What is risk and what is making mistakes.

Steps of a PRISMA analyse

1. Define Top event: the consequence of discovery event

(i.e the system) as the visible reason for the analyses.

2. Describe the 2 sides of the three, the failure and

discovery

3. Define the direct causes= primary action of decision

4. Use the why questions to chronological define the root

causes related to the direct cause

5. Select the classification codes for the defined root

causes