Nine Steps to Move Forward from Error

@article{Woods2002NineST,
  title={Nine Steps to Move Forward from Error},
  author={David D. Woods and Richard I. Cook},
  journal={Cognition, Technology & Work},
  year={2002},
  volume={4},
  pages={137-144}
}
Following celebrated failures stakeholders begin to ask questions about how to improve the systems and processes they operate, manage or depend on. In this process it is easy to become stuck on the label ‘human error’ as if it were an explanation for what happened and as if such a diagnosis specified steps to improve. To guide stakeholders when celebrated failure or other developments create windows of opportunity for change and investment, this paper draws on generalizations from the research… CONTINUE READING