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How Do You Know if You're in an Ultra Safe System?
Nuss: If we've only got one incident per million events, then there's no point really looking at that incident and changing the system for the other 999 thousand times. He says if you suddenly go from one incident every million to one incidntin every ten thousand, you've actually fallen out of that ultra safe system bracket. The question i'd have is, how do you know whether you're an organization that can improve by trying to drive down errors? Nuss: I don't know how you know when you're going to get better by reducing errors any further.