Skip to content


Posts by: kenstahl

  1. Great Expectations….for Ourselves August 3, 2015

    Posted in CRM, Patient Safety, SA.

    No comments
  2. Unusual Attitudes January 30, 2015

    Posted in High Reliability Mindset, Patient Safety.

    No comments
  3. Split Second Decisions October 6, 2014

    Posted in High Reliability Mindset, Human Factors.

    No comments
  4. Looking without Seeing April 7, 2014

    Posted in High Reliability Mindset, Patient Safety.

    1 comment
  5. Bingo, Other Parlor Games and Thinking Outside the Box January 28, 2014

    Posted in CRM, High Reliability Mindset, Patient Safety, SA.

    No comments
  6. “IzGudEnuf-itis” Can Be a Fatal Disease November 20, 2013

    Posted in High Reliability Mindset, Uncategorized.

    No comments
  7. A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care October 21, 2013

    Posted in Patient Safety, Uncategorized.

    1 comment
  8. The Big Flick September 11, 2013

    Posted in High Reliability Organizations, Patient Safety, SA.

    1 comment
  9. It All Comes Down to the Last Slice of Cheese July 15, 2013

    Posted in High Reliability Mindset, High Reliability Organizations, Human Factors, Patient Safety.

    1 comment
  10. Superman Never Asks for Help…But Sometimes He Should May 20, 2013

    Posted in Fatigue, High Reliability Mindset, Human Factors, Patient Safety, Uncategorized.

    1 comment
  11. Unintended Consequences – Depressing Isn’t It? April 9, 2013

    Posted in High Reliability Mindset, Patient Safety.

    No comments
  12. Escape Fire March 18, 2013

    Posted in High Reliability Mindset, Human Factors, Patient Safety.

    No comments
  13. High Reliability Habits March 7, 2013

    Posted in High Reliability Mindset, Patient Safety.

    No comments
  14. Annals of Surgery Study: Failures in postoperative care after major elective general surgery. March 4, 2013

    Posted in High Reliability Mindset, Patient Safety.

    No comments
  15. Dead Tired…Really February 11, 2013

    Posted in CRM, Fatigue, High Reliability Mindset, Human Factors.

    No comments
  16. “Getting ‘em to Play Together” December 20, 2012

    Posted in Patient Safety.

    1 comment
  17. Timeouts – good for 5 year olds and patient safety too December 19, 2012

    Posted in Patient Safety.

    No comments
  18. Imagine Patient Safety: A preview of Life’s Coming Attractions November 5, 2012

    Posted in Patient Safety, Uncategorized.

    3 comments
  19. Pre-disasters and Halloween Ghosts of Mistakes Past October 1, 2012

    Posted in High Reliability Mindset, Uncategorized.

    2 comments
  20. Stuck Mics and Stuck Brains July 31, 2012

    Posted in communication, CRM, Error Producing Conditions, Human Factors.

    4 comments
  21. Defeating General von Clausewitz March 27, 2012

    Posted in Uncategorized.

    No comments
  22. Belly Aches and Other Distractions February 7, 2012

    Posted in Human Factors, Patient Safety, Uncategorized.

    1 comment
  23. What if the Doctor Is Wrong? January 24, 2012

    Posted in Patient Safety, Uncategorized.

    1 comment
  24. Sterile Cockpits and Sterile Operating Rooms January 3, 2012

    Posted in Error Producing Conditions, Patient Safety.

    6 comments
  25. The Day the Music Died November 21, 2011

    Posted in communication, Error Producing Conditions, Human Factors, Patient Safety.

    3 comments