When things go wrong

In these sections, we discuss some of the actual problems you may encounter in an NMR experiment. In addition, Section VI.B.2. deals with suggested equipment to have on hand for calibration and maintenance. 

---

Biocides have been called the "necessary evil" but in reality they are as valuable to the manufacturer of susceptible products as the insurance on the plant or buildings. Like an insurance policy they are designed to give protection when things go wrong. 

It should be noted that, despite all these precautions, some individuals have become impatient with the system and have tried to take shortcuts, with inevitable severe repercussions when things go wrong. The system is there to protect the patients... 

When things go wrong we often do not know why. If we did we probably would have stopped it happening. Hence, we may also test to fathom out the reasons for failure. 

Most large networked systems embody human beings as, in effect, system components , alongside the hardware and software components, though as indicated above such humans may become actively involved only when things go wrong with the computers and their communication. In other cases, there may be a deliberate decision to sub-divide some overall system task into activities that can be readily automated, and those that are best left to human beings to carry out. Systems that incorporate human components in either of these ways are termed here computer-based systems. 

Immel, Barbara K. When things go wrong Part 1 The consequences of noncompliance. In BioPharm, August 2000 Advanstar Communications Eugene, OR, 2000. 

Two views on drug response, the first is on when things go wrong, and the second about the extent to which they can go right for the wrong reasons. 

Because this adaptability springs from the varied patterns in which the factors can join, it is often difficult to know the exact role of any single factor. Consequently, when things go wrong in an established operation we may be at a loss to know the exact cause. Fortunately such incidents usually are more of academic interest than of practical moment, because experience will generally enable the veteran operator to get everything quickly under control. 

Any disconnect between words and actions will usually show up if a serious accident occurs. It is crucial to a positive culture that employees believe that they will be treated fairly and that no one will be blamed or reprimanded (except for fair cause), or selected as a fall guy, when things go wrong, particularly when such events can be attributed to management failings. 

Adverse event is a useful but deliberately neutral technical term. It does not, and is not intended to, capture the often awful human stories that lie behind this innocuous term and it can be difficult to grasp the full extent of the trauma that people sometimes face. The stories in this section, and there are many more available, give an indication of what happens to people when things go wrong. This is the heart of patient safety and its justification. 

A good design is distinguished, in part, by the fact that the device is used in a way that seems quite natural and obvious to us. In contrast, when things go wrong, bad design can be all too apparent. John Reiling quotes the architect Bruce Mau who pithily summarizes this experience, while Don Norman provides the human examples (Box 12.1) ... 

There is too often a blame culture. When things go wrong, the response is to seek one or two individuals to blame, who may then be subject to disciplinary measures or professional censure. That is not to say that in some circumstances individuals should not be held to account, but as the predominant approach this acts as a significant deterrent to the reporting of adverse events and near misses (Department of Health, 2000, p. 77). 

Seek responsibility, and take responsibility for your actions - Search for ways to guide your organization to new heights. When things go wrong, take responsibility and do not blame others. Analyze the situation, take corrective action, and move on to the next challenge. 

Technically correct. Does the document explain what to do when things go wrong Is the information factual and accurate Does it really show the way things should be done ... 

Wasson, J.H., MacKenzie, T.A. and Hall, M. 2007. Patients use an internet technology to report when things go wrong. Quality and Safety in Health Care, 16, 213-15. 

Partnership with and disclosure to families when things go wrong... 

Leaders Define and Shape the Culture When Things Go Wrong... 

To provide a user s guide for the application of neural network software, be it commercial or in-house. This guide should help you decide which type of network to use, what to do with your data before submitting it to a neural network, how to assess your results, and what to do when things go wrong i.e., when it appears that a neural network cannot solve your problem. 

In this section, we outline various types of data analysis in which ANNs are generally useful. We provide a general philosophy to guide you in when to use ANNs and when to consider statistical methods, and to alert you to the kinds of problem that can arise. The remaining sections of this chapter are quite detailed in discussing how ANNs operate, how to implement them, how to evaluate their performance, and what to do when things go wrong. A comprehensive discussion of statistical methods is beyond the scope of this tutorial,... 

Supervisors are the key to the success of a substance abuse policy. As the people in direct contact with employees, supervisors can detect performance problems that may indicate substance abuse. Supervisors should be trained to observe employees job performance, noting physical signs (unusual clumsiness and frequent illness), mood (extreme fluctuations in happiness and depression), more than usual absenteeism, violent reactions when things go wrong, an increased number of accidents, antisocial behavior, and frequent irritation by co-workers. 

Managers should make every effort to ensure the safety of their employees at all times. When things go wrong, they must be prepared to track injuries and illnesses. These records must be kept in a timely manner and include all required information. 

FRAME 2.3 WHAT HAPPENS WHEN THINGS GO WRONG AT A URANIUM CONVERSION FACILITY ... 

---