메뉴 건너뛰기




Volumn 72, Issue , 2014, Pages 351-358

Why do organizations not learn from incidents? Bottlenecks, causes and conditions for a failure to effectively learn

Author keywords

'Failure to learn'; Accident; Cases; Causes; Organization; Safety

Indexed keywords

ACCIDENT PREVENTION; ACCIDENTS; LEARNING SYSTEMS;

EID: 84907350209     PISSN: 00014575     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.aap.2014.07.027     Document Type: Article
Times cited : (71)

References (34)
  • 3
    • 84873903445 scopus 로고    scopus 로고
    • Implementing recommendations from accident investigations: A case-study of inter-organisational challenges
    • A. Cedergren Implementing recommendations from accident investigations: a case-study of inter-organisational challenges Accid. Anal. Prev. 53 2013 133 141
    • (2013) Accid. Anal. Prev. , vol.53 , pp. 133-141
    • Cedergren, A.1
  • 4
    • 33644757602 scopus 로고    scopus 로고
    • Organizing learning processes on risks by using the bow-tie representation
    • F.R. Chevreau, J.L. Wybo, and D. Cauchois Organizing learning processes on risks by using the bow-tie representation J. Hazard. Mater. 130 3 2006 276 283
    • (2006) J. Hazard. Mater. , vol.130 , Issue.3 , pp. 276-283
    • Chevreau, F.R.1    Wybo, J.L.2    Cauchois, D.3
  • 5
    • 0034880568 scopus 로고    scopus 로고
    • Complex learning: Organizational learning from disasters
    • R. Choularton Complex learning: organizational learning from disasters Saf. Sci. 39 1 2001 61 70
    • (2001) Saf. Sci. , vol.39 , Issue.1 , pp. 61-70
    • Choularton, R.1
  • 6
    • 36749042013 scopus 로고    scopus 로고
    • Disasters and organisations: From lessons learnt to theorising
    • J.C. Le Coze Disasters and organisations: from lessons learnt to theorising Saf. Sci. 46 1 2008 132 149
    • (2008) Saf. Sci. , vol.46 , Issue.1 , pp. 132-149
    • Le Coze, J.C.1
  • 7
    • 70349595439 scopus 로고    scopus 로고
    • Just culture: Who gets to draw the line?
    • S.W.A. Dekker Just culture: who gets to draw the line? Cognit. Technol. Work 11 3 2009 177 185
    • (2009) Cognit. Technol. Work , vol.11 , Issue.3 , pp. 177-185
    • Dekker, S.W.A.1
  • 8
    • 84876875042 scopus 로고    scopus 로고
    • Critical steps in learning from incidents: Using learning potential in the process from reporting an incident to accident prevention
    • L. Drupsteen, J. Groeneweg, and G.I.J.M. Zwetsloot Critical steps in learning from incidents: using learning potential in the process from reporting an incident to accident prevention Int. J. Occup. Saf. Ergon. 19 1 2013 63 77
    • (2013) Int. J. Occup. Saf. Ergon. , vol.19 , Issue.1 , pp. 63-77
    • Drupsteen, L.1    Groeneweg, J.2    Zwetsloot, G.I.J.M.3
  • 10
    • 84899969148 scopus 로고    scopus 로고
    • What is learning? A review of safety literature on learning from incidents
    • L. Drupsteen, and F.W. Guldenmund What is learning? A review of safety literature on learning from incidents J. Conting. Crisis Manage. 22 2 2014 81 96
    • (2014) J. Conting. Crisis Manage. , vol.22 , Issue.2 , pp. 81-96
    • Drupsteen, L.1    Guldenmund, F.W.2
  • 13
    • 77957016828 scopus 로고    scopus 로고
    • Multilevel learning from accidents - Case studies in transport
    • J. Hovden, F. Størseth, and R.K. Tinmannsvik Multilevel learning from accidents - case studies in transport Saf. Sci. 49 1 2011 98 105
    • (2011) Saf. Sci. , vol.49 , Issue.1 , pp. 98-105
    • Hovden, J.1    Størseth, F.2    Tinmannsvik, R.K.3
  • 14
    • 84900346121 scopus 로고    scopus 로고
    • www.ilo.org (retrieved September 29 2013)
    • ILO Safety and Health at Work 2013 〈www.ilo.org〉 (retrieved September 29 2013)
    • (2013) Safety and Health at Work
  • 15
    • 61349181865 scopus 로고    scopus 로고
    • A sequential method to identify underlying causes from industrial accidents reported to the MARS database
    • A. Jacobsson, J. Sales, and F. Mushtaq A sequential method to identify underlying causes from industrial accidents reported to the MARS database J. Loss Prev. Process Ind. 22 2 2009 197 203
    • (2009) J. Loss Prev. Process Ind. , vol.22 , Issue.2 , pp. 197-203
    • Jacobsson, A.1    Sales, J.2    Mushtaq, F.3
  • 16
    • 79956349061 scopus 로고    scopus 로고
    • Method for evaluating learning from incidents using the idea of level of learning
    • A. Jacobsson, A. Ek, and R. Akselsson Method for evaluating learning from incidents using the idea of level of learning J. Loss Prev. Process Ind. 24 4 2011 333 343
    • (2011) J. Loss Prev. Process Ind. , vol.24 , Issue.4 , pp. 333-343
    • Jacobsson, A.1    Ek, A.2    Akselsson, R.3
  • 17
    • 45249100417 scopus 로고    scopus 로고
    • Accidents: A discrepancy between indicators and facts!
    • P.M.W. Körvers, and P.J.M. Sonnemans Accidents: a discrepancy between indicators and facts! Saf. Sci. 46 7 2008 1067 1077
    • (2008) Saf. Sci. , vol.46 , Issue.7 , pp. 1067-1077
    • Körvers, P.M.W.1    Sonnemans, P.J.M.2
  • 18
    • 0343938884 scopus 로고    scopus 로고
    • A comparison of accident analysis techniques for safety-critical man-machine systems
    • T. Kontogiannis, V. Leopoulos, and N. Marmaras A comparison of accident analysis techniques for safety-critical man-machine systems Int. J. Ind. Ergon. 25 4 2000 327 347
    • (2000) Int. J. Ind. Ergon. , vol.25 , Issue.4 , pp. 327-347
    • Kontogiannis, T.1    Leopoulos, V.2    Marmaras, N.3
  • 19
    • 77049091359 scopus 로고    scopus 로고
    • Experiencing the improbable: Rare events and organizational learning
    • J. Lampel, J. Shamsie, and Z. Shapira Experiencing the improbable: rare events and organizational learning Organiz. Sci. 20 5 2009 835 845
    • (2009) Organiz. Sci. , vol.20 , Issue.5 , pp. 835-845
    • Lampel, J.1    Shamsie, J.2    Shapira, Z.3
  • 20
    • 1342344540 scopus 로고    scopus 로고
    • A new accident model for engineering safer systems
    • N. Leveson A new accident model for engineering safer systems Saf. Sci. 42 4 2004 237 270
    • (2004) Saf. Sci. , vol.42 , Issue.4 , pp. 237-270
    • Leveson, N.1
  • 21
    • 77951092240 scopus 로고    scopus 로고
    • Learning from accidents - What more do we need to know?
    • A.K. Lindberg, S.O. Hansson, and C. Rollenhagen Learning from accidents - what more do we need to know? Saf. Sci. 48 6 2010 714 721
    • (2010) Saf. Sci. , vol.48 , Issue.6 , pp. 714-721
    • Lindberg, A.K.1    Hansson, S.O.2    Rollenhagen, C.3
  • 22
    • 84856085562 scopus 로고    scopus 로고
    • Strategies for dealing with resistance to recommendations from accident investigations
    • J. Lundberg, C. Rollenhagen, E. Hollnagel, and A. Rankin Strategies for dealing with resistance to recommendations from accident investigations Accid. Anal. Prev. 45 2012 455 467
    • (2012) Accid. Anal. Prev. , vol.45 , pp. 455-467
    • Lundberg, J.1    Rollenhagen, C.2    Hollnagel, E.3    Rankin, A.4
  • 23
    • 28244491133 scopus 로고    scopus 로고
    • Risky information: Social limits to risk management
    • P. Mancini Risky information: social limits to risk management J. Conting. Crisis Manage. 6 1998 35 44
    • (1998) J. Conting. Crisis Manage. , vol.6 , pp. 35-44
    • Mancini, P.1
  • 24
    • 0034028204 scopus 로고    scopus 로고
    • Man-made disasters: Why technology and organizations (sometimes) fail
    • N. Pidgeon, and M. O'Leary Man-made disasters: why technology and organizations (sometimes) fail Saf. Sci. 34 1-3 2000 15 30
    • (2000) Saf. Sci. , vol.34 , Issue.13 , pp. 15-30
    • Pidgeon, N.1    O'Leary, M.2
  • 25
    • 0031279121 scopus 로고    scopus 로고
    • Risk management in a dynamic society: A modelling problem
    • J. Rasmussen Risk management in a dynamic society: a modelling problem Saf. Sci. 27 2-3 1997 183 213
    • (1997) Saf. Sci. , vol.27 , Issue.23 , pp. 183-213
    • Rasmussen, J.1
  • 27
    • 0004223940 scopus 로고
    • Cambridge University Press Cambridge
    • J.T. Reason Human Error 1990 Cambridge University Press Cambridge
    • (1990) Human Error
    • Reason, J.T.1
  • 29
    • 31044436648 scopus 로고    scopus 로고
    • Application of a human error framework to conduct train accident/incident investigations
    • S. Reinach, and A. Viale Application of a human error framework to conduct train accident/incident investigations Accid. Anal. Prev. 38 2 2006 396 406
    • (2006) Accid. Anal. Prev. , vol.38 , Issue.2 , pp. 396-406
    • Reinach, S.1    Viale, A.2
  • 30
    • 49149086882 scopus 로고    scopus 로고
    • Incident reporting or storytelling? Competing schemes in a safety-critical and hazardous work setting
    • J.M. Sanne Incident reporting or storytelling? Competing schemes in a safety-critical and hazardous work setting Saf. Sci. 46 8 2008 1205 1222
    • (2008) Saf. Sci. , vol.46 , Issue.8 , pp. 1205-1222
    • Sanne, J.M.1
  • 33
    • 3042691362 scopus 로고    scopus 로고
    • Comparison of some selected methods for accident investigation
    • S. Sklet Comparison of some selected methods for accident investigation J. Hazard. Mater. 11 1 2004 29 37
    • (2004) J. Hazard. Mater. , vol.11 , Issue.1 , pp. 29-37
    • Sklet, S.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.