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Organizational Accidents Revisited James Reason

Organizational Accidents Revisited By James Reason

Organizational Accidents Revisited by James Reason


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Summary

Managing the Risks of Organizational Accidents introduced the notion of an 'organizational accident'. These are rare but often calamitous events that occur in complex technological systems operating in hazardous circumstances. The book advocates that system safety should require the integration of systemic factors with individual mental skills.

Organizational Accidents Revisited Summary

Organizational Accidents Revisited by James Reason

Managing the Risks of Organizational Accidents introduced the notion of an 'organizational accident'. These are rare but often calamitous events that occur in complex technological systems operating in hazardous circumstances. They stand in sharp contrast to 'individual accidents' whose damaging consequences are limited to relatively few people or assets. Although they share some common causal factors, they mostly have quite different causal pathways. The frequency of individual accidents - usually lost-time injuries - does not predict the likelihood of an organizational accident. The book also elaborated upon the widely-cited Swiss Cheese Model. Organizational Accidents Revisited extends and develops these ideas using a standardized causal analysis of some 10 organizational accidents that have occurred in a variety of domains in the nearly 20 years that have passed since the original was published. These analyses provide the 'raw data' for the process of drilling down into the underlying causal pathways. Many contributing latent conditions recur in a variety of domains. A number of these - organizational issues, design, procedures and so on - are examined in close detail in order to identify likely problems before they combine to penetrate the defences-in-depth. Where the 1997 book focused largely upon the systemic factors underlying organizational accidents, this complementary follow-up goes beyond this to examine what can be done to improve the 'error wisdom' and risk awareness of those on the spot; they are often the last line of defence and so have the power to halt the accident trajectory before it can cause damage. The book concludes by advocating that system safety should require the integration of systemic factors (collective mindfulness) with individual mental skills (personal mindfulness).

About James Reason

James Reason is Professor Emeritus of Psychology at the University of Manchester, England. He is consultant to numerous organizations throughout the world, sought after as a keynote speaker at international conferences and author of several renowned books including Human Error (CUP, 1990), The Human Contribution (Ashgate, 2008) and A Life in Error (Ashgate, 2013).

Table of Contents

Introduction; Part 1: Refreshers; The Anatomy' of an Organizational Accident; Error-Enforcing Conditions; Part 2: Additions Science 1977; Safety Management Systems; Resident Pathogens; Ten Case Studies of Organizational Accidents; Foresight Training; Alternative Views; Retrospect and Prospect; Taking Stock; Heroic Recoveries

Additional information

NGR9781472447685
9781472447685
1472447689
Organizational Accidents Revisited by James Reason
New
Paperback
Taylor & Francis Ltd
2015-12-16
160
N/A
Book picture is for illustrative purposes only, actual binding, cover or edition may vary.
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