Seems fitting to cover some work from James Reason and to reflect on his enduring impact on our professional work, thinking and models. I’ve focused more on articles I’ve summarised or posted an image extract of, or could find a full-text article for. It’s NOT systematic. I’ve also included articles not from Reason but whom… Continue reading A life of Reason: A mini-compendium of James Reason’s contributions
Tag: human-error
Constructions of “Human Error” (Mini-Compendium)
Here’s a bunch of linked articles (and a video) unpacking the constructs, or uses, of “human error”. (‘Keep calm’ header image source is my own, from a presentation) Welcome any additions. Shout me a coffee Link: https://safety177496371.wordpress.com/2021/08/05/searching-for-the-origins-of-the-myth-80-human-error-impact-on-maritime-safety/ Link: https://safety177496371.wordpress.com/2025/01/31/hollnagel-on-human-error-error-as-cause-process-or-outcome/ Link: https://safety177496371.wordpress.com/2024/09/05/the-emperors-new-clothes-or-whatever-happened-to-human-error/ Link: https://safety177496371.wordpress.com/2024/07/24/human-error-and-violation-of-rules-in-industrial-safety-a-systematic-literature-review/ Link: https://safety177496371.wordpress.com/2024/07/01/design-rules-based-on-analyses-of-human-error/ Link: https://safety177496371.wordpress.com/2024/06/21/understanding-human-error-in-naval-aviation-mishaps/ Link: https://safety177496371.wordpress.com/2024/05/24/state-of-science-evolving-perspectives-on-human-error/ Link: https://safety177496371.wordpress.com/2024/05/14/six-stages-to-the-new-view-of-human-error/ Link: https://safety177496371.wordpress.com/2024/04/16/human-performance-in-barrier-thinking-problems-with-human-error-post-1/ Link: https://safety177496371.wordpress.com/2024/01/18/perspectives-on-human-error-hindsight-biases-and-local-rationality/… Continue reading Constructions of “Human Error” (Mini-Compendium)
Hollnagel on “Human error”: error as cause, process or outcome
Not much to say – some extracts from a 2007 chapter from Erik Hollnagel, unpacking whether we really need “human error”? I knocked the summary up last night and will probably post in the next couple of weeks. Oh man, I need to give up on chapters…what a slog. He argues: · Human error “is not… Continue reading Hollnagel on “Human error”: error as cause, process or outcome
Learning from normal work: How to Proactively Reduce Risk When Nothing Goes Wrong
An interesting article from Marcin Nazaruk, exploring learning from everyday work. Skipping a bit, so check out the full article. First he says that while it’s important to learn from failure “it is too late”. For one, diminishing incident rates “can no longer accurately reflect safety performance … and simply focusing on behaviours and unsafe… Continue reading Learning from normal work: How to Proactively Reduce Risk When Nothing Goes Wrong
The science of human factors: separating fact from fiction
This brief read discussed some of the misconceptions about human factors for healthcare improvement. It’s open access, so you can read the paper yourself. They discuss where training interventions are likely to be appropriate vs not appropriate. More appropriate uses is: · To help familiarise people with new tools or functions, which should include strengths and… Continue reading The science of human factors: separating fact from fiction
Doctors are more dangerous than gun owners: a rejoinder to error counting
This 2006 paper from Sid Dekker critically challenges the assumptions underlying “error counting” in safety. Some points: (Not a summary) Error background Complex systems Shout me a coffee Study link: https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=14d15a68409057ad5df9fccd960b47f57c69b911 My site with more reviews: https://safety177496371.wordpress.com LinkedIn post: https://www.linkedin.com/posts/benhutchinson2_this-2006-paper-from-sid-dekker-critically-activity-7247726923190001664-whqy?utm_source=share&utm_medium=member_desktop
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