Translating Systems Thinking into Practice (eBook, PDF)

A Guide to Developing Incident Reporting Systems

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Systems thinking tells us that human error, violations and technology failures result from poorly designed and managed work systems. To help us understand and prevent injuries and incidents, incident reporting systems must be capable of collecting data on contributory factors from across the overall work system, in addition to factors relating to the immediate context of the event (e.g. front-line workers, environment, and equipment).This book describes how to design a practical, usable incident reporting system based on this approach. The book contains all the information needed to effectivel...

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