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Near Misses and Barriers to Error Propagation
Near Misses» Incident Learning Systems »
Safe Infrastructure
» Safety Barriers
Outline
•
Near Misses
To review what we already know about near misses.
•
Incident Learning Systems
To look at how current Incident Learning Systems (ILS)
handle near misses.
•
Safe Infrastructure
To briefly discuss minimizing the chance of an error occurring in the
first place.
•
Safety Barriers
To consider suggestions for barriers to error propagation.