Commit people to protect themselves and their organization against unexpected events, like human errors.
Improve learning from errors and near misses.
We can help you to prevent human errors and to reduce them. In high reliable organizations management is concerned with prevention, but just as much with cures. You want that unexpected events are detected on time to make recovery possible. People are fallible and prevent all errors is impossible.
Ways we can help you are:
Assessing your capabilities for resilient performance. In a meeting of maximum 4 hours we will perform an audit with the management to decide where activities are the most required to move in the direction of higher reliability. This can also be done on departmental level.
We have profound knowledge and experience to advice you how you can bring and keep your people in good shape to detect unexpected events like a mistake, mishap or strange course of action on time before they cause damage. When we perform successfully the tendency of routines is to become mindless, to work on autopilot. It takes more than good will to resist that. The system must be designed to prevent mindless working: technology, procedures, training and work attitude.
We can also help to create an atmosphere where near misses and errors are discussed open and effectively. In case of a big incident the investigation always demonstrate that the underlying causes were already known in the organization. But nobody foresaw that they could occur at the same time. We have a patchwork of standards and procedures and every patchwork has many holes. We have to be just as concerned with reactions on small unexpected events to prevent that they will cause a more severe one later.
In our workshops we make the participants familiar with their fallibilities. Once they know and accept that fallibilities, they start to look for better ways to prevent them or recover them before they cause damage. Normally they make weak responses to weak signals and strong responses to strong signals. We want them to response on weak signals with the ‘repeat-test’:
In the organizations where it is used the report about every detected unexpected event is accompanied with the end result of the repeat-test:
We work together with colleagues in the Netherlands and Belgium.