9 steps to move forward if you think you have a human error problem: CTW02 pdf
What is Error? On receiving a request for help in defing error in health care, the authors respond with a "Dear Virginnia" letter that reviews some fallacies about error and points to the alternative "Resilience Engineering". "Mistaking Error" D. D. Woods and R. I. Cook. In M. J. Hatlie and B. J. Youngberg (Eds.) Patient Safety Handbook, Jones and Bartlett, 2003, in press. Mistaking error pdf