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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 reducetheir chances of  the effects chance  of serious  medical error? error (an \emph{adverse event}?  The focus of this report is on to facilitate all  efforts to deal with medical mistakes. mistakes and encourage exemplary practices.  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 for us  to pursue causes and remedies. We wrote case reports. We reviewed and searched medical, organizational, anthropological, psychiatric and psychoanalytic, and philosophy of science literature\marginnote{This article is written in Tufte Handout style. Notes Unnumbered notes  in the marginwith no number  are "margin notes, those with numbers are sidenotes and are repeated in the References. URL's in either place can be clicked and you in Adobe Reader, free from Adobe Systems for all platforms. You  will be taken to the original reference source, plus usually an abstract and often a free full text copy.With a Mac computer this is only available if you are using Adobe Reader to read the article as a .pdf}.  We sought ideas for developing relatively simple, grounded, practice level solutions. These were applied in the trenches of medical care. We developed three open source tools to support reflective thinking, personal resilience, advancement of knowledge. 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 preferred a more gradual approach to learning. Close observation, improved recall and reflective thinking are built into our less complex tools.   We expanded out our  efforts to Human Error in general. We need more variety in examples. Other areas such as aviation provide useful comparisons and differences. We found what we had discovered, while incomplete incomplete,  had broader applications in daily living. Embedded resistances in individuals and systems are difficult to reveal and change, more data expands our points of view. \end{abstract}  \pagebreak