Our vocation is helping organizations produce better outcomes. Hence, the name, Outcome Engenuity. We’ve been doing just that for over 20 years. And we’ve done it by sticking to a core set of principles that may not necessarily align with conventional wisdom. This page is dedicated to issue papers about the concepts we have found helpful in our work with those industries.
These position statements challenge the conventional thinking about our collective ability to prevent adverse outcomes. We hope the issue papers will evoke dialogue within leadership circles. We welcome that dialogue and thank you for giving consideration to our thoughts.
There is No Such Thing as a High Reliability Organization “Become an HRO,” they say. “It’s the secret to becoming highly reliable at what you do.”…
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Engineers Chase Reliability; Marketers Chase Zero Harm Zero. It’s the current safety craze, particularly within those industries that have had questionable safety records…
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Play with Three Dice, When You Can They are there, in your hand. You can’t see them, you can’t feel them, but they are there just the same…
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Forget Rules: We Humans are Hazard and Threat Avoiders Another dissatisfied customer? Another safety event? That’s easy, let’s just write a new rule…
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Mathematical Dependencies: The Hidden Killer A commercial aircraft engine shuts down in flight in the neighborhood of once in every 50,000 hours of operation…
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Human Error is NEVER the Root Cause If you’ve watched the news over the last few months, you’ve probably heard that the US Navy is struggling to keep its ships…
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Human Error is NEVER the Root Cause No article has received as many comments as our last, “Human Error is NEVER the Root Cause.” In fact…
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Never have I seen a more conflicted place than the bedside of a patient. The nurse’s mission is clear: take care of the patient. But then…
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Graduating from medical school, Christopher Duntsch was a sought-after neurosurgeon. So much so that his first employer …
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