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Managing the Risks of Organizational Accidents introduced the notion of an ’organizational accident’. These are rare but often calamitous events that occur in complex technological systems operating in hazardous circumstances. They stand in sharp contrast to ’individual accidents’ whose damaging consequences are limited to relatively few people or assets. Although they share some common causal factors, they mostly have quite different causal pathways. The frequency of individual accidents - usually lost-time injuries - does not predict the likelihood of an organizational accident. The book also elaborated upon the widely-cited Swiss Cheese Model. Organizational Accidents Revisited ex...
Drawing on extensive and detailed fieldwork within airlines-an industry that pioneered near-miss analysis- this book develops a clear set of practical implications and theoretical propositions regarding how all organizations can learn from 'near-miss' events and better manage risk and resilience.
This succinct but absorbing book covers the main way stations on James Reason’s 40-year journey in pursuit of the nature and varieties of human error. In it he presents an engrossing and very personal perspective, offering the reader exceptional insights, wisdom and wit as only James Reason can. The journey begins with a bizarre absent-minded action slip committed by Professor Reason in the early 1970s - putting cat food into the teapot - and continues up to the present day, conveying his unique perceptions into a variety of major accidents that have shaped his thinking about unsafe acts and latent conditions. A Life in Error charts the development of his seminal and hugely influential wor...
Clapham was a pivotal point in British railway history. Much technology had been invented and applied to accident prevention by 1988; much more was to come. The Clapham Train Accident considers Clapham in its wider context, using official reports and expert interviews to describe both the causes and the terrible effects. It looks beyond the railway to the external factors acting not only on British Rail, but also the government of the time, and considers the safety improvements that came about as a result. Finally, the book brings the story up to date and looks at why the lessons learned over thirty years ago still need to be retained in an industry where the baton of safety is all-too-easil...
An unflinching look at the unique challenges posed by complex technologies we cannot afford to let fail—and why the remarkable achievements of civil aviation can help us understand those challenges. Nuclear reactors, deep-sea drilling platforms, deterrence infrastructures—these are all complex and formidable technologies with the potential to fail catastrophically. In Rational Accidents, John Downer outlines a new perspective on technological failure, arguing that undetectable errors can lurk in even the most rigorous and “rational” assessments of these systems due to the inherent limits of engineering tests and models. Downer finds that it should be impossible, from an epistemologic...
Do people with high testosterone levels make decisions the same way as people with lower testosterone? Do men change their behavior when a pretty woman enters the office? Do women change their behavior when a handsome man enters the office? Do men and women affect each other within the firm to the detriment or the benefit of the firm? In some ways, the questions this edited volume addresses are questions that we are all familiar with and have asked for many years. It suggests looking for answers in places that that we have never thought of before. Some of the chapters will surprise you with their ingenious, simple answers and propositions; some will perhaps make you feel awkward with their s...
Based on a study covering a one-year financial reporting cycle at a commercial subsidiary of a well-known scientific research organization, Inside Accounting examines how accountants and non-accounting managers construct their company's earnings. Addressing issues in both internal management accounting, such as budgeting, performance evaluation, and control, as well as external financial accounting, such as book keeping, monthly/year end accounts and auditing, David Leung focuses on how people classify transactions, make professional judgments and use computer software for accounting, and prepare for and facilitate the auditing process. He also looks at accountancy training and the impact of...
New technologies like AI, medical apps and implants seem very exciting but they too often have bugs and are susceptible to cyberattacks. Even well-established technologies like infusion pumps, pacemakers and radiotherapy aren't immune. Until digital healthcare improves, digital risk means that patients may be harmed unnecessarily, and healthcare staff will continue to be blamed for problems when it's not their fault. This book tells stories of widespread problems with digital healthcare. The stories inspire and challenge anyone who wants to make hospitals and healthcare better. The stories and their resolutions will empower patients, clinical staff and digital developers to help transform digital healthcare to make it safer and more effective. This book is not just about the bugs and cybersecurity threats that affect digital healthcare. More importantly, it's about the solutions that can make digital healthcare much safer.
The Compendium is a publication of Starling Insights, a membership-based platform that is a resource for and by the community of leaders, experts, and practitioners working to bring new ideas and tools to the governance and supervision of cultural, behavioral, and other nonfinancial risks and performance outcomes. Readers will find discussion throughout this report, in articles by and interviews with dozens of contributors, among them: regulators, supervisors, central bankers and policymakers; standard setting bodies and industry associations; industry executives and peers from other sectors; prominent legal thinkers and practicing attorneys; as well as renowned scholars from various disciplines. We are humbled by their continued collective generosity and hope that our 2023 Compendium is found to be as valuable to readers as its predecessors.
Anticipating risks has become an obsession of the early twenty-first century. Private and public sector organisations increasingly devote resources to risk prevention and contingency planning to manage risk events should they occur. This 2010 book shows how we can organise our social, organisational and regulatory policy systems to cope better with the array of local and transnational risks we regularly encounter. Contributors from a range of disciplines - including finance, history, law, management, political science, social psychology, sociology and disaster studies - consider threats, vulnerabilities and insecurities alongside social and organisational sources of resilience and security. These issues are introduced and discussed through a fascinating and diverse set of topics, including myxomatosis, the 2012 Olympic Games, gene therapy and the financial crisis. This is an important book for academics and policy makers who wish to understand the dilemmas generated in the anticipation and management of risks.