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The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Operating at the Sharp End: The Complexity of Human Error

Cook, Richard I., Woods, David D.·2018·Human Error in Medicine

Abstract

This chapter examines issues surrounding human performance at the sharp end, including those described as errors and those considered expert. It provides an introduction to the complexity of system failures and the term human error. Studies of incidents in medicine and other fields attribute most bad outcomes to a category of human performance labeled human error. For practitioners at the sharp end of the system, there are three classes of cognitive factors that govern how people form intentions to act: Knowledge factors—factors related to the knowledge that can be drawn on when solving problems in context. Attentional dynamics—factors that govern the control of attention and the management of mental workload as situations evolve and change over time. Strategic factors—the trade-offs between goals that conflict, especially when the practitioners must act under uncertainty, risk, and the pressure of limited resources.

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Citations

Cites

  • Adaptive strategy selection in decision making.

    Payne, J. W., Bettman, J. R., & Johnson, E. J. (1988) · Journal of Experimental Psychology: Learning, Memory, and Cognition · doi:10.1037/0278-7393.14.3.534 · Cited by 1,955

  • Outcome Bias in Decision Evaluation

    Baron, J., & Hershey, J. C. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.4.569 · Cited by 873 · cited 1×

    “…practice and the other similar disciplines such as military situations (Lipshitz, 1989), critics will be unable to disconnect their knowledge of the outcome in order to be able to make unbiased judgments about the performance of human operators during the incident (Baron & Hershey, 1988).”
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Metadata

Authors
Cook, R. I., & Woods, D. D.
Venue
Human Error in Medicine
Publisher
CRC Press
Published
2018-02-06
Pages
255-310
OpenAlex
W2908119557
Cited by
313
References
2
FWCI
24.26
Type
book chapter
Language
en
Open access
closed

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CoChat. (2026). Citation check: Operating at the Sharp End: The Complexity of Human Error. https://app.cochat.ai/papers/10.1201/9780203751725-13
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Cook, R. I., & Woods, D. D. (2018). Operating at the Sharp End: The Complexity of Human Error. Human Error in Medicine. https://doi.org/10.1201/9780203751725-13

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