Classification of organizational failure root causes producing human error

Journal article


Arghami, S., Nasl-Saraji, G., Mohammad, K., Zamani, G., Farhangi, A. and van Vuuren, W. 2006. Classification of organizational failure root causes producing human error. Acta Medica Iranica. 44 (4), pp. 251-255.
AuthorsArghami, S., Nasl-Saraji, G., Mohammad, K., Zamani, G., Farhangi, A. and van Vuuren, W.
Abstract

The formal study of human error is relatively recent, especially in medical domain, and is tied closely to a several other relatively new fields. Organizational root cause of human error is less considered. Despite growing social, industrial and scientific interest in the organizational causes of incidents, the concept of organizational failure and related tools are still less considered in many developing countries e.g. Iran. Also, there is few incident record-keeping in medical domain on human error. Therefore, this study draws on case study research to investigate the applicability of a European taxonomy of organizational failure in Iran, in aviation domain with a fair incident record-keeping.

This case study resulted in 10 incident in-depth descriptions, which occurred during one year in a part of civil aviation due to operator error. Within each case study, an explanation building method is used to develop a tool for classifying organizational root causes. Results include 100 root causes. The distribution of organizational root causes over the main categories of the former taxonomy shows a need to add a new sub-category to improve its applicability in Iran. The new sub-category is related to culture.

KeywordsHuman error; organizational failure; taxonomy; medical; culture
Year2006
JournalActa Medica Iranica
Journal citation44 (4), pp. 251-255
PublisherTehran University of Medical Sciences
ISSN0044-6025
Official URLhttp://acta.tums.ac.ir/index.php/acta/article/view/3193
Publication dates
Print2006
Publication process dates
Deposited04 Jun 2019
Accepted06 Jan 2006
Accepted author manuscript
License
Output statusPublished
Additional information

Open Access

Permalink -

https://repository.canterbury.ac.uk/item/88zwq/classification-of-organizational-failure-root-causes-producing-human-error

Download files


Accepted author manuscript
  • 7
    total views
  • 1
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Mental health in high-tech system
Arghami, S., Nasl Seraji, J., Mohammad, K., Zamani, G., Farhangi, A. and van Vuuren, W. 2005. Mental health in high-tech system. Iranian Journal of Public Health. 34 (1), pp. 31-37.
Developing new opportunities, entrepreneurial skills and product/service creativity: A ‘Young Enterprise’ (YE) perspective
Fearon, C., M. Furlotti, van Vuuren, W. and McLaughlin, H. 2019. Developing new opportunities, entrepreneurial skills and product/service creativity: A ‘Young Enterprise’ (YE) perspective. Studies in Higher Education. https://doi.org/10.1080/03075079.2019.1672643
Graduate employability, skills development and the UK’s universities business challenge (UBC) competition: a self-determined learning perspective
Fearon, C., van Vuuren, W., McLaughlin, H. and Nachmias, S. 2019. Graduate employability, skills development and the UK’s universities business challenge (UBC) competition: a self-determined learning perspective. Studies in Higher Education. https://doi.org/10.1080/03075079.2019.1576166
Student perceptions of an enterprise education competition: a multi-methods perspective
Fearon, C., van Vuuren, W. and McLaughlin, H. 2017. Student perceptions of an enterprise education competition: a multi-methods perspective.
Ways of working between third sector organizations and UK universities: are we getting it right?
Fearon, C., Sama, A. and van Vuuren, W. 2017. Ways of working between third sector organizations and UK universities: are we getting it right? Development and Learning in Organizations: An International Journal. 31 (4), pp. 17-20.
The IBM Universities Business Challenge: a review of entrepreneurial learning and employability skills development
van Vuuren, W., Marian, I. and Van Vuuren-Cassar, G. 2013. The IBM Universities Business Challenge: a review of entrepreneurial learning and employability skills development.
Report to the Creative Foundation on the Folkestone Triennial Review
van Vuuren, W., Jackson, A., Powell, S. and Apps, J. 2012. Report to the Creative Foundation on the Folkestone Triennial Review.
Entrepreneurial learning and the IBM Universities Business Challenge: an experiential learning perspective
van Vuuren, W., Fearon, C., Van Vuuren-Cassar, G. and Crayford, J. 2014. Entrepreneurial learning and the IBM Universities Business Challenge: an experiential learning perspective. in: Fayolle, A. and Redford, D. (ed.) Handbook on the Entrepreneurial University Cheltenham Edward Elgar.
Entrepreneurial learning and the IBM Universities Business Challenge
van Vuuren, W., Fearon, C. and Cardwell, P. 2012. Entrepreneurial learning and the IBM Universities Business Challenge.
Modelling organisational factors of human reliability in complex man-machine systems
van Vuuren, W. and van der Schaaf, T. 1995. Modelling organisational factors of human reliability in complex man-machine systems. in: Sheridan, T. (ed.) Analysis, Design and Evaluation of Man-Machine Systems 1995: A Postprint Volume from the Sixth IFAC/IFIP/IFORS/IEA Symposium, Cambridge, Massachusetts, USA, 27-29 June 1995 Oxford Pergamon. pp. 323-328
What skills are required to be successful at shared services projects?
van Vuuren, W. and Macdonald-Wallace, D. 2010. What skills are required to be successful at shared services projects?
Organisational influences on human reliability in the steel industry
van Vuuren, W. 1996. Organisational influences on human reliability in the steel industry. in: Chic, C., Mital, A. and Kumar, S. (ed.) Proceedings of the 4th Pan Pacific Conference on Occupational Ergonomics PPCOE'96 Hsinchu Ergonomics Society Taiwan. pp. 17-20
Organisational failure: the development of a taxonomy
van Vuuren, W. 1999. Organisational failure: the development of a taxonomy. in: Kafka, P. and Schuëller, G. (ed.) Safety and Reliability: Proceedings of ESREL '99 - the Tenth European Conference on Safety and Reliability, Munich, Germany, 13-17 September, 1999 Rotterdam Balkema. pp. 1273-1278
The influence of safety culture on risks and risk management
van Vuuren, W. and van der Schaaf, T. 1999. The influence of safety culture on risks and risk management. in: Kafka, P. and Schuëller, G. (ed.) Safety and Reliability: Proceedings of ESREL '99 - the Tenth European Conference on Safety and Reliability, Munich, Germany, 13-17 September, 1999 Rotterdam Balkema. pp. 1261-1266
Product family development: linking theory with practice.
van Vuuren, W., Keizer, J. and Insúa Ortega, E. 2001. Product family development: linking theory with practice.
Report to Folkestone Harbour Company: results of consultations on Folkestone Seafront - one year on
van Vuuren, W. 2012. Report to Folkestone Harbour Company: results of consultations on Folkestone Seafront - one year on.
Organisational failure: an exploratory study in the steel industry and the medical domain
van Vuuren, W. 1998. Organisational failure: an exploratory study in the steel industry and the medical domain. PhD Thesis Eindhoven University of Technology Technology Management
Affirming entrepreneurial education: learning, employability and personal development
Crayford, J., Fearon, C., McLaughlin, H. and van Vuuren, W. 2012. Affirming entrepreneurial education: learning, employability and personal development. Industrial and Commercial Training. 44 (4), pp. 187-193. https://doi.org/10.1108/00197851211231450
Organisational failure: lessons from industry applied in the medical domain
van Vuuren, W. 1999. Organisational failure: lessons from industry applied in the medical domain. Safety Science. 33 (1-2), pp. 13-29. https://doi.org/10.1016/S0925-7535(99)00021-1
Cultural influences on risks and risk management: six case studies
van Vuuren, W. 2000. Cultural influences on risks and risk management: six case studies. Safety Science. 34 (1-3), pp. 31-45. https://doi.org/10.1016/S0925-7535(00)00005-9
Report to Folkestone Harbour Company: Results of consultations on Folkestone seafront - a new approach
van Vuuren, W., Powell, S. and Apps, J. 2010. Report to Folkestone Harbour Company: Results of consultations on Folkestone seafront - a new approach. Folkestone Harbour Company.
Widening the scope of incident analysis in complex work environments
van Vuuren, W. and Kanse, L. 2003. Widening the scope of incident analysis in complex work environments. in: Manser, T. (ed.) Komplexes Handeln in der Anästhesie Lengerich, Germany Pabst Science.
Platform driven development of product families
Halman, J., Hofer, A. and van Vuuren, W. 2006. Platform driven development of product families. in: Simpson, T., Siddique, Z. and Jiao, J. (ed.) Product Platform and Product Family Design: Methods and Application New York Springer. pp. 27-47
Platform-driven development of product families: linking theory with practice
Halman, J., Hofer, A. and van Vuuren, W. 2003. Platform-driven development of product families: linking theory with practice. Journal of Product Innovation Management. 20 (2), pp. 149-162. https://doi.org/10.1111/1540-5885.2002007