Errare Humanum Est
Developing a Learning Organisation
“Really interesting and entertaining! Reflecting on my own behaviour when dealing with mistakes will continue to improve patient safety. Thanks!”
Participant, Vestische Kinder- und Jugendklinik, Datteln, Germany
Who among us can say that they have never, knowingly or unknowingly, driven over the speed limit? We can get off lightly with making small mistakes in our everyday lives, but in the workplace mistakes can have big consequences and in certain circumstances may lead to life-threatening damage or injury.
For this reason, making mistakes in daily business is penalised and in serious cases may even result in legal action. But that means that people have little motivation to admit to having made a mistake at all. In this way, an organisation loses valuable information. It loses the opportunity to learn from mistakes and to reduce the chance of making mistakes in the future.
An organisation that is intrinsically motivated to develop and to learn does the opposite. It asks each individual how they deal with their own mistakes and with the mistakes of others.
Using examples from air, sea and space travel, we will analyse and process mistakes. We will work on different concepts and models such as “the swiss cheese model”,“error pyramid”, “just culture” and “non punitive reporting system” etc.
There will be plenty of discussion about how this can be implemented into your everyday work, as well as how to judge when the models have reached their limits.