Awareness of hindsight bias, limitations of ‘causation’ very important. How can ensure appropriate training and interpretation? as could easily be used as another tool of diversion and blame
I hinted at it when I mentioned the 'watering down' of the list, so yes, I do have questions on some now. But number 1 on the list of Never Events since it began has always been wrong site surgery. And I can understand how a surgical safety checklist can prevent that, if used.
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But as important as Checklist is culture/communication in team, shared understanding, mutual respect. Checklist ‘forces’ some ideals, but also forces teams to work in ways not always best in real situations
shortcuts taken, distractions happen BECAUSE of checklists, not despite -
Imagine you're going on holiday. Somewhere hot (for a change). As you're boarding the flight you overhear the pilots expressing a similar view about the pre-flight checklist. Would you still take your seat, happy to let them decide whether it's best to do the checklist or not?
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Yes, if there is a good argument behind it. But as many said before, OR is not cockpit. Different variables, people, requirements, but also very different training that brings together other elements of behaviour, culture, shared understanding. That is where HC needs to catch up
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I'm not even sure how to reply to this. Healthcare certainly needs to catch up - I can agree with that part. For what it's worth, I'd be the one getting off the flight. We don't here such conversations in cockpits because unlike healthcare, the pilots go down with the plane.
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*hear* Couldn't leave that uncorrected. It was screaming at me... :)
- End of conversation
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