# 12, Strategy: Each anesthetic department should have a human factors lead with an appropriate level of training.The Ergonomist - 12 steps to safety
Tuesday, November 14, 2023
Saturday, April 29, 2023
Friday, September 16, 2022
Richard Cook left us on 31 August 2022.
We were very fortunate to know Richard and we are thankful for how he impacted our lives and our community. He was a lovely man in every sense.
The Resilience Engineering Association dedicated their December issue to the life and work of Richard I. Cook. Six interesting perspectives from colleagues and friends of Richard's.
Friday, November 26, 2021
"Human error" - the case of road safety.
... the “critical reason” for a crash is not the same as the “cause”.
Saturday, May 29, 2021
When you design your fully autonomous systems it is important to have a good plan for how the system will fallback to human control when needed. See what happened to this driverless Waymo.
Photo from Wikimedia
Wednesday, January 22, 2020
"How Boeing’s Responsibility in a Deadly Crash ‘Got Buried’" from The New York Times.
Wednesday, January 1, 2020
A 2019 systematic review by Dr Alain K Koyama and colleagues that was published at the BMJ Quality and Safety reviles that there is insufficient evidence that double versus single checking of medication administration reduce harm.
Wednesday, July 31, 2019
Saturday, June 29, 2019
Many of us use car navigation systems these days, and we developed some trust working with these systems over time.
Here is what can happen when we have too much trust - Google Maps Leads About 100 Drivers Into A 'Muddy Mess' In Colorado.
Now imagine how this type of incident would develop in the world of automation in healthcare.
Saturday, March 30, 2019
Wednesday, March 20, 2019
How one doctor is changing patient safety around the world by improving communication in the operating theater.
Willing to let others know you're human to improve #patientsafety?https://t.co/oCHmeUgExn #knowyourhuman pic.twitter.com/1bpSy2m91E— Rob Hackett (@patientsafe3) December 4, 2017
Monday, February 25, 2019
Friday, July 14, 2017
The ECRI published its top 10 patient safety concerns for 2017.
Although it is not mentioned in this report, human factors tools and methods can improve most of these patient safety concerns.
Thursday, January 5, 2017
The ECRI Institute have published its Top 10 Health Technology Hazards for 2017, and Automation is identified as one of the top 10 technology hazards for the first time.
Wednesday, October 12, 2016
“The Dutch Reach is a practice where instead of using your near hand — usually the driver’s left hand — to open your car door, you use your far hand. Your right hand. In doing that, you automatically swivel your body. And you position your head and shoulders so you are looking directly out. First, past the rear-view mirror. And then, you are very easily able to look back and see if there are oncoming bicycles or cars or whatever.”