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Less than 1% of injected faults treated as latent error.
The detection of latent errors post-task completion is observed in naval air engineers using a diary to record work-related latent error detection (LED) events.
Using system cues several I-LED interventions are tested in the current study with the aim of mitigating system-induced latent error conditions, for which a simple stop, look and listen approach is found to be the most effective.
Human error is a by-product of performance variability caused by system failures, for which undetected error generates a latent error condition that can lead to an undesired outcome.
Individual Latent Error Detection (I-LED) has been observed in naval air engineers at work where system-induced errors not detected at the time they occurred were later recalled by the individual who suffered the error at some point post-task completion.
1 Latent error: Failure of system design that increases the probability of harmful events.
The assumption that this skill will be acquired following qualification constitutes a latent error within the healthcare system.
The assumption that this will be acquired following qualification constitutes a latent error within the healthcare system.
The assumption that the ability will be acquired following qualification constitutes a latent error within the healthcare system.
Majorities interpreted a hole as suggested by Reason – a weakness in defences, but only few respondents understood that a hole is either a latent error or an unsafe act.
The Figure 2 model would be more assuredly identified than the Figure 1 model, again barring empirical underidentification, which now also presumes no new identification concerns for reciprocal latent effects, loops, excessive latent error covariances, and the like.
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