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Part 2 Chapter24 Human Error: Models And Management

Across
The unsafe acts committed by people who are in direct contact with the system
Having the potential for introducing pathogens into the system
A dynamic non-event
Inevitable resident pathogens
A key element that requires the existence of a just culture
Concentrates on the conditions under which individuals work
Down
A force to harness in averting errors
Consequences rather than causes
Assumption that cannot change the human condition
A system of defences