The Wrong Kidney

The post discusses a short fictional film, ‘The Wrong Kidney’, created to explore the complexities…

Laughing Boy: Love, Justice and Drops of Brilliance

As we go about our daily lives, any exposure to news media confronts us with…

Are We Learning From Accidents?

This is a Foreword to Are We Learning From Accidents, by Dr Nippin Anand, published…

“Why Are We Having More Incidents?” Causal Loops in Reactions to Unwanted Events

One way to understand the links between unwanted events, conditions and interventions is via causal…

“Why Aren’t They Reporting Incidents?” Influences on Reporting Behaviour

Reporting behaviour associated with safety-related accidents, incidents, and hazards is a concern for many managers,…

Set Taxonomies to Neutral

Twenty years ago, I completed my PhD on human factors in air traffic control. Part…

Human Performance in the Spotlight: ‘Human Error’ and ‘Honest Mistakes’

This article is a reproduction of an article published in HindSight magazine issue 35 in September 2023 (all issues available…

Why Is It Just So Difficult? Barriers to ‘Just Culture’ in the Real World

This article is a reproduction of an article published in HindSight magazine issue 35 in September 2023 (all issues available…

Who Are We to Judge? From Work-as-Done to Work-as-Judged

This article is a reproduction of the Editorial published in HindSight magazine issue 35 in September 2023 (all issues…

The Real Second Victims

In many professions, specific terms – both old and new – are often established and accepted unquestioningly, from the inside. In some cases, such terms may create and perpetuate inequity and injustice, even when introduced with good intentions. One example that has played on my mind over recent years is the term ‘second victim’.