James Reason Swiss Cheese Model. Source: BMJ, 2000 Mar 18:320(7237): 768-770 A while ago I was part of the Cardiff pilot of Practical Strategies for Learning from Failure (#LFFdigital). My job was to explain the James Reason Swiss Cheese Failure Model in 300 seconds (5 minutes). This is what I did. The Swiss Cheese Model of […]
Does involving Service Users lead to better decisions? A case for Co-production?
This is the third in a series of posts (second one here) about some work using SenseMaker to get a better understanding of attitudes to risk. This final post explains how we used SenseMaker in a new way for us, looking at X-Y plots and possible correlations between data sets. It is very much […]
That Which Does Not Kill Us Makes Us Stronger. Beneficial Accidents and Survivable Failure
Del Boy Trotter, Risk Management Advisor, “Who Dares Wins” “That which does not kill us makes us stronger” A terrible confession to start… I thought it was Del Boy Trotter; Risk Management Advisor (“who dares wins”) and famous Peckham Philosopher who said this. Actually it was Friedrich Nietzsche, the famous German Philosopher (1844-1900), but you all knew that. […]
What's the PONT 