Relational-reliability on the move: a review of a Busby and Iszatt-White paper while thinking about medication errors and health IT implementations

‘[o]rganizations transform, rather than solve, reliability problems’ [1][p77]. Busby and Iszatt-White [1] build on the theory of collective mindfulness in HROs [2] to propose a relational view of reliability that calls for a mindfulness approach to understanding reliability failures. Theirs is a study of a company delivering construction and management of highways, with a focus …

End of Summer, January to April 2019 (first 3 and half months of year 2 of the fellowship)

I am finding it hard to make a diary of this time. Perhaps it's the struggle with the end of summer. Though Autumn is also beautiful. Let's start with research progress... First, a new cabinet study. I completed scoping review, research protocol and plans for a study of automated dispensing cabinets in ICUs. Submitted to …

Professional bias: seeing workarounds and violations in motorcycle traffic

A few days ago I was spending some time in Genova waiting for a train, for about an hour looking out the hotel window at the traffic, the city moving about. The motorcycle parking caught my attention...   Since early morning, it seemed constantly fully occupied. There were more scooters than parking slots, with coming …