily leads on to identification of gaps or omissions within the system. However, not all barriers or control/mitigation measures are of equal value so it is [...]