对严重伤害或死亡事件中应用的系统性事件调查方法的分析:快速系统性审查

Joanne E Porter1, Elissa Dabkowski2, Warren Smith3

  • 1Director of the Collaborative Evaluation and Research Centre (CERC) Federation University Australia, Gippsland, Victoria, Australia.

概括

这次对事故原因模型的审查发现,它们专注于错误,而不是系统. 一个新的模型,SCALE®过程模型,提供了一个系统的方法来理解和预防严重伤害和死亡.

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