Publications

MY ARTICLES

The Lilypond Model: An integrated model of Safety II principles in the workplace. A quantum shift in patient safety thinking

"We can't understand complex systems using linear models"

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The Just Culture. Why it isn't Just; and how it could be

"A culture predicated on liability is not Just. One that is centred on learning could be"

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Beyond Root Cause Analysis: How variation analysis can provide a deeper understanding of causation in complex adaptive systems

"From asking 'what caused this?' to asking 'of all variations, which most likely affected the outcome?'

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MY ARTICLES

MY ARTICLES

The future of safety and the New View refraction

Differing scientific views can contradict and compete; they can also complement or coexist.

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The Awkward Body Shaming Tendency of Safety Science

Safety isn't a search for zero.

The Restoration of Accountability

Safety needs to be more human. Does that lead to a difficult relationship with the idea of people being accountable for their work?

Safety II/ Resilience Engineering:
Tinker, tailor, soldier, why?

What is the current situation with Safety II and Resilience Engineering and what are the future potential challenges?

The High Performance Dilemma

What do we mean when we state that safety should be considered to be an integrated aspect of high performance?