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How Could This Happen?

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Cover of 'How Could This Happen?'

Table of Contents

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    Book Overview
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    Chapter 1 Fast, Slow, and Pause: Understanding Error Management via a Temporal Lens
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    Chapter 2 Errors and Learning for Safety: Creating Uncertainty As an Underlying Mechanism
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    Chapter 3 When Silence Is Not Golden
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    Chapter 4 Executive Perspectives on Strategic Error Management
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    Chapter 5 The Strategic Imperative of Psychological Safety and Organizational Error Management
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    Chapter 6 Learning Failures As the Ultimate Root Causes of Accidents
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    Chapter 7 Understanding Safety Management Through Strategic Design, Political, and Cultural Approaches
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    Chapter 8 Errors and Error Management in Biomedical Research
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    Chapter 9 Empowerment
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    Chapter 10 Open Error Communication in a High-Consequence Industry
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    Chapter 11 Confidence and Humility
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    Chapter 12 Just Culture
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    Chapter 13 Error Management in the German Armed Forces’ Military Aviation
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    Chapter 14 Crew Resource Management Revisited
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    Chapter 15 Error Reporting and Crew Resource Management in the Israeli Air Force
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    Chapter 16 Lessons from a Nuclear Submarine Mishap
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    Chapter 17 The War on Error: A New and Different Approach to Human Performance
Attention for Chapter 1: Fast, Slow, and Pause: Understanding Error Management via a Temporal Lens
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