We may think that fixing one thing in a chain of events will prevent a bad outcome. This video explains why it’s not that simple.
Difficult conditions and error-prone situations are always present in our work. When these combine and increase risk, they can lead to an incident.
The good news is that this insight helps us to get ahead of incidents.
When we surface and tackle problems, we reduce the likelihood of them interacting together to become an incident.
To make these issues visible, it takes leaders and workforce to talk together about how work really happens.
