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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).
Inspired by true events, Holly O'Rourke (Leeanna Walsman) begins investigating a gangland murder that turns her whole life upside down.The murder appears to be a case of mistaken identity.
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 ...
29th Street (1991) – comedy drama film based on the true-life story of actor Frank Pesce, who won the first New York State Lottery in 1976 [84]; A Triumph of the Heart: The Ricky Bell Story (1991) – biographical drama television film recounting the life of Ricky Bell, a Tampa Bay Buccaneers running back sickened with dermatomyositis, and Ryan Blankenship, a physically impaired child [85]
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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.
Translating that perspective-shifting achievement to the screen is a tall order, but Jerry Rothwell’s documentary of the same title does so with imagination and grace: Not so much a direct ...