Human Error: Models and Management

Metadata

• Author: James Reason
• Full Title: Human Error: Models and Management
• Category: #articles
• URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1117770/

Highlights

• Two approaches to the problem of human fallibility exist: the person and the system approaches (View Highlight)
• When an adverse event occurs, the important issue is not who blundered, but how and why the defences failed. (View Highlight)
• Reliability is “a dynamic non-event.”7 It is dynamic because safety is preserved by timely human adjustments; it is a non-event because successful outcomes rarely call attention to themselves. (View Highlight)