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says that what people do makes sense to them at the time—given their goals, attentional focus and knowledge—otherwise they wouldn’t be doing it. In other words: people do not come to work to do a bad job. Pilots do not check in for a flight in order to die. Nurses do not sign in to go kill a patient (and if they do, it takes you into the realm of sabotage, criminality, terrorism which requires different explanations and interventions—not part of this book).
The Field Guide to Understanding 'Human Error'
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