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...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:Safety science Ročník 49; číslo 1; s. 55 - 64
Hlavný autor: Leveson, Nancy G.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Elsevier India Pvt Ltd 2011
Predmet:
Accident model
Causal factors
Hazard analysis
Operator error
Safety versus reliability
Causal factors
Safety versus reliability
Operator error
Accident model
Hazard analysis
ISSN:0925-7535, 1879-1042
On-line prístup:Získať plný text
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Popis
Shrnutí: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.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0925-7535
1879-1042
DOI:10.1016/j.ssci.2009.12.021