Error as a Faulty Failure Signal

Abstract

One person's error is another person's information. Until we experience something, we don't know exactly how we would act or what to expect. Acts are not mistakes; they become mistaken late in their development (Paget 1998, 45). " standardization along with outside 2005) makes medical error capable of error."

Common Sense High Reliability Organizing (HRO) in the Response to COVID-19

“…We can also look at how conclusions different from our own are reached (25). Even with error, "thought operates according to the model of common sense" (71).…”

“…We describe this as the VUCA-2T environment (Volatility, Uncertainty, Complexity, Ambiguity-Threat, and Time Compression, see Table 1) (24), modified from the US Army concept VUCA (33,34) and the anthropologic concept of liminality (35). Such situations do not often readily translate into straightforward problems with definitive constituents, rules, and outcomes (7,23,25). Inquiry is active and operational, supporting authority migration and information flow, enlarging small cues, and evaluating context (7,32,36).…”

Inductive Processes, Heuristics, and Biases Modulated by High-Reliability Organizing (HRO) for COVID-19 and Disasters

“…Heuristics for decisions to increase accuracy bring about engagement and sharing of freshly generated information. Reciprocal decision-making relies on heuristics for decisions, error for correction, and consequences for guidance (21,33,35,46). The decision doesn't end until the threat has abated.…”

High-Reliability Organizing (HRO) and Abrupt Change from COVID 19: Failure of Scientific Rationality and Classical Logic

“…In the realm of uncertainty and ambiguity, an error has critical functions for decision-making and safety. Error corrects heuristic bias (10). Error, unfortunately, has become an indicator of careless or poor performance to engender fear of the system and supervisors.…”