Jake Mazulewicz, Ph.D.

Owner & Principal, JMA Companies

(540) 466-1357

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Reducing Human Errors in EMS:
Best Practices from Aviation, Military and Electric Power Utilities

 

Medical errors are the 3rd leading cause of death in America. Join us in this interactive one-day workshop to learn practical strategies for combatting human errors in your organization.​ Use the quick jumps below to jump to each section of interest. 

OVERVIEW

In this one-day workshop, participants will learn methods to improve safety and reliability by combating workplace errors. During the workshop, each participant will apply course content immediately to analyze a real incident, then draft a simple action plan to integrate course content to their specific work team.

The Problem:

 
 
OBJECTIVES

 

After completing this workshop, participants will be able to:

  1. Show 3 examples of major medical incidents caused by preventable errors

  2. Give real world examples of the 3 core strategies for managing errors: Apply Defenses, Improve Processes & Build Resilience

  3. Immediately apply 2 classic error prevention tools to their jobs in EMS

  4. Use the Hierarchy of Hazard Controls to improve one high-risk process they do

  5. Answer the Five Pre-Job Questions to reduce errors on virtually any job they do

  6. Apply the “Just Culture” principle to “fix the problem instead of fixing the blame”

 
AGENDA

 

  1. 00:00 – The story of how one doctor saved 1,500+ lives and $175 million by implementing one simple, low-cost, low-risk Human Performance (HP) tool.

  2. 00:30 – Incidents caused by preventable errors:

    1. The Therac-25 spark

    2. The Vincristine mixup

    3. The MRI and the oxygen tank

  3. 01:00 – Overview of the three core error management strategies:

    1. Apply Defenses

    2. Improve Processes

    3. Build Resilience

  4. 02:00 – The Five Pre-Job Questions with examples and hands on practice

  5. 03:00 – Two classic defenses you can apply immediately (at work and home)

  6. 04:00 – Fail Safes, defensive design and process improvement with examples and practice

  1. 05:00 – How to apply the “Just Culture” principle to “fix the problem instead of fixing the blame”

  2. 06:00 – Finalize Action Plans

  3. 06:30 -- End

 
 
TEXTBOOK

 

Each participant will receive a pocket-sized, 50+ page handbook with 24 error management techniques drawn from aviation, military, wildland firefighting, emergency services, nuclear power plants, power utility repair crews, and other high-risk teams. Click here for photos, table of contents, and sample pages.

"While at the HPRCT Conference I picked up JMA’s “Human Performance Improvement Handbook for Leaders.” That evening, just before turning in for the night, I decided to look over the handbook. It was so informative and an easy read that I found myself at the end of the guide and late into the night. My advice is pick up this handy guide for leaders and ensure you have set aside time to read it as you won’t want to put-it down!”."
 
~ Todd Gallaher, Principal Manager
Corporate Safety and Cause Evaluations & Analytics, 
Southern California Edison
FACULTY

 

Jake J. Mazulewicz, Ph.D. served as the Human Performance Lead for Dominion Virginia Power, a Fortune 500 utility. There, he taught leaders and technical experts how to combat errors with classic defenses including: Situational Awareness, Checklists, and 3-Way Communication, plus advanced strategies including: the Just Culture, and traits of High-Reliability Organizations. He served on reliability-driven teams as an EMT, a firefighter, a wilderness search-and-rescue field team leader, and a military paratrooper. He now teaches high-risk industries across the country how to reduce, mitigate and learn from errors. Click here for full bio.