Jump to ContentJump to Main Navigation
Still Not SafePatient Safety and the Middle-Managing of American Medicine$
Users without a subscription are not able to see the full content.

Robert Wears and Kathleen Sutcliffe

Print publication date: 2019

Print ISBN-13: 9780190271268

Published to Oxford Scholarship Online: November 2019

DOI: 10.1093/oso/9780190271268.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 23 January 2021

Three Views of “Human Error”

Three Views of “Human Error”

(p.57) 5 Three Views of “Human Error”
Still Not Safe

Robert L. Wears

Kathleen M. Sutcliffe

Oxford University Press

The concept of human “error” was central to patient safety’s rise to prominence. Unfortunately healthcare developed a rather limited understanding of “error” from a complex body of work that had been evolving from different disciplines, such as psychology, sociology, and organization science. A focus on “human error” and this deficit thinking proved useful to healthcare as it was undergoing a managerial turn. The so-called “Clambake Conferences” exemplified a broad range of evolving thought about accidents and error, and the utility of the very concept of “error” became challenged.

Keywords:   Three Mile Island, Tenerife, heuristics, biases, deficit model, hindsight bias, Amos Tversky, Daniel Kahneman, Charles Bosk, Marianne Paget, Marcia Millman, Donald Norman, James Reason, Charles Perrow, Gene Rochlin, high reliability, normal accidents, Swiss cheese model, Jens Rasmussen, Diane Vaughan

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .