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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. \marginnote{I am deeply indebted to William Gore PhD, Emeritus Professor of Political Science, University of Washington, Meryl Tsukigi, MS of Community Concerns who participated in the weekly discussions, and Erik Samuel Eddy who field tested tools in the community and assisted in internet design and editing. Many others have contributed anonymous reports of tool usage or participated in independent study using the tools. Their suggestions have been invaluable.}  Originally we worked exclusively with medical error. Health care error produces significant mortality, morbidity and disability. Extensive and expensive administrative, clinical, and research efforts have been applied to efforts to reduce prevalence and incidence. These efforts have been applied to hospitals, clinics and large medical groups. Overall reduction of error has been disappointing.Increasing technical complexity and many changes in medical practice and 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 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, and philosophy of science literature. We sought ideas for developing relatively simple, grounded, practice level solutions.