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
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Open Access

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