MAP20070030049After the event : from accident to organisational learning / edited by Andrew Hale, Bernhard Wilpert and Matthias Freitag. — Oxford : Pergamon, 1997VIII, 250 p. ; 24 cmSumario: 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?