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: james reason
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)
“Those found responsible have been sacked”: some observations on the usefulness of error
Another interesting paper co-authored by the late Richard Cook. This paper discusses the usefulness of error. It’s a larger post with a lot of quotes – I just can’t do a better or more succinct job of restating what they’ve already written. Providing background, they argue that while some see “error” as a dead-end, others… Continue reading “Those found responsible have been sacked”: some observations on the usefulness of error
Procedure excellence: Changing paradigms to enable human reliability
This paper from Elliot Wolf-Stokes and Rob Fisher may interest peeps – around orientating towards operational excellence. Covers a lot of ground – systemic drivers to procedural departures, error drivers in written guidance, mental models, enablers of human reliability and more. I’ve skipped HEAPS, so just a few extracts (link to full paper in comments):… Continue reading Procedure excellence: Changing paradigms to enable human reliability
What are we to make of safe behaviour programs?
This 2006 discussion paper from Andrew Hopkins critically discusses some assumptions underlying safe behaviour programs and some of their limitations in the context of complex systems. I can only cover some of the points, so recommend you read the full paper. Note: Trigger warning for those who violently object to ‘unsafe behaviour’. Overall, Hopkins argues:… Continue reading What are we to make of safe behaviour programs?
The Shift from System to Individual in Safety Approaches
I found these extracts interesting from Foundations of Safety Science – summarising some key developments and interpretations from over a century of safety-scientific approaches. They observe that despite a myriad of approaches, and developments, “almost every approach seems to end up reverting, one way or another, to the people who work in that system”. As… Continue reading The Shift from System to Individual in Safety Approaches
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