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The HEPM portrays hospitals as having multiple operational defensive layers outfitted with essential elements necessary to maintain key defensive barricades (Cook & O'Connor, 2005; Reason, 2000). By examining the defensive layers attributes, prospective locales of failure, the etiology of accidents might be revealed (Leape et al., 1995).
James Reason: Human Error, Cambridge University Press; 1st edition (October 26, 1990) ...
It has been described as a phenomenon in the psychology of human error, such that a person may inadvertently perform one action while intending to do another. The term "slips and capture" became more widely known in the early 21st century in the United States, after being referred to by law enforcement in two prominent fatal police shooting ...
James T. Reason CBE (1 May 1938 – 5 Feb 2025) [1] [2] was a professor of psychology at the University of Manchester, from where he graduated in 1962 and where he was a tenured professor from 1977 until 2001.
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 ...
Latent failures span the first three domains of failure in Reason's model. [9] In the early days of the Swiss cheese model, late 1980 to about 1992, attempts were made to combine two theories: James Reason's multi-layer defence model and Willem Albert Wagenaar's tripod theory of accident causation. This resulted in a period in which the Swiss ...
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 ...
The Human Factors Analysis and Classification System (HFACS) identifies the human causes of an accident and offers tools for analysis as a way to plan preventive training. [1]