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Ep. 119: Should we ask about contributors rather than causes? artwork
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Ep. 119: Should we ask about contributors rather than causes?

The Safety of Work by David Provan

Apr 28, 202400:45:19Business

Today’s paper, “Multiple Systemic Contributors versus Root Cause: Learning from a NASA Near Miss” by Katherine E. Walker et al, examines an incident wherein a NASA astronaut nearly drowned (asphyxiated) during an Extrave...