After the event : from accident to organisational learning

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<titleInfo>
<title>After the event</title>
<subTitle>: from accident to organisational learning</subTitle>
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<namePart>Hale, Andrew</namePart>
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<namePart>Wilpert, Bernhard</namePart>
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<name type="personal" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080192020">
<namePart>Freitag, Matthias</namePart>
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<publisher>Pergamon</publisher>
<dateIssued>1997</dateIssued>
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<abstract displayLabel="Summary">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?</abstract>
<note type="statement of responsibility">edited by Andrew Hale, Bernhard Wilpert and Matthias Freitag</note>
<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080583316">
<topic>Accidentes mayores</topic>
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<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080588953">
<topic>Análisis de riesgos</topic>
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<topic>Causas de los accidentes</topic>
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<topic>Error humano</topic>
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<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080591182">
<topic>Gerencia de riesgos</topic>
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<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080620455">
<topic>Seguridad en el transporte</topic>
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<subject authority="lcshac" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="MAPA20080559526">
<topic>Método MORT</topic>
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<identifier type="isbn">0-08-043074-0</identifier>
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