The 2005 Stockwell Shooting: A lethal stew whose ingredients had been long in the cooking
Using the 2005 Stockwell shooting as a case study, this blog demonstrates how major incidents rarely result from single failures, but rather from the alignment of multiple systemic weaknesses across five stages.
CAPA Culture and systems: Organisational learning in pharmaceutical manufacture
At HRA, we have found that reporting culture isn’t quite as healthy as we might hope, both in healthcare and other industries.
Organisational learning – how mature is your organisation?
Following his last blog on safety culture in healthcare, Steve describes the traits of a healthy reporting culture, its impact on organisational learning and the need to adopt a proactive approach to risk and safety.
Safety culture? What’s the point?
“Safety culture” is something that many will have heard of. But what is safety culture? Is it important for actual safety outcomes – or is it an entirely academic matter, with no relation to how things work in your organisation? Does having a positive culture make any difference in the real world?
