latent errors pose the greatest threat to safety in a complex system
TRANSCRIPT
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P128
Understanding Safety
22 -23
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255
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277
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P129
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ARE SOME TYPES OF SYSTEMS MORE PRONE TO ACCIDENTS?
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P130
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P131
Conditions That Create Errors
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P132
455
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477
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P133
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RESEARCH ON HUMAN FACTORS
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P134
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P135
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SUMMARY
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P136
REFERENCES
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P137
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P138
APPENDIX 2CHECKLIST FOR DEVELOPING A REPORTING SYSTEM
1. Clarify objectives
2. What types of learning are the priorities?
3. Voluntary or mandatory?
4. Confidential or public disclosure?
5. What is the process for the reporting system?
6. Is confidential information held secure?
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P139
7. What is the data infrastructure?
8. What is the approach to classification?
9. What is the approach to analysis?
10. How will responses be generated and disseminated?
11. Are there sufficient resources?
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P140
P141
P142