CHAPTER 14
Managing Errors
(No Blame)
Human error has been studied extensively. Research has shown that most of the errors humans make are typically associated with a change or something out of the ordinary occurring in their environment.45 The absolute prediction and elimination of human error is elusive and will probably always remain so.i
What is known can be applied to reduce human error or, at the very least, to reduce its consequences.46
The traditional approach to human error is the one that “names, blames, and shames” an individual as “causing” the accident—often referred to as the person model. The underlying assumption is that mistakes and errors are the results of human negligence, inattention, carelessness, lack of skill or knowledge, ...
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