Reimagining the Reasons for Human Error: A Guide to Learning Not Blaming

Life Flight Network is the largest non-profit organization in the U.S. and has been leaders in studying Human Factors and applying Human Factors science to safety and quality investigations. Life Flight Network implemented a Human Factors and Ergonomics team in 2023 and has completed dozens of report investigations using our Human Factors Analysis and Classification System (HFACS) to learn and improve. This type of investigation avoids blame and searches for organizational and system problems that may have contributed to errors and mishaps. The Human Factors and Ergonomics team is led by two staff members with training in human factors, quality improvement methods, a Just Culture and patient safety science.
Getting behind the explanation of ‘human error’ – a commonsense approach to error investigations. Learn how LFN implemented a Human Factors and Ergonomics team and hardwired a culture of learning. The Human Factors and Ergonomics Team at Life Flight Network exists with the primary purpose of more thoughtful and thorough investigation into causes of events chronicled in Quality Management Reports and Safety Reports. By studying the human factors that contributed to events, we can better understand why they occurred and thus develop more successful resolutions and improved systems.