What does the collapse of sub-prime lending have in common with a broken jackscrew in an airlinera€?s tailplane? Or the oil spill disaster in the Gulf of Mexico with the burn-up of Space Shuttle Colum
This interesting volume on complex systems examines the way in which inherent and mission-necessary facets of a managed system may include the seeds of their own eventual failure. The work discusses a
The absence of a just culture in an organization, in a country, in an industry, hurts both justice and safety. Responses to incidents and accidents that are seen as unjust can impede safety investiga
What once were considered accidents due to human error by doctors, pilots, and organizations are now criminalized. Through examples, decision tree questions, and solution alternatives, Dekker (human f
"This latest edition of The Field Guide to Understanding 'Human Error ' will help you understand how to move beyond 'human error'; how to understand accidents; how to do better investigations; how to