what is the similarity between a hopsital patient and an oil rig

Post on 13-Jul-2015

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Serge  Diekstra  Dutch  Center  For  Patient  Safety  

Leiden,  The  Netherlands  

?  

• For  systemic  organizational  risk:    “  overconfidence  bias  +  availability/anchoring  bias  +  confirmation  bias  +  time  =  major  disaster.  ”  

serge.diekstra@ipatientsafety.com

Note  –  a  similar  analysis  of  Bhopal  showed  8  barriers  were  out-­‐of-­‐service  or  failed,  any  one  of  which  would  have  prevented  or  greatly  mi=gated  that  event  

So:   BeP  repared  

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