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\begin{abstract}  This is a preliminary report of an small interdisciplinary study of application of self-directed reflective thinking to reduction of mistakes and errors. Originally we worked exclusively with  medical error. Medical Health care  error produces significant mortality, morbidity and disability. Extensive and expensive administrative, clinical, and research effort efforts  have been applied to efforts to reduce prevalence and incidence. Thee These  efforts have been applied to hospitals, clinics and large medical groups. Overall reduction of error has been disappointing probably due to increasing disappointing.Increasing  technical complexity and many changes in medical practice and administration. administration are contributing causes to failures of changes to produce desired improvement. What can an individual or small group, a patient or a care giver do to reduce their chances of the effects of medical error?  The focus of this report is on efforts to deal with these problems at medical mistakes. We concentrated on  an individual and small group level. Personally and in our circles of friends and acquaintances many errors and near misses occurred. Emotional immediacy was a strong motivator to pursue causes and remedies. We wrote case reports. We reviewed and searched medical, organizational, anthropological, psychiatric and psychoanalytic psychoanalytic,  and philosophy of science literature.We literature. We  sought ideas for developing relatively simple, grounded,solutions at the level of  practice localized level solutions. These are found  in the trenches of medical care. We developed three open source tools to support reflective thinking, personal resilience, advancement of knowledge and knowledge. We incidentally found the tools  increased personal and organizational awareness. We welcome comment and suggestions for further development. We seek more examples of personal and small team experience.  Our goal is to improve simple, easily applied methods of reduction of clinical error for the practicing health care individual or team. Some people and teams were able to use our most complex tool (Complex Context Critical Incident Report)with very little support or training. Others needed a more gradual approach to learning close observation and reflective thinking and preferred our less complex tools.  \end{abstract}  \pagebreak