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

A dynamic presentation at Health 2.0 Amsterdam by Serge Diekstra from iPatientSafety Project in the Netherlands

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

  1. 1. Serge Diekstra Dutch Center For Patient Safety Leiden, The Netherlands
  2. 2. ?
  3. 3. • For systemic organizational risk: “ overconfidence bias + availability/anchoring bias + confirmation bias + time = major disaster. ”
  4. 4. serge.diekstra@ipatientsafety.com
  5. 5. 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
  6. 6. So: BePrepa red

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