How to Learn from the Big Mistake You Almost Make - Deepstash

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The Research

The researchers devised a spectrum of hypothetical near misses based on real-life practice. Employees were asked to rank the likelihood that they would report the following near-miss scenarios, which become progressively more threatening to the patient:

  • Could have happened. The pacemaker status of a patient was not checked at the initial consultation.
  • Fortuitous catch. The pacemaker status was not checked.
  • Almost happened. The pacemaker status was not checked.

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Avoided Catastrophes

By framing near misses as important learning opportunities, as well as by fostering psychological safety, business leaders can increase the chances that employees will discuss close calls, potentially helping to avoid costly errors immediately and in the future.

It may be up to managers to communicate a clear and compelling purpose, and to make sure that employees feel like their contributions are valued. When employees feel free to express their ideas and concerns, the whole group benefits, particularly when it comes to close calls.

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