Behind Human Error, 2nd Edition

PART VREACTIONS TO FAILURE

In the book so far, we have covered many different aspects of research on human error and the evolution of system failures. The results indicate that the story of “human error” is markedly complex because it is always possible to identify multiple contributors to an incident or disaster, each necessary but only jointly sufficient. Furthermore, the story of error is complex because:

the human performance in question involves a distributed system of interacting people at the sharp end and organizational elements at the blunt end;

the same factors govern the expression of both expertise and error;

the context in which ...