Beyond Error

A simulation of Just Culture and Systems Thinking.

Select an Incident to Review

💉

Incident #294: Insulin Overdose

A patient received 10x the prescribed dose of Insulin.

🦠

Incident #301: Missed Sepsis

A young patient was discharged from ED and later died of sepsis.

✂️

Incident #310: Wrong Site Surgery

A nerve block was performed on the wrong leg.

💊

Incident #315: Medication Swap

Potassium Chloride was injected instead of Saline.

Initial Incident Report

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Immediate Outcome: ...

Staff Involved: ...

Decision Required: What is your immediate administrative action?

Investigation Board

Click the categories to interview staff and inspect the environment.
You can gather additional information by clicking a category more than once. Find the latent factors.

System vs Individual Balance
Individual System
👤
The Person

Interview the staff involved.

📋
Task & Technology

Inspect equipment and protocols.

💡
Environment

Check lighting, layout, and noise.

🏥
Organisation

Review rosters, culture, and staffing.

Final Ruling

You have gathered the evidence. How will you resolve this incident?

2 Years Later...