NDLI: Applying systems thinking to analyze and learn from events

Content Provider	Semantic Scholar
Author	Leveson, Nancy G.
Copyright Year	2010
Abstract	Major accidents keep occurring that seem preventable and that have similar systemic causes. Too often, we fail to learn from the past and make inadequate changes in response to losses. Examining the assumptions and paradigms underlying safety engineering may help identify the problem. The assumptions questioned in this paper involve four different areas: definitions of safety and its relationship to reliability, accident causality models, retrospective vs. prospective analysis, and operator error. Alternatives based on systems thinking are proposed.
File Format	PDF HTM / HTML
DOI	10.1016/j.ssci.2009.12.021
Alternate Webpage(s)	http://dspace.mit.edu/openaccess-disseminate/1721.1/108102
Alternate Webpage(s)	https://dspace.mit.edu/openaccess-disseminate/1721.1/108102
Alternate Webpage(s)	https://doi.org/10.1016/j.ssci.2009.12.021
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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