Safety 2010 Proceedings

607 Reducing the Systemic Risks of Human Error

Instructor: Brian J. Hughes, Apollo Associated Services, LLC, Seattle, WA

Description: Human error plays an important role in many undesirable events. Often the error gets the attention but important systemic causes are overlooked. Dynamic Causal Analysis identifies the systemic causes of incidents, including near-miss events and takes the investigation beyond the error, thereby reducing overall risk.

Level: B I