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Principles, Tactics, and Techniques (PTT): How Aviators and Elite Firearms Trainers use PTT to Create Performance Under Pressure
In the ICU, ER, and surgical suite, the requirement to flawlessly perform on demand while under pressure is every bit as high as it is in...

Stephen Harden
Jun 234 min read


What Every Healthcare Leader Can Learn About High Performance from Professional Pilots
Whether it's in the cockpit of a modern commercial airliner or a Navy fighter jet, great decision-making can mean the difference between...

Stephen Harden
Dec 9, 20245 min read


Is the Time Out a Waste of Time?
Let's see how a well-known surgeon answers that question. This Boston surgeon performed the wrong procedure on the hand of an elderly...

Stephen Harden
Oct 22, 20243 min read


How Stress Inoculation Improves Patient Safety
In military and commercial aviation and elite firearms training, stress inoculation is a fundamental component used to prepare...

Stephen Harden
Oct 17, 20245 min read


How to Remove 6000 Defects from Your Processes
A study of the effectiveness of debriefing revealed that in 44 months of use, the debriefing process identified 6202 defects in processes...

Stephen Harden
Oct 13, 20242 min read


How Leaders Can Get an Eightfold Increase in Patient Safety
Eliminate distractions We used to hear the flight attendant command passengers to turn off their cell phones once the cabin door was...

Stephen Harden
Nov 18, 20203 min read


This Leadership Mistake Makes Your Team Think You are Not Serious
Years ago, when the commercial airline industry was first beginning to implement Crew Resource Management (CRM or “TeamSTEPPS” as it is...

Stephen Harden
Nov 18, 20203 min read


The Simple Training Mistake Most Leaders Make
Last week in my blog about quality improvement entitled, “Make Sounds Come Out of Their Mouths” I made what I thought was a very simple...

Stephen Harden
Nov 18, 20205 min read


Leaders Can Change Team Behavior with this Shockingly Simple Tool
Recent research has revealed a simple, but totally effective tool for getting your staff to speak up every single time they perceive a...

Stephen Harden
Nov 18, 20203 min read


3 Things Leaders Must Do About the Time Out Checklist
...If not, the Time Out won't eradicate harm According to a report in the Archives of Surgery, patients undergoing surgery still risk...

Stephen Harden
Nov 18, 20203 min read


Three Sure-Fire Steps Leaders Must Take to Start a Project
Skip these important leadership steps and your new improvement project becomes a three-legged race you can’t win. (Read to the end for...

Stephen Harden
Nov 18, 20203 min read


Don't Squander Your Most Important Resources in a Crisis
In this pandemic crisis leaders are not only at war with the COVID-19 virus, they are also at war with the debilitating effects of...

Stephen Harden
Nov 18, 20203 min read


An Amazingly Simple Checklist for Successful Change Initiatives
Use this checklist to beat the 70% failure rate of change initiatives. Without a tool like this, your odds of success are slim.

Stephen Harden
Nov 18, 20202 min read


How Effective Leaders Use Scorecards to Improve Results
Scorecards drive better performance. The evidence is clear that solid feedback in the form of a measurement scorecard enhances...

Stephen Harden
Nov 18, 20202 min read


How To Fix Patient Transfer Errors
47 percent of patients lost a diagnosis when transferring between hospitals, according to a recent study. Data from more than 180,000...

Stephen Harden
Nov 18, 20202 min read


13 Worrisome Patient Safety Statistics
Frequency of never events Although most never events are rare, these safety incidents can have significant effects on patients and...

Stephen Harden
Nov 18, 20202 min read


Team Training Reduces Errors by 19%
A new study reveals that team training in healthcare can reduce medical errors by 19 percent. Team training can also reduce patient...

Stephen Harden
Nov 18, 20202 min read


Hiding during Patient Safety Week
Today begins Patient Safety Awareness Week. Many healthcare leaders will acknowledge it, but are actually hiding from it. They do this in...

Stephen Harden
Nov 18, 20201 min read


Using a Central Line Insertion Checklist to Reduce Infections and Save Lives
By now almost everyone involved in health care quality improvement has heard of the checklist used to insert central lines that was...

Stephen Harden
Nov 18, 20201 min read


A Physician with Surgical Errors... "The worst thing that’s ever happened".
A Boston surgeon who performed the wrong procedure on the hand of an elderly woman has disclosed the excruciating details of his error in...

Stephen Harden
Nov 18, 20202 min read
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