This is a very important piece of evidence that error and mistake awareness is becoming more prevalent in complex environments, such as health care, where it is badly needed. The Duke module is a good step forward. That being said, I have some criticisms of the course, which I will cover in a future post. For the moment, let's share the Duke definition of an error, which is aligned with the definition of a mistake from the introduction to the book:
Dr. James Reason, a Professor of Psychology who has published extensively on the nature of human error, describes error as circumstances in which planned actions fail to achieve the desired outcome.
Our definition of a mistake is: an unexpected result proceeding from faulty judgment or inadequate knowledge.
The Duke module is a very useful introduction to error and how it works in complex environments. But don't view it as the complete story - there are some significant missing components that I will discuss this week.