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
Chapter from "Handbook of Cognitive Task Design," E. Hollnagel (ed.), Erlbaum, 2003. CTD Handbook Chapter pdf
Given the starting point that field settings also function as natural laboratories, the chapter shows how different classes of methods represent different ways to shape the conditions of observation. The chapter discusses the relationship of in situ obervation (or natural history techniques), staged or scaled world simulations, and experimenter created artificial tasks. The chapter provides guidance, especially on how to carry out process tracing methods.
