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  2. Human Factors Analysis and Classification System - Wikipedia

    en.wikipedia.org/wiki/Human_Factors_Analysis_and...

    Print/export Download as PDF ... Aviation Medical Institute and Dr. Doug Wiegmann of the University of Illinois at Urbana ... that folded James Reason's ideas into ...

  3. James Reason - Wikipedia

    en.wikipedia.org/wiki/James_Reason

    James T. Reason CBE (born 1 May 1938) [1] is a former 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.

  4. Swiss cheese model - Wikipedia

    en.wikipedia.org/wiki/Swiss_cheese_model

    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 ...

  5. Just culture - Wikipedia

    en.wikipedia.org/wiki/Just_Culture

    Work on just culture has been applied to industrial, [6] healthcare, [7] [8] aviation [9] [10] and other [11] settings. The first fully developed theory of a just culture was in James Reason's 1997 book, Managing the Risks of Organizational Accidents. [2] In Reason's theory, a just culture is postulated to be one of the components of a safety ...

  6. A new report by federal safety experts found major issues with Boeing's safety culture — including a "disconnect" between senior management and other employees, and a fear of retaliation when ...

  7. Healthcare error proliferation model - Wikipedia

    en.wikipedia.org/wiki/Healthcare_error...

    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.

  8. System accident - Wikipedia

    en.wikipedia.org/wiki/System_accident

    James Reason extended this approach with human reliability [6] and the Swiss cheese model, now widely accepted in aviation safety and healthcare. These accidents often resemble Rube Goldberg devices in the way that small errors of judgment, flaws in technology, and insignificant damages combine to form an emergent disaster. Langewiesche writes ...

  9. Safety culture - Wikipedia

    en.wikipedia.org/wiki/Safety_culture

    Safety culture is the element of organizational culture which is concerned with the maintenance of safety and compliance with safety standards. It is informed by the organization 's leadership and the beliefs , perceptions and values that employees share in relation to risks within the organization, workplace or community .