A most interesting article in BMJ (British Medical journal) …..
BMJ 2000;320:768-770 ( 18 March )
Education and debate
Human error: models and management by James Reason, professor of psychology. Department of Psychology, University of Manchester, Manchester M13 9PL
“The human error problem can be viewed in two ways: the person approach and the system approach. Each has its model of error causation and each model gives rise to quite different philosophies of error management. Understanding these differences has important practical implications for coping with the ever present risk of mishaps in clinical practice.”
| Summary points
Two approaches to the problem of human fallibility exist: the person and the system approaches
The person approach focuses on the errors of individuals, blaming them for forgetfulness, inattention, or moral weakness
The system approach
High reliability |
The author comes to the conclusion “High reliability organisations are the prime examples of the system approach. They anticipate the worst and equip themselves to deal with it at all levels of the organisation. …..”
– goto
originally Posted to cep.weblogger.com by David Soul on 12/28/04; 1:17:10 PM
in the Errors section.
permalink#
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The Engine Burns BlueThis image shows a cutting-edge solar-electric propulsion thruster in development at NASA's Jet Propulsion Laboratory, Pasadena, Calif., that uses xenon ions for propulsion. An earlier version of this solar-electric propulsion engine has been flying on NASA's Dawn mission to the asteroid belt. This engine is being considered as part of the Asteroid Initiative, a proposal to robotically capture a small near-Earth asteroid and redirect it safely to a stable orbit in the Earth-moon system where astronauts can visit and explore it. This image was taken through a porthole in a vacuum chamber at JPL where the ion engine is being tested. Image credit: NASA/JPL-Caltech
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