After the event : from accident to organisational learning

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      <subfield code="a">After the event</subfield>
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      <subfield code="a">The goals of event analysis -- Structure of event analysis -- Event analysis and responsability in complex systems -- Organisational epidemiology -- The effect of the accident inquery process within the railway industry -- Accident scenarios as a tool for safety enhancement -- Deriving organisational principles for safety management systems from the analysis of aircraft ramp accidents -- Event analysis as problem solving process -- Using MORT to generate organisational feedback from single accidents at work -- Shame, blame and liability -- Major event analysis in the United States chemical industry -- Event analysis and regulation: are we able to discover organizational factors? -- Responding to public criticism of safety management systems: is the response always effective and appropiate? -- Conclusions: After the event, what next?</subfield>
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