If we aim to learn from the error and to lessen the chances of it happening again, we need to consider the organizational context that surrounds the person’s action, including equipment, procedures, people, the environment, and management.
There are two aspects to managing error:
- Reducing the probability that people will make errors
- Making sure that the system is prepared to deal with errors when they occur
The term “human error” does not mean we have a problem with people. The human error generally points us to systems problems. Although errors can lead to unwanted events, they also can provide valuable opportunities to identify and implement system improvements.
Source: CASA Human Factors Engineers Resources, Civil Aviation Safety Authority, 2013