Dr james reason biography
Dr james reason biography
Dr james reason biography death.
Most of us associate psychologist James Reason with the Swiss Cheese Model of defense in depth or possibly the notion of a just culture. But his career has been more than two ideas, he has literally spent his professional life studying errors, their causes and contexts. A Life In Error* is an academic memoir, recounting his study of errors starting with the individual and ending up with the organization (the system) including its safety culture (SC). This post summarizes relevant portions of the book and provides our perspective. It is going to read like a sub-titled movie on fast-forward but there are a lot of particulars packed in this short ( pgs.) book.
Slips and Mistakes
People make plans and take action, consequences follow.
Errors occur when the intended goals are not achieved. The plan may be adequate but the execution faulty because of slips (absent-mindedness) or trips (clumsy actions).