SH182: Joining Dots is Easy, Especially If You Know the Outcome

SH182: Joining Dots is Easy, Especially If You Know the Outcome

In this episode, we discuss the complexities of learning from mistakes and adverse events in diving and beyond. Using real-world examples, including a technical diving error and a high-profile medical case, we explore how systemic pressures, biases like hindsight and confirmation bias, and the gap between "work as imagined" and "work as done" influence decisions. We highlight the importance of Just Culture in fostering open discussions and meaningful learning, emphasizing that improving safety means addressing systemic issues, not just individual actions. Join us to rethink how we approach errors and build resilience in high-pressure environments.

Original blog: https://www.thehumandiver.com/blog/joining-dots-is-easy-if-you-know-the-outcome

Links: Last week’s blog: https://www.thehumandiver.com/blog/my-biggest-mistake

HFiD Facebook group: https://www.facebook.com/groups/184882365201810

Some cognitive biases: https://www.thehumandiver.com/blog/from_blaming_to_learning

RaDonda Vaught verdict: https://www.npr.org/sections/health-shots/2022/03/25/1088902487/former-nurse-found-guilty-in-accidental-injection-death-of-75-year-old-patient

Learning from RaDonda Vaught case: https://www.linkedin.com/pulse/reckless-homicide-vanderbilt-just-culture-analysis-david-marx/

The learning line (page 7, section 6): http://sunnyday.mit.edu/16.863/rasmussen-safetyscience.pdf

Learning organisation: https://gue.com/blog/improvement-requires-learning-learning-happens-at-the-organizational-level-too/

Tags: English, Decision Making, Gareth Lock, Hindsight Bias, Just Culture, Psychological Safety

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SH314: 5. Human Factors as an Operating System

SH314: 5. Human Factors as an Operating System

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10 Loka 9min

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7 Loka 16min

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3 Loka 6min

SH310: 2. More Than a Deep Dive: What a WWII Bomber Recovery Can Teach Us About Human Factors

SH310: 2. More Than a Deep Dive: What a WWII Bomber Recovery Can Teach Us About Human Factors

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30 Syys 8min

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SH309: Change around Safety Culture is Really Hard

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23 Syys 14min

SH308: We Know, and We Say Nothing

SH308: We Know, and We Say Nothing

This episode explores why experienced divers still die in situations that seem predictable, using the tragic 2026 Maldives cave accident as a starting point. It looks at how outcome bias, the normalis...

16 Syys 17min

SH307: 1. The 2026 HF in Diving Conference - What Did You Miss?

SH307: 1. The 2026 HF in Diving Conference - What Did You Miss?

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9 Syys 15min

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