Tuesday, November 14, 2023

Friday, September 16, 2022

Richard I. Cook: A Life in Many Acts

 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. 

Learn more about Dr. Cook and his work

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.

Saturday, May 29, 2021

Fully autonomous systems and fallback to human control

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

Wednesday, January 1, 2020

The Value of Double checking Medications

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

Standardization assist in shortening response time during emergencies

There is one thing that always assist in shortening response time during emergencies - standardization. Here is how international standardization of in-hospital-emergency-number can help. 

Saturday, June 29, 2019

Google Maps Leads About 100 Drivers Into A 'Muddy Mess' In Colorado

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.

Wednesday, March 20, 2019

Friday, July 14, 2017

The ECRI published its top 10 patient safety concerns for 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

Wednesday, October 12, 2016

Safety improvements doesn't need to cost much

“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.”