Learning from organizational incidents (Record no. 169400)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 01947nab a2200169 4500 |
| 008 - CÓDIGOS DE INFORMACIÓN DE LONGITUD FIJA - INFORMACIÓN GENERAL | |
| Campo de control de longitud fija | 260224s2009 xxu |
| 245 00 - TITULO | |
| Título | Learning from organizational incidents |
| Subtítulo | Resilience engineering for high-risk process environments |
| 260 ## - PUBLICACION, DISTRIBUCION, ETC | |
| Fecha de publicación, distribución, etc. | mar. 2009 |
| 270 ## - FECHA DE CARGA | |
| Fecha de carga | 2009-03-31 ; 2009-03-31 |
| 300 ## - DESCRIPCION FISICA | |
| Otra extensión | 6 p. ; 90-95 |
| 520 ## - RESUMEN, ETC | |
| Resumen | For years, safety improvements have been made by evaluating incident reports and analyzing errors and violations. Current developments in safety science, however, challenge the idea that safety can meaningfully be seen as the absence of errors or other negatives. Instead, the question becomes whether a company is aware of positive ways in which people, at all level of the organization, contribute to the management and containment of the risks it actually faces. The question, too, is whether the organization has the adaptive capacity necessary to respond to the changing nature of risk as operations shift and evolve. This article presents the results of a resilience engineering safety audit conducted on a chemical company site. An interdisciplinary team of seven researchers carried out 4 days of field studies and interviews in several plants on this site. This company enjoyed an almost incident-free recent history but turned out to be ill-equiped to handle future risks and many well-known daily problems. Safety was often borrowed from to meet acute production goals. Organizational learning from incidents was fragmented into small organizational or production units without a company-wide learning. We conclude that improving safety performance hinges on an organization's dynamic capacity to reflect on and modify its models of risk as operations and insight into them evolve, for example, as they are embodied in safety procedures and policies. |
| 581 ## - ESTADO DE COLECCIÓN | |
| Estado de colección | 1 |
| 773 0# - CORRECCIÓN | |
| Título | Process safety progress |
| Partes relacionadas | 28 |
| 942 ## - DESC. DE MATERIAL | |
| Tipo de item KOHA | Artículo de Revista |
| Biblioteca propietaria | Biblioteca actual | Fecha de adquisición | Inventario | Total de préstamos | Inventario | Fecha de carga | Tipo de item KOHA |
|---|---|---|---|---|---|---|---|
| Biblioteca Alejandro Angel Bulgheroni | Biblioteca Alejandro Angel Bulgheroni | 05/03/2026 | 200044201 | 200044201 | 05/03/2026 | Artículo de Revista |
