A Disruptive Paradigm: Systems Thinking About Human Error

Systems thinking is a disruptive paradigm. Clearly it forces safety professionals and management to think differently about accident causation, but it also opens the door to many other possibilities. Initiatives like HOP hold great promise in making this shift away from behavioral causation. So here is the disruptive paradigm shift: Human error is not the root cause of most incidents. All human behavior (and error) is affected by the context in which it occurs, and the context is the sum of all processes or organizational systems that influenced the situation.

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