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

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Eugene Borukhovich
Eugene Borukhovich

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

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Serge Diekstra Dutch Center For Patient Safety Leiden, The Netherlands
?
• For systemic organizational risk: “ overconfidence bias + availability/anchoring bias + confirmation bias + time = major disaster. ”
serge.diekstra@ipatientsafety.com
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
So: BePrepa red
What is the similarity between a hopsital patient and an oil rig
What is the similarity between a hopsital patient and an oil rig
What is the similarity between a hopsital patient and an oil rig
What is the similarity between a hopsital patient and an oil rig
What is the similarity between a hopsital patient and an oil rig
What is the similarity between a hopsital patient and an oil rig

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

  • 1. Serge Diekstra Dutch Center For Patient Safety Leiden, The Netherlands
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  • 41. • For systemic organizational risk: “ overconfidence bias + availability/anchoring bias + confirmation bias + time = major disaster. ”
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  • 49. 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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