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  2. James Reason - Wikipedia

    en.wikipedia.org/wiki/James_Reason

    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.

  3. 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 ...

  4. 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.

  5. Latent human error - Wikipedia

    en.wikipedia.org/wiki/Latent_human_error

    Human error: models and management – James Reason British Medical Journal 2000;320:768–70 (Internet Archive) Human factors view of accident causation References

  6. Human error blamed for Tokyo plane collision that killed 5

    www.aol.com/news/human-error-blamed-tokyo-plane...

    The Japan Transport Safety Board released a report on Wednesday addressing the January 2 collision at Tokyo's Haneda Airport.

  7. Human error likely cause of deadly Bulgaria bus crash ... - AOL

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  8. Just culture - Wikipedia

    en.wikipedia.org/wiki/Just_Culture

    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.

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