Erschienen in:
01.08.2005 | Editorial
Surgical errors and their prevention
verfasst von:
A. Cuschieri
Erschienen in:
Surgical Endoscopy
|
Ausgabe 8/2005
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Excerpt
Historically speaking, the study of human error is relatively recent, barely 30 years old. Indeed, the first ever international conference on human error followed the Three Mile Island disaster. It arose out of concern by a group of human factors specialists and cognitive psychologists regarding the implications of this accident to mankind in what was then considered an increasingly nuclear energy-dependent age. The scientists, who hailed from the United States, Canada, and the United Kingdom, organized without any sponsorship a low-budget conference in Columbia Falls, the venue for the conference being a vacant high school building in this small town. The second conference was held 3 years later in Bellagio, Italy. The venue for the second conference was the villa Serbelloni, made available for the meeting by the Rockefeller Foundation. In sharp contrast to the first conference, the second conference was heavily sponsored by NATO because nuclear submarines were at the core of its defense strategy. The proceedings of the Bellagio conference were published by Senders and Moray, Nature and Source of Human Error, as one the early publications on the subject. …
