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Why Do Errors Happen? - To Err is …

    https://www.ncbi.nlm.nih.gov/books/NBK225171/

    Normal Accidents - Wikipedia

      https://en.wikipedia.org/wiki/Normal_Accidents

      Normal Accidents | Encyclopedia.com

        https://www.encyclopedia.com/science/encyclopedias-almanacs-transcripts-and-maps/normal-accidents
        Perrow's book, though presented as a narrow study of the functioning of technological systems, is also a study of the psychology of human error, which could be fatal even in …

      Improving health care with systems thinking - American …

        https://www.myamericannurse.com/improving-health-care-with-systems-thinking/
        Sociologist and organizational theorist Charles Perrow describes normal accidents as inevitable, yet unanticipated, events resulting from a convergence of …

      Beyond Normal Accidents and High Reliability …

        http://sunnyday.mit.edu/papers/hro.pdf
        Charles Perrow’s initial formulation of what has come to be known as Normal Accident Theory (NAT) was developed in the aftermath of the accident at the Three Mile Island …

      Normal Accident Theory Explained — …

        https://www.eventsafetyalliance.org/news/2016/11/9/normal-accident-theory-explained
        As far back as 1984, Charles Perrow was trying to understand the disaster at Three Mile Island. In doing so he established what he called Normal Accident Theory: a …

      Normal Accidents by Charles Perrow - Ohio University

        https://people.ohio.edu/piccard/entropy/perrow.html
        Perrow describes briefly the Texas City, Texas, fetilizer explosion aboard ships in the harbor, in 1947, and the chemical plant explosion in 1969. The latter was a system accident with …

      Normal accidents: Hu man error and medical equipment design

        https://securityandtechnology.org/wp-content/uploads/2020/07/normal_accidents_human_error_and_medical_equipment_design.pdf
        Charles Perrow has described a framework for the investi-gation of errors. A mnemonic device for describing thisframework is the acronym DEPOSE: Design, …

      Normal accidents: Human error and medical …

        https://www.researchgate.net/publication/10941806_Normal_accidents_Human_error_and_medical_equipment_design
        University of Waterloo Abstract and Figures High-risk systems, which are typical of our technologically complex era, include not just nuclear power plants but …

      Charles Perrow - Wikipedia

        https://en.wikipedia.org/wiki/Charles_Perrow
        Charles B. Perrow (February 9, 1925 – November 12, 2019) was an emeritus professor of sociology at Yale University and visiting professor at Stanford University. He authored …



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