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Posts by: kenstahl

  1. Split Second Decisions October 6, 2014

    Posted in High Reliability Mindset, Human Factors.

    No comments
  2. Looking without Seeing April 7, 2014

    Posted in High Reliability Mindset, Patient Safety.

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

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

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

    Posted in High Reliability Mindset, Uncategorized.

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

    Posted in Patient Safety, Uncategorized.

    1 comment
  6. The Big Flick September 11, 2013

    Posted in High Reliability Organizations, Patient Safety, SA.

    1 comment
  7. 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
  8. 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
  9. Unintended Consequences – Depressing Isn’t It? April 9, 2013

    Posted in High Reliability Mindset, Patient Safety.

    No comments
  10. Escape Fire March 18, 2013

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

    No comments
  11. High Reliability Habits March 7, 2013

    Posted in High Reliability Mindset, Patient Safety.

    No comments
  12. 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
  13. Dead Tired…Really February 11, 2013

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

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

    Posted in Patient Safety.

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

    Posted in Patient Safety.

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

    Posted in Patient Safety, Uncategorized.

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

    Posted in High Reliability Mindset, Uncategorized.

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

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

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

    Posted in Uncategorized.

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

    Posted in Human Factors, Patient Safety, Uncategorized.

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

    Posted in Patient Safety, Uncategorized.

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

    Posted in Error Producing Conditions, Patient Safety.

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

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

    3 comments
  24. It’s My Pool, It’s Your Pool November 1, 2011

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

    2 comments
  25. ‘Alarm Fatigue’ Cited In Patient Death At UMass Memorial September 26, 2011

    Posted in Error Producing Conditions, Patient Safety.

    1 comment