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Patient Safety Analysis Training: A DoD/AHRQ Partnership
  •  | 1. Event Management|
  • 2. Systematic Analysis|
  • 3. Sensemaking|
  • 4. Implementing Change|

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The Titanic Disaster

Module pages

The Titanic

The Titanic

A disaster that was "set up" . . .

 

Notes

We're going to look at the Titanic as an example of just how important latent errors are in contributing to an event. Although it has been nearly ninety years since the disaster, thanks to the film industry, the story of the Titanic is fresh in our minds. The story of the Titanic's demise in April of 1912 provides an excellent example of latent error. Although active error was involved, it should be remembered that all of the conditions that led to the loss of life on the Titanic were the result of actions and decisions made long before the Titanic ever encountered the iceberg.

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