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Showing posts with label Leveson. Show all posts
Showing posts with label Leveson. Show all posts
Wednesday, October 9, 2019

More on Mental Models in Healthcare

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Source: Clipart Panda Our August 6, 2019 post discussed the appalling incidence of preventable harm in healthcare settings.  We suggest...
Monday, October 16, 2017

Nuclear Safety Culture: A Suggestion for Integrating “Just Culture” Concepts

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All of you have heard of “Just Culture” (JC).  At heart, it is an attitude toward investigating and explaining errors that occur in organi...
Friday, January 27, 2017

Leadership, Decisions, Systems Thinking and Nuclear Safety Culture

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AcciMap Excerpt We recently read a paper* that echoes some of the themes we emphasize on Safetymatters, viz., leadership, decisions and ...
1 comment:
Thursday, March 17, 2016

IAEA Nuclear Safety Culture Conference

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The International Atomic Energy Agency (IAEA) recently sponsored a week-long conference* to celebrate 30 years of interest and work in s...
1 comment:
Monday, April 13, 2015

Safety-I and Safety-II: The Past and Future of Safety Management by Erik Hollnagel

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This book* discusses two different ways of conceptualizing safety performance problems (e.g., near-misses, incidents and accidents) and sa...
2 comments:
Monday, October 13, 2014

Systems Thinking in Air Traffic Management

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A recent white paper * presents ten principles to consider when thinking about a complex socio-technical system, specifically European Ai...
1 comment:
Monday, November 11, 2013

Engineering a Safer World: Systems Thinking Applied to Safety by Nancy Leveson

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In this book* Leveson, an MIT professor, describes a comprehensive approach for designing and operating “safe” organizations based on syst...
1 comment:
Saturday, July 6, 2013

Behind Human Error by Woods, Dekker, Cook, Johannesen and Sarter

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This book* examines how errors occur in complex socio-technical systems.  The authors' thesis is that behind every ascribed “human err...