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thumbnail of Local rationality question tool understanding why it made sense at the time

Author
Louise Roe
Abstract
Local rationality describes how people make decisions, based on what made sense to them at the time (Eurocontrol, 2014). While the importance of understanding local rationality in safety investigations is acknowledged, there is little to support safety investigators with how to effectively gain this knowledge when meeting with staff involved. A local rationality question tool was developed to help healthcare safety investigators understand why an action or inaction made sense at the time, without staff feeling blamed or interrogated.