Summary

“…active failures are like mosquitoes. They can be swatted one by one, but they still keep coming. The best remedies are to create more effective defenses and to drain the swamps in which they breed.”

Reason J. BMJ 2000; 320:768-770.

There has been much progress in our understanding of error, but potential errors are an inevitable part of our reality. By expanding our understanding of the anatomy of errors we are better positioned to create more effective defenses.

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