Applying systems thinking to analyze and learn from events
Major accidents keep occurring that seem preventable and that have similar systemic causes. Too often, we fail to learn from the past and make inadequate changes in response to losses. Examining the assumptions and paradigms underlying safety engineering may help identify the problem. The assumption...
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| Published in: | Safety science Vol. 49; no. 1; pp. 55 - 64 |
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| Main Author: | |
| Format: | Journal Article |
| Language: | English |
| Published: |
Elsevier India Pvt Ltd
2011
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| Subjects: | |
| ISSN: | 0925-7535, 1879-1042 |
| Online Access: | Get full text |
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| Abstract | Major accidents keep occurring that seem preventable and that have similar systemic causes. Too often, we fail to learn from the past and make inadequate changes in response to losses. Examining the assumptions and paradigms underlying safety engineering may help identify the problem. The assumptions questioned in this paper involve four different areas: definitions of safety and its relationship to reliability, accident causality models, retrospective vs. prospective analysis, and operator error. Alternatives based on systems thinking are proposed. |
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| AbstractList | Major accidents keep occurring that seem preventable and that have similar systemic causes. Too often, we fail to learn from the past and make inadequate changes in response to losses. Examining the assumptions and paradigms underlying safety engineering may help identify the problem. The assumptions questioned in this paper involve four different areas: definitions of safety and its relationship to reliability, accident causality models, retrospective vs. prospective analysis, and operator error. Alternatives based on systems thinking are proposed. |
| Author | Leveson, Nancy G. |
| Author_xml | – sequence: 1 givenname: Nancy G. surname: Leveson fullname: Leveson, Nancy G. email: leveson@mit.edu organization: Aeronautics and Astronautics, Engineering Systems, MIT, United States |
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