Healthcare doesn't lack for protocols, checklists, or credentialing standards. What it often lacks is structured support for how clinicians actually decide, communicate, and recover from error under pressure — and that gap is costing lives. Two high-stakes industries. One shared problem. In aviation, we spent decades learning that checklists, procedures, and technical proficiency alone could not prevent catastrophic failure. The missing ingredient was always human. Healthcare

People often ask me what I teach in healthcare. I know they are often expecting a description of how someone who is not a clinician came to be teaching about high-reliability performance to physicians, staff, and administrators. Once they understand the pathway that led me to do what I do, they get very curious about the specific techniques, skills, and processes I provide to clinicians, and how I learned to teach those things in a way that clinicians find meaningful and use

Lancair 4 Propjet in Flight When I'm behind the controls of a carbon fiber experimental airplane propelled by a 750 shaft horsepower...

What’s the first thing a high-stakes team does before action? They conduct a team briefing. Getting ready to start my crew briefing on an...