Et vel semper scaevola, nonumy mollis vix ad. Vim no erat posse, veri solum et pri. Vidisse quaestio eum ad, ius accumsan sensibus ne. Virtute fierent pericula eu mea. Ea quidam torquatos prodesset mel, cu mea graeci essent.

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This is a demo course.  Vocent utroque expetendis sed ad, eu his odio qualisque scribentur. Mea solet nonumes complectitur ea, sea id veri verterem expetendis. Qui eu quis salutandi, eius dolore tacimates ea mel. Id probo sonet semper has, qui id nibh numquam.

Vocent utroque expetendis sed ad, eu his odio qualisque scribentur. Mea solet nonumes complectitur ea, sea id veri verterem expetendis. Qui eu quis salutandi, eius dolore tacimates ea mel. Id probo sonet semper has, qui id nibh numquam.

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi nesciunt.

Quis autem vel eum iure reprehenderit qui in ea voluptate velit esse quam nihil molestiae consequatur, vel illum qui dolorem eum fugiat quo voluptas nulla pariatur?

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi nesciunt.

Lesson 1: To Err Is Human  Latent errors are defects in the design and organization of processes and systems that can lead to failures and errors. Latent errors, first suggested by psychology professor James Reason, are often unrecognized or just become accepted aspects of the work. Latent errors lead to active errors, whose effects are felt immediately. To prevent errors, you need to design processes that make it easy for people to do things right, and hard to do things wrong. Lesson 2: Responding to Error  Blaming and punishing an individual does not address the underlying issues that led to an event and does not prevent a recurrence. Only about 5 percent of medical harm is caused by incompetent or poorly intended care.  In contrast, 95 percent of medical harm involves conscientious, competent individuals involved in circumstances that lead to a catastrophic result.The Josie King story is an example of responding to error – and, in this case, tragedy – without blaming or seeking punishment.Although blaming and punishing individuals for errors are not appropriate responses, individuals should still be accountable for their actions