What’s New in the Patient Safety World


April 2007


New Sidney Dekker Book


Many of you involved in patient safety are familiar with Sidney Dekker’s book “The Field Guide to Human Error Investigations” (2002). He has now followed that up with a new book “The Field Guide to Understanding Human Error” (Ashgate Publishing 2006) and this is a must-read for all involved in investigations of adverse events. Though much of his work has been in the aviation industry, Dekker’s work in human factors and cognitive systems engineering is directly applicable to medicine and patient safety. He masterfully walks the reader through the ways to avoid hindsight bias, remain objective and focus on how the participants perceived the unfolding events at the time. After all, the focus of an investigation is to determine why the events happened in order to prevent similar events and adverse outcomes in the future.









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