Safety & Error
Safety science, human error, incident investigation, just culture, and blame.
Papers (64)
- Behind Human Error: Cognitive Systems, Computers, and Hindsight
- How Complex Systems Fail: Being a Short Treatise on the Nature of Failure, How Failure is Evaluated, How Failure is Attributed to Proximate Cause, and the Resulting New Understanding of Patient Safety
- Normal Accidents: Living with High-Risk Technologies
- Organizational Errors: Directions for Future Research
- Organizing for High Reliability: Processes of Collective Mindfulness
- Out of the Crisis
- Risk Management in a Dynamic Society: A Modelling Problem
- Strategies for Learning from Failure
- The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA
- Working in Practice But Not in Theory: Theoretical Challenges of "High-Reliability Organizations"
- A New Accident Model for Engineering Safer Systems
- A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population
- Catastrophe and Systemic Change: Learning from the Grenfell Tower Fire and Other Disasters
- Communication Failures: An Insidious Contributor to Medical Mishaps
- Deliberate Learning to Improve Performance in Dynamic Service Settings: Evidence from Hospital Intensive Care Units
- Disrupted Routines: Team Learning and New Technology Implementation in Hospitals
- Failing to Learn and Learning to Fail (Intelligently): How Great Organizations Put Failure to Work to Innovate and Improve
- From Safety-I to Safety-II: A White Paper
- From Titanic to Costa Concordia — a Century of Lessons Not Learned
- Human Error: Models and Management
- Independent Review on the Care Given to Mrs Elaine Bromiley
- Learning from the Piper Alpha Accident: A Postmortem Analysis of Technical and Organizational Factors
- Organizing and the Process of Sensemaking
- Psychological Safety, Trust, and Learning in Organizations: A Group-level Lens
- Resilience and Precarious Success
- Status and Cockpit Dynamics: A Review and Empirical Study
- The Criminalization of Human Error in Aviation and Healthcare: A Review
- The Evolution of Crew Resource Management Training in Commercial Aviation
- The Safety Organizing Scale: Development and Validation of a Behavioral Measure of Safety Culture in Hospital Nursing Units
- The Vulnerable System: An Analysis of the Tenerife Air Disaster
- Thinking About Process Safety Indicators
- Why Hospitals Don't Learn from Failures: Organizational and Dynamics That Inhibit System Change
- Airline Pilots' Perceptions of and Experiences in Crew Resource Management (CRM) Training
- Analysis of the Iridium 33-Cosmos 2251 Collision
- Errors in Organizations: An Integrative Review via Level of Analysis, Temporal Dynamism, and Priority Lenses
- Exposure to Incivility Hinders Clinical Performance in a Simulated Operative Crisis
- How Did Crew Resource Management Take-Off Outside of the Cockpit? A Systematic Review of How CRM Training Is Conceptualised and Evaluated for Non-Pilots
- How Effectively Has a Just Culture Been Adopted? A Qualitative Study of Clinicians' and Managers' Attitudes to Clinical Incident Management Within an NHS Hospital Trust
- Lessons from Everest: The Interaction of Cognitive Bias, Psychological Safety, and System Complexity
- Linking Leader Inclusiveness to Work Unit Performance: The Importance of Psychological Safety and Learning from Failures
- Principles of Adaptive Management in Complex Safety-Critical Organizations
- State of Science: Evolving Perspectives on 'Human Error'
- Systems Thinking for Safety: Ten Principles. A White Paper — Moving Towards Safety-II
- Taming Prometheus: Talk about Safety and Culture
- The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster
- The Cost of Silence: Normalization of Deviance and Groupthink
- The Dark Side of Organizations: Mistake, Misconduct, and Disaster
- The Dark Side of Trust
- The Deepwater Horizon Explosion: Non-Technical Skills, Safety Culture, and System Complexity
- The Unintended Consequences of No Blame Ideology for Incident Investigation in the US Construction Industry
- Variation in Hospital Mortality Associated with Inpatient Surgery
- A Tale of Two Safeties
- Authority Gradients Between Team Workers in the Rail Environment: A Critical Research Gap
- Black Swans, Cognition, and the Power of Learning from Failure
- Building and Revising Adaptive Capacity Sharing for Technical Incident Response: A Case of Resilience Engineering
- How Not to Investigate an Accident
- Individual Involvement and Intervention in Quality Improvement Programmes: Using the Andon System
- Resilience is a Verb
- The Effects of Job Insecurity on Psychological Health and Withdrawal: A Longitudinal Study
- The Persistence of Safety Silence: How Flight Deck Microcultures Influence the Efficacy of Crew Resource Management
- The Presence and Potential Impact of Psychological Safety in the Healthcare Setting: An Evidence Synthesis
- Vasa Syndrome: Insights from a 17th-Century New-Product Disaster
- Harassment in Medicine: Cultural Barriers to Psychological Safety
- Safety amid the Scalpels: Creating Psychological Safety in the Operating Room