The Wrong Kidney

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

“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…

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…

What Human Factors Isn’t: 4. A Cause of Accidents

‘Human Factors’ (or Ergonomics) is often presented as something that it’s not, or as something…

System Safety: Seven Foes of Explanation

In this short series, I will highlight seven foes and seven friends of system safety, both for explanation and intervention. Each is a concept, meme, or device used in thinking, language, and intervention (reinforced by more fundamental foes that act as barriers to thinking).  They are not the only foes or friends, of course, but they are significant ones that either crop up regularly in discussions and writings about safety, or else – in the case of friends – should do.