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Among his many contributions is the introduction of the Swiss cheese model, a conceptual framework for the description of accidents based on the notion that accidents will happen only if multiple barriers fail, thus creating a path from an initiating cause all the way to the ultimate, unwanted consequences, such as harm to people, assets, the ...
Healthcare systems are complex in that they are diverse in both structure (e.g. nursing units, pharmacies, emergency departments, operating rooms) and professional mix (e.g. nurses, physicians, pharmacists, administrators, therapists) and made up of multiple interconnected elements with adaptive tendencies in that they have the capacity to change and learn from experience.
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Some researchers have argued that the dichotomy of human actions as "correct" or "incorrect" is a harmful oversimplification of a complex phenomenon. [16] [17] A focus on the variability of human performance and how human operators (and organizations) can manage that variability, may be a more fruitful approach. Newer approaches, such as ...
Download QR code; Print/export Download as PDF; Printable version; In other projects ... James Reason: Human Error, Cambridge University Press; ...
In the field of human factors and ergonomics, human reliability (also known as human performance or HU) is the probability that a human performs a task to a sufficient standard. [1] Reliability of humans can be affected by many factors such as age , physical health , mental state , attitude , emotions , personal propensity for certain mistakes ...
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The Four Great Errors are four mistakes of human reason regarding causal relationships that the German philosopher Friedrich Nietzsche argues are the basis of all moral and religious propositions. Set forth in his book Twilight of the Idols, first published in 1889, these errors form the contrastive backdrop to his "revaluation of all values ...