ABSTRACT
This chapter focuses on the healthcare domain. Although organizational accidents have their origins in system weaknesses, my argument here is that purely systemic counter-measures are not enough to prevent tragedies. This is especially the case in healthcare, when the last line of defence is a doctor or nurse working in close proximity to the patient. How can we make these ‘sharp-enders’ more error-wise and more alert to the risks and hazards present within the system? In short, how can we make them more ‘mindful’ of the possible dangers?
