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

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Serge Diekstra Dutch Center For Patient Safety Leiden, The Netherlands

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Transcript of What is the similarity between a hopsital patient and an oil rig

Page 1: What is the similarity between a hopsital patient and an oil rig

Serge  Diekstra  Dutch  Center  For  Patient  Safety  

Leiden,  The  Netherlands  

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

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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  

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So:   BeP  repared  

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