16SUMMING UP: HOW TO GO BEHIND THE LABEL “HUMAN ERROR”

“So what is human error? Can you give us a definition, or, better still, a taxonomy?” Throughout the history of safety, stakeholder groups have asked researchers for definitions and taxonomies of human error that are supposedly grounded in science. The questions are animated by a common concern: Each organization or industry feels that their progress on safety depends on having a firm definition of human error. Each group seems to believe that such a definition will enable creation of a scorecard that will allow them to gauge where organizations or industries stand in terms of being safe.

But each organization’s search for the definition quickly becomes mired in complexity and terms of reference. ...

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