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A complex adaptive healthcare system (CAHS) is a care delivery enterprise with diverse clinical and administrative agents acting spontaneously, interacting in nonlinear networks where agents and patients are information processors, and actively co-evolve with their environment with the purposed to produce safe and reliable patient-centered outcomes.
Reason was born on 1 May 1938. [1] He wrote books on human error, [2] including such aspects as absent-mindedness, aviation human factors, maintenance errors, and risk management for organizational accidents. [3] In 2003, he was awarded an honorary DSc by the University of Aberdeen.
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 ...
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 culture. A just culture is required to build trust so that a reporting culture will occur.
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]
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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 ...