James Reason has produced a major theoretical integration of several previously isolated literatures in his new book Human Error. Much of the theoretical structure is new and original. Particularly important is the identification of cognitive processes common to a wide variety of error types. Modern technology has now reached a point where improved safety can only be achieved on the basis of a better understanding of human error mechanisms. In its treatment of major accidents, the book spans the disciplinary gulf between psychological theory and those concerned with maintaining the reliability of hazardous technologies. As such, it is essential reading not only for cognitive scientists and human factors specialists, but also for reliability engineers and risk managers. No existing book speaks with so much clarity to both the theorists and the practitioners of human reliability.
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The nature of error
Studies of human error
Performance levels and error types
Cognitive underspecification and error forms
A design for a fallible machine
The detection of errors
Latent errors and systems disasters
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accident action activities analysis attentional check automatic basic behaviour bounded rationality CALCFOE calling conditions CEGB cent Chapter Chernobyl complex confirmation bias context correct Davis-Besse decision Dietrich Doerner effects error detection error forms error types factors fallible feedback frequency frequency-gambling function fundamental surprise human error human reliability identified indicate inputs intention interaction involved KB level knowledge base knowledge structures knowledge units knowledge-based latent failures match mechanisms memory mental mental model mistakes mode Norman nuclear power plant occur omission operators organisation output particular possible predictable presidents probably problem solver procedures processes production prospective memory Psychology Rasmussen reactor Reason relatively routine rule-based rules Rumelhart safety schema schemata sequence similarity-matching situation skill-based slips and lapses specific stored studies subjects T-rules task techniques theory THERP Three Mile Island tion U.S. presidents underspecification unsafe acts valve workspace