PDF Download Organizational Accidents Revisited
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Organizational Accidents Revisited
PDF Download Organizational Accidents Revisited
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About the Author
James Reason is Professor Emeritus of Psychology at the University of Manchester, England. He is consultant to numerous organizations throughout the world, sought after as a keynote speaker at international conferences and author of several renowned books including Human Error (CUP, 1990), The Human Contribution (Ashgate, 2008) and A Life in Error (Ashgate, 2013).
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Product details
Paperback: 160 pages
Publisher: Routledge; 1 edition (March 13, 2016)
Language: English
ISBN-10: 1472447689
ISBN-13: 978-1472447685
Product Dimensions:
6.1 x 0.4 x 9.2 inches
Shipping Weight: 12.6 ounces (View shipping rates and policies)
Average Customer Review:
4.1 out of 5 stars
7 customer reviews
Amazon Best Sellers Rank:
#109,438 in Books (See Top 100 in Books)
James Reason is a pioneer and leader in understanding and prevention of "organizational accidents." That alone is sufficient reason to read this book if you're interested in this topic, which is why I read it. However, Reason doesn't really break new ground with this book, so people who are already well versed in this field may not get much out of this book.The bottom line is that there are no easy answers when it comes to safety, and no one theoretical framework can cover all needs, so a multifaceted approach tailored to each organizational situation is likely the best way to go. Reason offers one such framework, and briefly comments on other frameworks in this book. Here are some points noted in the book which I think are worth highlighting:• The contributors to incidents can involve all levels of a system, ranging from individuals working at the “sharp end,†to groups, to organizations, to broader systems which include regulators. Efforts to prevent incidents will typically be best directed at multiple levels simultaneously, with both top-down support and bottom-up feedback. Efforts targeted to only a few specific areas are prone to not being effective because we can’t anticipate the specific ways adverse factors may “line up†to produce incidents, particularly in complex systems (and complex systems are the norm, not the exception).• “Human errors†can’t be eliminated, but their incidence and consequences can be reduced. As long as they are managed properly, human errors can also be a source of helping us learn how a system works.• People are naturally more inclined toward skill-based functioning, rather than more slow and laborious knowledge-based functioning. This influences the types of human errors which occur.• There will almost always be a competing tradeoff between safety and other goals such as production, performance, profit, etc. Safety is therefore usually under continual pressure and requires continual mindful vigilance. At the same time, too much emphasis on safety can impede operation of a system to the point where the system becomes no longer viable, so proper balance is needed.• In developing safety metrics, it should be noted that rates of minor incidents are not necessarily correlated with rates of major incidents. Sometimes, there can be even be an opposite correlation between the two, such that major incidents occur after a period of declining rate of minor incidents.• Due to complexity, uncertainties, limited resources, tradeoffs, and human fallibility, it is generally not possible to reduce incident rates to zero.
Hmmm ... not what I thought. I was expecting an updated edition of the previous classic. Instead, this is a collection of case studies without much of the theory in the original book. Not helpful for teaching a class.
The book has several good vignettes that illustrate systemic problems but is not offering any new information on recognizing organizational flaws in advance
great review of the material in the first orgax book, then a nice series of case studies
Updated and fundamental! James Reason at his best!
Great easy to read refresher.
Leading edge thinking on accident causation
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