Book Links & photos from "Seven Practical Steps"
Fewer Errors
Safer Operations
More Trust
Introduction
1. https://www.businessinsider.com/citigroup-revlon-blunder-banking-takeaways-wire-transfer-mistake-2021-2
3. https://www.gystconsulting.com.au/clive-lloyd/
4. https://jamesclear.com/3-2-1/january-2-2020
5. https://www.shortform.com/blog/what-is-mel-robbins-5-second-rule/
6. https://www.inc.com/jim-schleckser/nelson-mandela-s-secret-to-winning.html
Chapter 1 – Take a Learning Based Approach
7. https://www.assp.org/docs/default-source/psj-articles/f1bayona_0923.pdf?sfvrsn=2ab069
8. https://en.wikipedia.org/wiki/Frederick_Winslow_Taylor
9. https://archive.org/details/principlesofscie00taylrich/page/82/mode/2up?q=83
10. https://faculty.lsu.edu/bedeian/files/most-influential-management-books-of-the-20th-century.pdf
11. https://www.jstor.org/stable/40258682
12. https://en.wikipedia.org/wiki/Boeing_737_MAX_groundings
13. https://en.wikipedia.org/wiki/VUCA
14. https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
15. https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
18. https://en.wikipedia.org/wiki/Confirmation_bias
19. https://www.amazon.ca/Managing-Unexpected-Resilient-Performance-Uncertainty/dp/0787996491
20. https://www.amazon.com/Human-Factor-Revolutionizing-People-Technology/dp/0415978912
22. https://assets.ecri.org/PDF/ECRI_The_Quiet_Power_of_Accountability.pdf
22. https://www.amazon.com/Principles-Human-Performance-contemporary-updateof/dp/1794639144
23. https://en.wikipedia.org/wiki/Derek_Chauvin
24. https://www.reliableorg.com/product-page/hpi-handbook-for-leaders
25. https://www.standards.doe.gov/standards-documents/1000/1028-BHdbk-2009-v1/@@images/file
26. https://www.amazon.com/Whack-Mole-Price-Expecting-Perfection/dp/0990895602
27. https://assets.ecri.org/PDF/ECRI_The_Quiet_Power_of_Accountability.pdf
28. https://en.wikipedia.org/wiki/Complex_adaptive_system
29. https://www.amazon.com/Finite-Infinite-Games-James-Carse/dp/1476731713.
30. https://www.amazon.ca/Black-Box-Thinking-Surprising-Success/dp/1473613809?
31. https://www.amazon.ca/Mindset-Psychology-Carol-S-Dweck/dp/0345472322
32. https://safetydifferently.com/the-varieties-of-human-work/
33. https://www.amazon.ca/Managing-Unexpected-Resilient-Performance-Uncertainty/dp/0787996491
34. https://www.amazon.com/Its-Your-Ship-Management-Anniversary/dp/145552302X
Chapter 2 – Build Psychological Safety
36. https://www.amazon.com/Personal-Organizational-Change-Edgar-Schein/dp/0471758507
37. https://psycnet.apa.org/record/1999-03028-001
38. https://www.amazon.com/Fearless-Organization-Psychological-Workplace-Innovation/dp/1119477247
40. https://www.amazon.com/Right-Kind-Wrong-Science-Failing/dp/1982195061
41. https://www.gallup.com/workplace/236198/create-culture-psychological-safety.aspx
42. https://www.amazon.com/Sapiens-Humankind-Yuval-Noah-Harari/dp/0062316095
43. https://www.amazon.com/Tribe-Homecoming-Belonging-Sebastian-Junger/dp/1455566381
44. https://www.amazon.com/Culture-Code-Secrets-Highly-Successful/dp/0804176981?
45. https://hbr.org/2023/02/what-is-psychological-safety
47, https://www.linkedin.com/pulse/misunderstood-truth-psychological-safety-shane-snow/
48. https://www.supercamp.com/pdf/RS-2018-19-6-8-Keys-Speak-with-Good-Purpose.pdf
50. https://psycnet.apa.org/record/1999-03028-001.
51. https://www.amazon.com/Fearless-Organization-Psychological-Workplace-Innovation/dp/1119477247
53. https://www.amazon.com/Atomic-Habits-Proven-Build-Break/dp/0735211299
54. https://www.amazon.com/Field-Guide-Understanding-Human-Error/dp/0754648265
55. https://www.amazon.com/Being-Wrong-Adventures-Margin-Error/dp/0061176052
56. https://en.wikipedia.org/wiki/Fundamental_attribution_error
57. https://en.wikipedia.org/wiki/Ground_truth
58. https://hbr.org/2023/02/what-is-psychological-safety
60. https://www.gallup.com/workplace/236198/create-culture-psychological-safety.aspx
62. https://hbr.org/2023/02/what-is-psychological-safety
Chapter 3 – Lead After Action Reviews
63. https://www.youtube.com/watch?v=bic2cAt7Das&t=26s
64. https://www.nwcg.gov/wfldp/toolbox/aars
65. https://www.amazon.com/Tribe-Homecoming-Belonging-Sebastian-Junger/dp/1455566381
66. https://apnews.com/article/american-airlines-holiday-travel-flights-delays-
d211eb7fc7ee5e44cbf2ae3dc7cb3526?
67. United States Department of The Navy, Navy Planning, Navy Warfare Publication NWP 5-01, December 2013, p. 1-10.
68. https://www.amazon.com/Learning-Action-Guide-Putting-Organization/dp/1591391903
69. https://www.nwcg.gov/wfldp/toolbox/aars
70. https://quoteinvestigator.com/2021/05/04/no-plan/
71. https://en.wikipedia.org/wiki/VUCA
72. https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
73. https://en.wikipedia.org/wiki/Tacit_knowledge
74. https://www.turningdataintowisdom.com/the-data-addiction-why-your-organization-cant-stop-collecting-information-it-will-never-use/
75. https://hbr.org/2005/07/learning-in-the-thick-of-it
76. https://en.wikipedia.org/wiki/Chatham_House_Rule
77. https://www.researchgate.net/publication/228452347_Beyond_the_AAR_The_Action_Review_Cycle_ARC
78. https://hbr.org/2005/07/learning-in-the-thick-of-it
79. https://apps.dtic.mil/sti/tr/pdf/ADA252825.pdf
80. https://www.amazon.ca/Managing-Unexpected-Resilient-Performance-Uncertainty/dp/0787996491
81. https://journals.sagepub.com/doi/10.1177/0018720812448394
Chapter 4 – Transform Investigations
82. https://en.wikipedia.org/wiki/Titanic
83. https://www.amazon.ca/Safety-I-Safety-II-Future-Safety-Management/dp/1472423089
84. https://hfacs.com/hfacs-framework.html
85. https://www.amazon.com/dp/B019NRKFZU/
Chapter 5 – Apply Defenses
86. https://www.standards.doe.gov/files/doe-hdbk-1028-2009-human-performance-improvement-handbook-volume-2-human-performance-tools-for-individuals-work-teams-and-management
87. https://en.wikipedia.org/wiki/Eastern_Air_Lines_Flight_401
88. https://www.standards.doe.gov/files/doe-hdbk-1028-2009-human-performance-improvement-handbook-volume-2-human-performance-tools-for-individuals-work-teams-and-management
89. https://skybrary.aero/articles/situational-awareness-oghfa-bn
90. https://www.youtube.com/watch?v=vJG698U2Mvo
91. https://www.npr.org/2010/05/19/126977945/bet-you-didnt-notice-the-invisible-gorilla
92. https://www.fastcompany.com/944128/worker-interrupted-cost-task-switching
93. https://www.ishn.com/articles/92157-confined-space-attendants
94. https://www.researchgate.net/publication/210198492_Endsley_MR_Toward_a_Theory_of_Situation_Awareness_in_Dynamic_Systems_Human_Factors_Journal_371_32-64
95. https://maritimesafetyinnovationlab.org/wp-content/uploads/2021/08/Cooper-States-of-Awareness-Givens.pdf
96. https://en.wikipedia.org/wiki/OODA_loop
97. https://northamericannature.com/why-do-meerkats-stand-up/
98. https://www.bbc.com/news/science-environment-40568997
99. https://www.amazon.com/Master-His-Emissary-Divided-Western/dp/0300245920
100. https://vimeo.com/31780637
101. https://en.wikipedia.org/wiki/Eastern_Air_Lines_Flight_401
102. https://maritimesafetyinnovationlab.org/2021/11/01/sa-scan-and-focus-seeing-bad-things-coming/
103. https://www.reliableorg.com/product-page/hpi-handbook-for-leaders
104. https://aviation.stackexchange.com/questions/26823/why-did-the-first-boeing-b17-test-flight-crash-on-takeoff
105. https://www.obermair.info/latest-news/blog/do-checklists-work/
106. https://www.the-hospitalist.org/hospitalist/article/124305/checklists-not-enough-checklist-doctor-says
107. https://www.reliableorg.com/product-page/hpi-handbook-for-leaders
108. https://en.wikipedia.org/wiki/Peter_Pronovost
109. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61439-2/fulltext
110. https://en.wikipedia.org/wiki/Pointing_and_calling
111. https://www.japantimes.co.jp/news/2008/10/21/reference/jr-gestures/
112. https://www.atlasobscura.com/articles/pointing-and-calling-japan-trains
113. https://www.reliableorg.com/product-page/hpi-handbook-for-leaders
114. https://www.amazon.com/dp/B0DCGCFGNX
115. https://www.amazon.com/dp/B0DCGCFGNX
116. https://www.amazon.com/Critical-Steps-Tony-Muschara/dp/1032115076
117. https://www.psychologytoday.com/us/blog/seeing-what-others-dont/202101/the-pre-mortem-method?msockid=36fafe741d7566952bd2e84b1c36679b
118. https://www.amazon.com/dp/B0DCGCFGNX
119. https://www.reliableorg.com/product-page/hpi-handbook-for-leaders
120. https://insidelines.pjm.com/pjm-benefits-from-nerc-human-performance-conference/
121. https://www.amazon.com/Safety-Differently-Human-Factors-Second-ebook/dp/B00OD3XQAG?
Chapter 6 – Improve Processes
122. https://www.hfes.org/Portals/0/Documents/adolescence.pdf
123. https://www.amazon.com/Human-Factor-Revolutionizing-People-Technology/dp/0415978912
124. https://www.amazon.com/Human-Factor-Revolutionizing-People-Technology/dp/0415978912
125. https://pmc.ncbi.nlm.nih.gov/articles/PMC1119508/
126. https://www.amazon.com/dp/B0DCGCFGNX
127. https://erikhollnagel.com/ideas/safety-i%20and%20safety-ii.html
128. https://www.amazon.com/Design-Everyday-Things-Revised-Expanded-ebook/dp/B00E257T6C?
129. https://www.usertesting.com/blog/ux-testing-examples
130. https://www.amazon.com/dp/B0DCGCFGNX
131. https://www.amazon.com/Atomic-Habits-Proven-Build-Break/dp/0735211299
132. https://www.dropbox.com/scl/fo/a1gy7q0q3zplk8zkt54pq/AB2WPKp5Q2n8pRYpNoptFLg?rlkey=kkhhram5owjyzt9y2ctn7ksy9&dl=0
133. https://informationmapping.com/pages/information-mapping-methodology
134. https://www.cnn.com/2017/02/16/world/ups-trucks-no-left-turns/index.html
135. https://99percentinvisible.org/article/michigan-lefts-bowties-jughandles-eliminating-left-turns-
intersections/
137. https://nemsmbr.org/wp-content/uploads/2024/05/hannon.pdf
138. https://www.advisory.com/daily-briefing/2022/10/03/unnecessary-meetings
139. https://www.paulgraham.com/makersschedule.html
Chapter 7 – Build Resilience
140. https://www.amazon.com/Tribe-Homecoming-Belonging-Sebastian-Junger/dp/1455566381
141. https://www.businessinsider.com/former-navy-seal-rorke-denver-leadership-lesson-2017-2
142. https://www.amazon.ca/Managing-Unexpected-Resilient-Performance-Uncertainty/dp/0787996491
143. https://www.amazon.ca/Managing-Unexpected-Resilient-Performance-Uncertainty/dp/0787996491
144. https://www.cbsnews.com/news/green-berets-the-quiet-professionals/
145. https://en.wikipedia.org/wiki/Ground_truth
146. https://www.dropbox.com/scl/fo/x4gi1ibw2tsdl8rqdb2rh/AL6mBXG9xU3ogEs6Kx_Brnc?rlkey=klhvmgk2kfyf7q2qvk87uctqw&dl=0
147. https://fortune.com/2023/04/20/uber-starbucks-ceo-frontline-shifts-employee-satisfaction/
148. https://www.bbc.co.uk/news/articles/cjjjj85z0lno
149. https://apnews.com/article/boeing-earnings-results-profit-revenue-628c704b8642693f0ba5060eeede22d3
150. https://www.afr.com/companies/manufacturing/boeing-heard-all-the-warnings-it-just-wasn-t-listening-20240402-p5fgqt
151. https://asrs.arc.nasa.gov/
152. https://www.amazon.com/Human-Factor-Revolutionizing-People-Technology/dp/0415978912
153. https://www.amazon.com/Human-Factor-Revolutionizing-People-Technology/dp/0415978912
154. https://www.amazon.com/Atomic-Habits-Proven-Build-Break/dp/0735211299
155. https://nav.al/seek-wealth
156. https://www.dropbox.com/scl/fo/vtoxnhhphfuxnkr4vwn7r/AFXv1ij0Vm1urEdqEqRMrjs?rlkey=fphvudloyb0m1e2jormsor9w9&dl=0
157. https://www.amazon.com/Power-Intuition-Feelings-Better-Decisions/dp/0385502893/
158. https://en.wikipedia.org/wiki/Normal_Accidents
159. https://www.popularmechanics.com/science/energy/a44067133/how-does-the-power-grid-work/
160. https://en.wikipedia.org/wiki/Northeast_blackout_of_2003
161. https://www.scientificamerican.com/article/2003-blackout-five-years-later/
162. https://utiligize.com/blog/understanding-n-1-calculations-the-key-to-grid-resilience/\
163. https://en.wikipedia.org/wiki/Normal_Accidents
164. https://housegrail.com/table-saw-injury-statistics/
165. https://www.youtube.com/watch?v=6wtdUfZGfMg
166. https://www.standards.doe.gov/standards-documents/1000/1028-BHdbk-2009-v1/@@images/file
167. https://www.amazon.com/Sources-Power-People-Make-Decisions/dp/0262611465
168. https://www.amazon.com/Rule-Makers-Breakers-Tight-Cultures/dp/1501152939?
169. https://vimeo.com/1110743152/c2c55299b7?share=copy
Chapter 8 -- FAQ
170. https://www.amazon.com/Streetlights-Shadows-Searching-Adaptive-Decision/dp/0262516721
171. https://en.wikipedia.org/wiki/All_models_are_wrong
172. https://wiki.dbbs.co/view/graceful-extensibility
173. https://en.wikipedia.org/wiki/Confirmation_bias
174. https://www.amazon.com/Fall-Love-Problem-Solution-Entrepreneurs/dp/1637741987
