J Reason - Quality and safety in health care, 2004 - qshc.bmj.com Complex, well defended, high technology systems are subject to rare but usually
catastrophic organisational accidents in which a variety of contributing factors
combine to breach the many barriers and safeguards. To the extent that ... Cited by 72 - Related articles - All 9 versions
J Reason - Quality and safety in health care, 2005 - qshc.bmj.com Over the past decade, anaesthetists and human factors specialists have worked
together to find ways of minimising the human contribution to anaesthetic
mishaps. As in the functionally similar fields of aviation, process control ... Cited by 63 - Related articles - BL Direct - All 8 versions
J Reason - Quality and Safety in Health Care, 2002 - qshc.bmj.com Leaving out necessary task steps is the single most common human error type.
Certain task steps possess characteristics that are more likely to provoke
omissions than others, and can be identified in advance. The paper reports ... Cited by 74 - Related articles - BL Direct - All 11 versions
[CITATION] Commentary Broadening the cognitive engineering horizons: more engineering, less …
G Marshall - Multimodal Safety Management and Human Factors: …, 2007 - books.google.com Chapter 5 Governance and Safety Management Greg Marshall National Air Support In
recent years, the term'Corporate Governance'has received much attention in the
media, and for all the wrong reasons. The failure of companies such as HIH ... Cited by 1 - Related articles - All 2 versions
MT Transporte - archive.copanational.org 1. Introduction In 1999, Transport Canada adopted Flight 2005 - A Civil Aviation
Safety Framework for Canada (TP 13521). The framework described the direction
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P BUCELLI, S ALBOLINO, A VANNUCCI - Rivista Italiana di Nutrizione Parenterale ed Enterale/ … - sanitatoscana.it Page 1. MORTE PER INFUSIONE VENOSA ACCIDENTALE DI UNA MISCELA NUTRIZIONALE
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- ►nih.gov [PDF] J Carthey, MR De Leval, JT Reason - Quality in Health Care, 2001 - qshc.bmj.com A recent report for the President of the United States described the impact of
preventable medical errors as a “national problem of epidemic proportions”.
1 Similar concerns have been echoed in the report of an expert group ... Cited by 37 - Related articles - BL Direct - All 12 versions
- ►safetyandquality.gov.au [PDF] RL Helmreich - Innovation and consolidation in aviation: selected …, 2003 - books.google.com Chapter 10 Threat and Error in Aviation and Medicine: Similar and Different1
Robert L. Helmreich University of Texas Human Factors Research Project
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RL Fox, JA Ziegler - Extended Abstracts from the Human Dimensions of … - blogs.valpo.edu Introduction In recent years, organizations in high risk industries have begun
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