Titlebook: How Could This Happen?; Managing Errors in O Jan U. Hagen Book 2018 The Editor(s) (if applicable) and The Author(s) 2018 organizational lea

漂亮才会豪华

Asperity

garrulous

Errors and Error Management in Biomedical Research,t and Error Reporting System” (LabCIRS), a software tool to record all incidents anonymously and to analyze, discuss, and communicate them. It has been adapted from the CIRS, used in the clinical world to improve patient safety in complex, fast-paced, and often understaffed settings.

草率女

The War on Error: A New and Different Approach to Human Performance,ingerprint of error and tends to make the same kinds of mistakes. After they understand what their personal error pattern is, error control is a matter of learning new information and applying a new set of tools. The author suggests that the phrase “to err is human” should be replaced by “to improve is human.”

现代

Fast, Slow, and Pause: Understanding Error Management via a Temporal Lens,ssfully report on and cope with errors. As Lei demonstrates, fast action or reporting should not necessarily be discouraged, but we should be alerted to the side effects of emphasizing speed over analysis.

去掉

The Strategic Imperative of Psychological Safety and Organizational Error Management,ror reporting, candidly discussing risks, and practicing organizational error management. Without these behaviors, especially at the executive levels, organizations are at risk of experiencing avoidable strategic failures.

floodgate

灌输

Charlatan

Learning Failures As the Ultimate Root Causes of Accidents,“shoot the messenger” attitude prevailed. Instead, performance pressures push systems in the direction of failure and lead organizations to reduce their safety margins. As a result, a “new normal” is established, and no significant problems are noticed until it is too late.

明智的人