Use high reliability principles to respond constructively to near misses in ambulance operations.
No harm is not the same as no risk. Look For Weak Signals A missing item, a confusing dispatch note, a late notification, or a repeated workaround can show where the system is brittle. Treat small failures as early data. Ask What Made It Likely High reliability thinking shifts the first question from "Who messed up?" to "What conditions made this easier to miss?" That question uncovers staffing, layout, checklist, fatigue, training, and communication factors. Keep Accountability Precise Curiosity is not permissiveness. Reckless choices still need accountability. But many EMS misses are produced by normal people working in systems that…
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