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Old 19th Feb 2012, 15:55
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Genghis the Engineer
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I got the impression from the trailer that he was most likely going to be talking about open no-blame reporting of failures.

His book "The human contribution" has some fascinating stuff about medical errors and how they can be prevented. A lot seemed to concentrate upon the willingness to identify, rectify, and report mistakes.

Building stuff into the system to prevent error is more Atul Gawande's territory to some extent.

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