As I write about in The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation, there are knowledge-based mistakes (where you don’t know how to do something the right way) and there are execution mistakes (where you know what to do, but you slip up and do something… Read More "The Mistakes Are Bigger at The State Fair of Texas"
A Tragic Oversight: How Misunderstandings and Staffing Shortages Led to a Patient’s Death in the ICU
In an unsettling tale from within our hospitals, a friend recently relayed an alarming incident. It’s a story that unveils the complex challenges our healthcare professionals grapple with and the silent crises that occasionally go unnoticed. A diligent nurse, fresh out of school with just a year’s experience under her… Read More "A Tragic Oversight: How Misunderstandings and Staffing Shortages Led to a Patient’s Death in the ICU"
ESPN’s Michael Kay’s Bad Assumption: Misjudging NY Giants Coach Brian Daboll Explained
Assumptions are a common cause of mistakes. In any workplace, we often make the best decision that we can at a given moment. But when a lack of knowledge is replaced with assumptions… that decision might turn out to be a bad one. So it’s important to recognize when we… Read More "ESPN’s Michael Kay’s Bad Assumption: Misjudging NY Giants Coach Brian Daboll Explained"
Why Dwelling on Mistakes Is Harmful: Lessons from a BTS Member’s Experience
I’m not a BTS fan, but it’s hard to not know about the K-Pop phenomenons. So this article caught my eye the other day: BTS’ Jungkook shares why he ‘tortures himself’ over every mistake Yikes, I hate to hear that somebody is that hard on themselves about mistakes. We all… Read More "Why Dwelling on Mistakes Is Harmful: Lessons from a BTS Member’s Experience"
Comparing Pharmacy Mistake-Proofing Methods: Which Is More Effective in This Case?
In the book, Chapter 4 focuses on preventing mistakes, including methods like checklists and mistake-proofing. We should really try to avoid and prevent medication mistakes, considering the harm that can result (up to and including death). We can try to prevent mistakes while also emphasizing the need to learn from… Read More "Comparing Pharmacy Mistake-Proofing Methods: Which Is More Effective in This Case?"
How an Operating Room Error Nearly Cost Arnold Schwarzenegger His Life
In the news: Arnold Schwarzenegger Had Botched Heart Surgery Three Months Before ‘Terminator 6’ Filming, Doctor Poked Through Heart Wall: ‘I Was in the Middle of a Disaster’ What happened has been described as a “mistake.” “Schwarzenegger remembered the doctor telling him when he woke up, “We made a mistake… Read More "How an Operating Room Error Nearly Cost Arnold Schwarzenegger His Life"