# #118 – Resilience Engineering, Safety Differently & Synesis Page: https://stenobird.com/podcast/anesthesia-guidebook-1367573/118-resilience-engineering-safety-differently-synesis Text version: https://stenobird.com/podcast/anesthesia-guidebook-1367573/118-resilience-engineering-safety-differently-synesis.md Podcast: [Anesthesia Guidebook](https://stenobird.com/podcast/anesthesia-guidebook-1367573) Published: 2025-04-20T09:57:35+00:00 Episode link: https://anesthesiaguidebook.com/episode118/?utm_source=rss&utm_medium=rss&utm_campaign=episode118 Audio file: https://media.blubrry.com/anesthesiaguidebook/content.blubrry.com/anesthesiaguidebook/_118-Resilience_Engineering_Safety_Differently_Synesis.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/anesthesia-guidebook-1367573/episodes/118-resilience-engineering-safety-differently-synesis Duration seconds: 1820 ## Resource This is Part 2 of a 3 part series on organizational development – how we work and live together as teams in healthcare so we can do our best work, master our craft, take amazing care of patients and actually enjoy the work we do. (no big deal) In the first part ( Episode 117 ), we talked about systems thinking and patterns of high reliability organizations (HROs). Systems thinking helps us zoom out to consider the complexity of situations and the various levers that influence outcomes. High reliability organizations adopt specific systems thinking practices to achieve consistent success in safety-critical, complex environments. Resilience engineering builds on systems thinking and HRO theory by teaching us how to develop adaptive capacity, build for success (not just avoiding error) and bounce back when things don’t go well. Safety differently is about seeing safety as not the absence of mistakes and errors but the capacity for the right thing to happen. It also recasts the worker not as the weak link in a complex system (the point of failure), but as the source of resilience and capacity. Front-line healthcare workers – you and me – are often the ones who find the workarounds and get the job done despite suboptimal conditions. No one shows up to their job with the intention to make mistakes, get hurt or put patients at risk. Mistakes are always unintentional. Willful acts of harm are something totally different. Blaming and shaming workers (forms of punishment & embarrassment) are counterproductive and stem from leaders who do not understand what’s actually going on or the best ways to run their organizations and build thriving teams. Synesis, which sounds like a scary word, stems from the same Greek word that system and synergy come from and is… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/anesthesia-guidebook-1367573/episodes/118-resilience-engineering-safety-differently-synesis/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/anesthesia-guidebook-1367573/118-resilience-engineering-safety-differently-synesis.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.