Dr Carl Horsley is an intensive care specialist with Middlemore Hospital’s Critical Care Complex. He and his multidisciplinary team have successfully adopted a Safety-II approach based on curiosity rather than compliance in what is a complex and unpredictable working environment. He and the team were centrally involved in dealing with the Whakaari eruption as well as preparing for the potential impacts of COVID-19.
Now it's time for Forum members to start thinking about what they'd like to ask you. Fire in your questions now - by simply responding to this thread.
As always, all responses go into a moderation queue to be released by me in some kind of logical sequence. Can't guarantee all responses will see the light of day, depending on repetition etc.
I'll release the first question just after 9am tomorrow as a starter for ten.
Carl, I'll sneak a question in here: when you decided to introduce Safety-II into the way your team worked, how did you go about it? Did you say "Hey, there's this thing I've discovered and here it is!"; or did you just start gently introducing different questions, ie: a soft launch?
A last one from me: some people worry that introducing a Safety-II approach to their work will require them to abandon their old ways, ie "Safety-I".
Erik Hollnagel makes it clear that he sees Safety-II sitting alongside Safety-I.
What was your experience?
Carl, many thanks for taking part in this Q&A session and for providing such thoughtful and thought-provoking responses! Now we'd better let you go so you can prepare for another day in ICU, which surely must be the most exciting/alarming work environment of all: you never know what is going to come through your door, and the stakes could not be higher. Thanks for your work - and be sure to pass on our appreciation to all of your team. Good work!