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 …

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 …