Do you have an electronic version of your paper on the
anaesthetic catastrophe analyzed using the Reason model?
I'm working on a chapter on system design failures and am
looking for good worked out examples to include. Yours
sounds like it might be a good candidate.
Many thanks.
Judith
>Dear Dave
>
>I too would be very interested to receive a copy of
>the SHEL - Reason article. A few years ago I
>applied the Reason model to a medical (i.e., an
>anaesthetic) catastrophe. The Reason model is quite
>robust! The reference for that article is:
> Eagle CJ, Davies JM, Reason J. Accident
>analysis of large-scale technological disasters
>applied to an anaestehtic catastrophe. Canadian
>Journal of Anaesthesia 1992;39:118-22.
>
>Regards
>
>Jan
>
>----------------------
>J.M. Davies MSc MD FRCPC
>Professor of Anaesthesia
>Department of Anaesthesia
>Foothills Medical Centre
>1403 29th Street N.W.
>Calgary, Alberta
>CANADA T2N 2T9
>
>tel: 403-670-4707
>fax: 403-670-2425
Judith Orasanu, Ph.D.
Crew Factors Group
NASA-Ames Research Center
AFO, Mail Stop 262-4
Moffett Field, CA 94035-1000
TEL: (415) 604-3404
FAX: (415) 604-3729
"A Candle loses nothing when it lights another candle." anon