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“But the point of a ‘human error’ investigation is to understand why people’s assessments and actions made sense at the time, given their context, and without knowledge of outcome, not to point out what they should have done instead.” — Sidney Dekker
But the point of a ‘human error’ investigation is to understand why people’s assessments and actions made sense at the time, given their context, and without knowledge of outcome, not to point out what they should have done instead.