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Learning from errors: zooming in on healthcare incident data
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 they learned from it. Medical errors and how they are [...]
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 helpful to differentiate them. In this article, Ian Travers and [...]
Sharing safety knowledge by modeling common aviation risk
Earlier this year, AeroSafety World magazine issued an article on ‘Modeling Common Aviation Risk’. This article talks about an initiative to share safety knowledge within the Aviation Industry, without having to swap internal data. This initiative is called CARM which stands for ‘Common Aviation Risk Models’. (If you’re a Flight Safety Foundation member, you can read their article here: https://flightsafety.org/asw-article/modeling-common-aviation-risk/) Common aviation risk models (CARM) CGE [...]
Main changes in revised ISO 31000 standard – Keep risk management simple
Earlier this year the International Organization for Standardization (ISO) revised their ISO 31000 standard. With this ISO 31000:2018 standard, ISO promises to "keep risk management simple" and "deliver a clearer, shorter and more concise guide that will help organizations use risk management principles to improve planning and make better decisions." Main changes since the previous edition: ISO 31000:2009 According to the ISO, the main changes [...]
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