I’ve probably mentioned this book on HN a hundred times but “Black Box Thinking” discusses the aviation culture of avoiding blame and making sure a problem isn’t repeated and how other industries (like medicine) would benefit hugely from a similar approach. It’s really interesting.

This reminds me of the book "Black Box Thinking" that basically says it's more important to learn from mistakes so we don't repeat them than to assign blame. The commercial aviation industry does this better than any other industry, even medicine.

I can recommend the book Black Box Thinking [1] by Matthew Syed. It covers how not only checklists but also the learning culture that produced them can be applied to other industries and areas.

[1] https://www.amazon.co.uk/Black-Box-Thinking-Surprising-Succe...

The book "Black Box Thinking" by Matthew Syed has good insight on this issue, especially the differences between how the airline and medical industries handle errors.

... Black Box Thinking, by Matthew Syed.

I’ve mentioned it here before but the book “Black Box Thinking” by Matthew Syed is an interesting read in this regard. It really highlights how important it is to design a system that’s focused on error reduction (like aviation) rather than focused on allocating blame (like medicine).

IIRC there’s a chapter in the book about patient safety correlating with how “friendly” the OR nurses perceive a surgeon. The implication being that if someone makes a mistake they’re more likely to fess up a nicer surgeon (who will then have the opportunity to correct the error) and more likely to cover it up or ignore if they might get chewed out for bringing it up.

Anyone interested in fixing mental health or actually all health needs to get a copy of "Black Box Thinking" by Matthew Syed. Any application will fail until the nature of information sharing has changed.

Black Box Thinking: The Surprising Truth About Success by Matthew Syed.

It looks at anecdotes and stats around different industries and people and their approach to failure and learning from it. Goes on a bit about incremental gains and how those who are successful are so because of many little things, rather than a few big ones.

> I'm incredibly interested in how the brain experiences time during events of stress or high action.

Read the book Black Box Thinking by Matthew Syed.

There's a couple of sad examples. One is some doctors who lose track of time while trying to intubate a patient. Another is an airline pilot losing track of the fuel level while trying to figure out whether the landing gear has come down. Both preventable issues where people's focus narrows so much they lose sight of the critical variables.

Thank you for relating this to caring about the product and it's continued support.

The hospital you're describing sounds like a great example for others. It's great if you make it public, you also need to show you're taking actions on how to prevent it from happening (like they invite the family to their meetings). I do think the suing nature in the U.S. plays a part in people hiding their mistakes in for example healthcare.

Your hospital story makes me think of the book Black Box Thinking by Matthew Syed which I red a few years ago. It's about how different the approach is in the airplane sector versus the healthcare sector.