{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T11:02:50Z","timestamp":1758279770966,"version":"3.37.3"},"reference-count":157,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T00:00:00Z","timestamp":1485907200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cogn Tech Work"],"published-print":{"date-parts":[[2017,2]]},"DOI":"10.1007\/s10111-017-0404-8","type":"journal-article","created":{"date-parts":[[2017,2,7]],"date-time":"2017-02-07T03:51:39Z","timestamp":1486439499000},"page":"13-30","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["New vistas on causal-tree methods: from root cause analysis (RCA) to constructive cause analysis (CCA)"],"prefix":"10.1007","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1020-8596","authenticated-orcid":false,"given":"Lucie","family":"Cuvelier","sequence":"first","affiliation":[]},{"given":"H.","family":"Bencheckroun","sequence":"additional","affiliation":[]},{"given":"G.","family":"Morel","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2017,2,7]]},"reference":[{"issue":"2\u20133","key":"404_CR1","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/S0925-7535(00)00045-X","volume":"37","author":"R Amalberti","year":"2001","unstructured":"Amalberti R (2001) The paradoxes of almost totally safe transportation systems. Saf Sci 37(2\u20133):109\u2013126","journal-title":"Saf Sci"},{"key":"404_CR2","first-page":"253","volume-title":"Resilience engineering: concepts and precepts","author":"R Amalberti","year":"2006","unstructured":"Amalberti R (2006) Optimum system safety and optimum system resilience: agonistic or antagonistic concepts? In: Hollnagel E, Woods D, Leveson N (eds) Resilience engineering: concepts and precepts. Ashgate, Aldershot, pp 253\u2013270"},{"key":"404_CR3","first-page":"561","volume-title":"Handbook of human factors and ergonomics in health care and patient safety","author":"R Amalberti","year":"2007","unstructured":"Amalberti R, Hourlier S (2007) Human error reduction strategies in Health Care. In: Carayon P (ed) Handbook of human factors and ergonomics in health care and patient safety. Lawrence Erlbaum Associates, Hillsdale, pp 561\u2013577"},{"issue":"5","key":"404_CR4","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1080\/14639220701193306","volume":"8","author":"S Bagnara","year":"2007","unstructured":"Bagnara S, Tartaglia R (2007) Patient safety: an old and new issue. Theor Issues Ergon Sci 8(5):365\u2013369","journal-title":"Theor Issues Ergon Sci"},{"issue":"5","key":"404_CR5","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1016\/j.apergo.2009.12.009","volume":"41","author":"S Bagnara","year":"2010","unstructured":"Bagnara S, Parlangeli O, Tartaglia R (2010) Are hospitals becoming high reliability organizations? Appl Ergon 41(5):713\u2013718","journal-title":"Appl Ergon"},{"key":"404_CR6","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.apergo.2015.02.005","volume":"50","author":"F Barcellini","year":"2015","unstructured":"Barcellini F, Prost L, Cerf M (2015) Designers\u2019 and users\u2019 roles in participatory design: what is actually co-designed by participants? Appl Ergon 50:31\u201340. doi: 10.1016\/j.apergo.2015.02.005","journal-title":"Appl Ergon"},{"issue":"76","key":"404_CR7","doi-asserted-by":"publisher","first-page":"53","DOI":"10.3917\/th.791.0053","volume":"1","author":"A Bationo-Tillon","year":"2016","unstructured":"Bationo-Tillon A, Decortis F (2016) Understanding museum activity to contribute to the design of tools for cultural mediation: new dimensions of activity? Le Travail Humain 1(76):53\u201370. doi: 10.3917\/th.791.0053","journal-title":"Le Travail Humain"},{"key":"404_CR8","first-page":"149","volume-title":"Risky work environments: reappraising human work within fallible systems","author":"P B\u00e9guin","year":"2009","unstructured":"B\u00e9guin P (2009) Enhancing work practices within risky environments. In: Owen CA, B\u00e9guin P, Wackers G (eds) Risky work environments: reappraising human work within fallible systems. Ashgate, Aldershot UK, pp 149\u2013152"},{"key":"404_CR9","volume-title":"Constructive ergonomics","author":"P B\u00e9guin","year":"2014","unstructured":"B\u00e9guin P (2014) The design of instruments as a dialogical process of mutual learning. In: Falzon P (ed) Constructive ergonomics. CRC Press, Paris"},{"key":"404_CR10","first-page":"1","volume-title":"Risky work environments: Reappraising human work within fallible systems","author":"P B\u00e9guin","year":"2009","unstructured":"B\u00e9guin P, Owen CA, Wakers G (2009) Shifting the focus on human work within complex socio-technical systems. In: Owen CA, B\u00e9guin P, Wackers G (eds) Risky work environments: Reappraising human work within fallible systems. Ashgate, Aldershot UK, pp 1\u201311"},{"issue":"4","key":"404_CR11","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1007\/s10111-003-0131-1","volume":"5","author":"D Besnard","year":"2003","unstructured":"Besnard D, Greathead D (2003) A cognitive approach to safe violations. Cogn Technol Work 5(4):272\u2013282","journal-title":"Cogn Technol Work"},{"key":"404_CR12","volume-title":"Techniques pratiques pour l\u2019\u00e9tude des activit\u00e9s expertes","author":"A Bisseret","year":"1999","unstructured":"Bisseret A, Sebillotte S, Falzon P (1999) Techniques pratiques pour l\u2019\u00e9tude des activit\u00e9s expertes. Octar\u00e8s-Editions, Toulouse"},{"key":"404_CR13","volume-title":"L\u2019enqu\u00eate et ses m\u00e9thodes: l\u2019entretien","author":"A Blanchet","year":"2007","unstructured":"Blanchet A, Gotman A (2007) L\u2019enqu\u00eate et ses m\u00e9thodes: l\u2019entretien. Colin, Paris"},{"key":"404_CR14","doi-asserted-by":"crossref","DOI":"10.4159\/9780674251083","volume-title":"The culture of education","author":"JS Bruner","year":"1996","unstructured":"Bruner JS (1996) The culture of education. Harvard University Press, Cambridge"},{"key":"404_CR15","unstructured":"Cahour B (2006) L\u2019exp\u00e9rience v\u00e9cue des utilisateurs: pourquoi l\u2019\u00e9tudier et comment ? Actes du colloque CITE 2006 (Coop\u00e9ration, Innovation, Technologie), Semaine de la Connaissance, Nantes 26\u201330 juin"},{"key":"404_CR16","unstructured":"Cahour B, Salembier P (2012) The user phenomenological experience; evoking the lived activity with \u201cresituating interviews\u201d. Paper presented at the CHI 2012 conference, computer\u2013human interaction, Workshop \u201cTheories behind User Experience research\u201d, 5\u201310th of may, Austin"},{"key":"404_CR17","volume-title":"Handbook of human factors and ergonomics in health care and patient safety","author":"P Carayon","year":"2007","unstructured":"Carayon P (2007a) Handbook of human factors and ergonomics in health care and patient safety. Lawrence Erlbaum Associates, Hillsdale"},{"key":"404_CR18","first-page":"3","volume-title":"Handbook of human factors and ergonomics in health care and patient safety","author":"P Carayon","year":"2007","unstructured":"Carayon P (2007b) Human Factors and Ergonomics in Health Care and Patient Safety. In: Carayon P (ed) Handbook of human factors and ergonomics in health care and patient safety. Lawrence Erlbaum Associates, Hillsdale, pp 3\u201320"},{"key":"404_CR19","volume-title":"Constructive ergonomics","author":"S Caroly","year":"2014","unstructured":"Caroly S, Barcellini F (2014) The development of collective activity. In: Falzon P (ed) Constructive ergonomics. CRC Press, Paris"},{"key":"404_CR20","volume-title":"Enseigner la pr\u00e9vention des risques professionnels, l\u2019arbre des causes","author":"M Chesnais","year":"1993","unstructured":"Chesnais M (1993) Enseigner la pr\u00e9vention des risques professionnels, l\u2019arbre des causes. INRS, Paris"},{"key":"404_CR21","unstructured":"Chesnais M (2013a) Ergonomie et pr\u00e9vention: demandes et besoins en formation. In: Teiger C, Lacomblez M (eds) (Se) Former pour transformer le travail. Dynamiques de constructions d\u2019une analyse critique du travail. Presses de l\u2019Universit\u00e9 Laval, Laval, pp 289\u2013295"},{"key":"404_CR22","unstructured":"Chesnais M (2013b) L\u2019arbres des causes: histoires des fondements et usages de la m\u00e9thode. In: Teiger C, Lacomblez M (eds) (Se) Former pour transformer le travail. Dynamiques de constructions d\u2019une analyse critique du travail. Presses de l\u2019Universit\u00e9 Laval, Laval, pp 470\u2013478"},{"issue":"5","key":"404_CR23","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1177\/0959354311419253","volume":"21","author":"Y Clot","year":"2011","unstructured":"Clot Y, Kostulski K (2011) Intervening for transforming: the horizon of action in the clinic of activity. Theory Psychol 21(5):681\u2013696. doi: 10.1177\/0959354311419253","journal-title":"Theory Psychol"},{"issue":"57\u20131","key":"404_CR24","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3406\/bupsy.2004.15290","volume":"469","author":"Y Clot","year":"2004","unstructured":"Clot Y, Santiago-Delefosse M (2004) La perspective historico-culturelle en psychologie. Pr\u00e9sentation. Bulletin de psychologie 469(57\u20131):3\u20134","journal-title":"Bulletin de psychologie"},{"key":"404_CR25","doi-asserted-by":"crossref","DOI":"10.3917\/eres.cru.2014.01","volume-title":"Le risque et la r\u00e8gle","author":"D Cru","year":"2014","unstructured":"Cru D (2014) Le risque et la r\u00e8gle. Le cas du b\u00e2timent et des travaux publics, Eres"},{"key":"404_CR26","doi-asserted-by":"publisher","unstructured":"Cuny X, Weill-Fassina A (2012) Histoire des approches de la sant\u00e9 et de la s\u00e9curit\u00e9 au travail au 41, rue Gay-Lussac, Paris (De la physiologie et de la psychologie du travail \u00e0 l\u2019ergonomie). Perspectives interdisciplinaires sur le travail et la sant\u00e9\u00a0 [En ligne], 14(1) mis en ligne le 01 mai 2012, consult\u00e9 le 01 octobre 2016. doi: 10.4000\/pistes.851","DOI":"10.4000\/pistes.851"},{"key":"404_CR27","doi-asserted-by":"crossref","unstructured":"Cuvelier L (2016) Agir face aux risques, regard de l\u2019ergonomie (Vol. 2016-01). Fondation pour une culture de s\u00e9curit\u00e9 industrielle, Collection Les Regards\u2014Gratuitement t\u00e9l\u00e9chargeable sur, Toulouse. http:\/\/www.foncsi.org\/","DOI":"10.57071\/332rge"},{"key":"404_CR28","doi-asserted-by":"crossref","first-page":"125","DOI":"10.3233\/JRS-2012-0564","volume":"24","author":"L Cuvelier","year":"2012","unstructured":"Cuvelier L, Falzon P, Granry JC, Moll MC, Orliaguet G (2012) Planning safe anesthesia: the role of collective resources management. Int J Risk Saf Med 24:125\u2013136","journal-title":"Int J Risk Saf Med"},{"key":"404_CR29","volume-title":"L\u2019ergonomie en qu\u00eate de ses principes, D\u00e9bats \u00e9pist\u00e9mologiques","author":"F Daniellou","year":"1996","unstructured":"Daniellou F (1996) L\u2019ergonomie en qu\u00eate de ses principes, D\u00e9bats \u00e9pist\u00e9mologiques. Octar\u00e8s, Toulouse"},{"issue":"5","key":"404_CR30","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1080\/14639220500078252","volume":"6","author":"F Daniellou","year":"2005","unstructured":"Daniellou F (2005) The French-speaking ergonomists\u2019 approach to work activity: cross influences of field intervention and conceptual models. Theor Issues Ergon Sci 6(5):409\u2013427","journal-title":"Theor Issues Ergon Sci"},{"issue":"5","key":"404_CR31","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1080\/14639220500078351","volume":"6","author":"F Daniellou","year":"2005","unstructured":"Daniellou F, Rabardel P (2005) Activity-oriented approaches to ergonomics: some traditions and communities. Theor Issues Ergon Sci 6(5):353\u2013357","journal-title":"Theor Issues Ergon Sci"},{"key":"404_CR32","doi-asserted-by":"crossref","unstructured":"Daniellou F, Simard M, Boissi\u00e8res I (2011) Human and organizational factors of safety: state of the art. Retrieved from Toulouse, http:\/\/www.foncsi.org\/fr\/publications\/collections\/cahiers-securite-industrielle\/human-and-organizational-factors-of-safety-state-of-the-art-1\/human-and-organizational-factors-of-safety-state-of-the-art","DOI":"10.57071\/429dze"},{"key":"404_CR33","unstructured":"Daniellou F, Le Gal S, Prom\u00e9 M (2014) Organisational simulation: anticipating the ability of an organisation to cope with daily operations and incidents. Paper presented at the 11th international symposium on human factors in organisational design and management (ODAM 2014) CPH conference"},{"issue":"1","key":"404_CR34","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1007\/s10111-005-0173-7","volume":"7","author":"C Garza De la","year":"2005","unstructured":"De la Garza C, Fadier E (2005) Towards proactive safety in design: a comparison of safety integration approaches in two design processes. Cogn Technol Work 7(1):51\u201362. doi: 10.1007\/s10111-005-0173-7","journal-title":"Cogn Technol Work"},{"key":"404_CR35","volume-title":"La S\u00e9curit\u00e9 en action","author":"G Terssac De","year":"2009","unstructured":"De Terssac G, Boissi\u00e8res I, Gaillard I (2009) La S\u00e9curit\u00e9 en action. Octares, Toulouse"},{"issue":"6","key":"404_CR36","doi-asserted-by":"publisher","first-page":"1380","DOI":"10.1016\/j.ssci.2009.10.004","volume":"50","author":"N Dechy","year":"2012","unstructured":"Dechy N, Dien Y, Funnemark E, Roed-Larsen S, Stoop J, Valvisto T, Arellano ALV (2012) Results and lessons learned from the ESReDA\u2019s Accident Investigation Working Group: introducing article to \u201cSafety Science\u201d special issue on \u201cIndustrial Events Investigation\u201d. Saf Sci 50(6):1380\u20131391. doi: 10.1016\/j.ssci.2009.10.004","journal-title":"Saf Sci"},{"key":"404_CR37","doi-asserted-by":"crossref","unstructured":"Decortis F (2013) L\u2019activit\u00e9 narrative dans ses dimensions multi instrument\u00e9e et cr\u00e9ative en situation p\u00e9dagogique. Activit\u00e9s 10(1):3\u201330. http:\/\/www.activites.org\/v10n31\/v10n31.pdf","DOI":"10.4000\/activites.520"},{"issue":"3","key":"404_CR38","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/S0022-4375(02)00032-4","volume":"33","author":"S Dekker","year":"2002","unstructured":"Dekker S (2002) Reconstructing human contributions to accidents: the new view on error and performance. J Saf Res 33(3):371\u2013385","journal-title":"J Saf Res"},{"issue":"3","key":"404_CR39","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/S0003-6870(03)00031-0","volume":"34","author":"S Dekker","year":"2003","unstructured":"Dekker S (2003) Failure to adapt or adaptations that fail: contrasting models on procedures and safety. Appl Ergon 34(3):233\u2013238","journal-title":"Appl Ergon"},{"issue":"3","key":"404_CR40","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1080\/1463922X.2014.955554","volume":"16","author":"S Dekker","year":"2014","unstructured":"Dekker S (2014) The psychology of accident investigation: epistemological, preventive, moral and existential meaning-making. Theor Issues Ergon Sci 16(3):202\u2013213. doi: 10.1080\/1463922X.2014.955554","journal-title":"Theor Issues Ergon Sci"},{"key":"404_CR41","volume-title":"Safety differently: human factors for a new era","author":"S Dekker","year":"2015","unstructured":"Dekker S (2015) Safety differently: human factors for a new era, 2nd edn. CRC Press, Boca Raton","edition":"2"},{"issue":"1","key":"404_CR42","first-page":"54","volume":"5","author":"M Rio Carral Del","year":"2015","unstructured":"Del Rio Carral M, Santiago Delefosse M (2015) Interpretation of data in psychology: a false problem, a true issue. Philos Study 5(1):54\u201362","journal-title":"Philos Study"},{"key":"404_CR43","doi-asserted-by":"crossref","first-page":"89","DOI":"10.3166\/rfg.214.89-105","volume":"214","author":"M Detchessahar","year":"2011","unstructured":"Detchessahar M (2011) Sant\u00e9 au travail: quand le management n\u2019est pas le probl\u00e8me mais la solution\u2026. Revue fran\u00e7aise de gestion 214:89\u2013105","journal-title":"Revue fran\u00e7aise de gestion"},{"issue":"19","key":"404_CR44","doi-asserted-by":"publisher","first-page":"57","DOI":"10.3917\/neg.019.0057","volume":"1","author":"M Detchessahar","year":"2013","unstructured":"Detchessahar M (2013) Faire face aux risques psycho-sociaux: quelques \u00e9l\u00e9ments d\u2019un management par la discussion. N\u00e9gociations 1(19):57\u201380. doi: 10.3917\/neg.019.0057","journal-title":"N\u00e9gociations"},{"key":"404_CR45","unstructured":"Detchessahar M, Journ\u00e9 B (2011) The conduct of strategic Episodes: a communicational perspective. Paper presented at EGOS conference, Goteborg"},{"issue":"3","key":"404_CR46","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0925-7535(98)00021-6","volume":"29","author":"Y Dien","year":"1998","unstructured":"Dien Y (1998) Safety and application of procedures, or how do \u201cthey\u201d have to use operating procedures in nuclear power plants? Saf Sci 29(3):179\u2013187","journal-title":"Saf Sci"},{"issue":"6","key":"404_CR47","doi-asserted-by":"publisher","first-page":"1398","DOI":"10.1016\/j.ssci.2011.12.010","volume":"50","author":"Y Dien","year":"2012","unstructured":"Dien Y, Dechy N, Guillaume E (2012a) Accident investigation: from searching direct causes to finding in-depth causes\u2014problem of analysis or\/and of analyst? Saf Sci 50(6):1398\u20131407. doi: 10.1016\/j.ssci.2011.12.010","journal-title":"Saf Sci"},{"issue":"6","key":"404_CR48","doi-asserted-by":"publisher","first-page":"1377","DOI":"10.1016\/j.ssci.2012.01.013","volume":"50","author":"Y Dien","year":"2012","unstructured":"Dien Y, Dechy N, Stoop J (2012b) Perspectives regarding industrial events investigation. Saf Sci 50(6):1377\u20131379. doi: 10.1016\/j.ssci.2012.01.013","journal-title":"Saf Sci"},{"issue":"1","key":"404_CR49","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/j.ijer.2011.04.007","volume":"50","author":"A Edwards","year":"2011","unstructured":"Edwards A (2011) Building common knowledge at the boundaries between professional practices: relational agency and relational expertise in systems of distributed expertise. Int J Educ Res 50(1):33\u201339. doi: 10.1016\/j.ijer.2011.04.007","journal-title":"Int J Educ Res"},{"issue":"7","key":"404_CR50","doi-asserted-by":"publisher","first-page":"960","DOI":"10.1080\/001401300409143","volume":"43","author":"Y Engestrom","year":"2000","unstructured":"Engestrom Y (2000) Activity theory as a framework for analyzing and redesigning work. Ergonomics 43(7):960\u2013974. doi: 10.1080\/001401300409143","journal-title":"Ergonomics"},{"issue":"5","key":"404_CR51","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1177\/0959354311419252","volume":"21","author":"Y Engestr\u00f6m","year":"2011","unstructured":"Engestr\u00f6m Y (2011) From design experiments to formative interventions. Theory Psychol 21(5):598\u2013628. doi: 10.1177\/0959354311419252","journal-title":"Theory Psychol"},{"key":"404_CR52","first-page":"49","volume-title":"Resilience engineering perspectives: remaining sensitive to the possibility of failure","author":"S Epstein","year":"2008","unstructured":"Epstein S (2008) Unexampled Events, Resilience, and PRA. In: Hollnagel E, Nemeth C, Dekker S (eds) Resilience engineering perspectives: remaining sensitive to the possibility of failure, vol 1. Ashgate, Aldershot, pp 49\u201362"},{"key":"404_CR53","first-page":"47","volume-title":"Les facteurs humains de la fiabilit\u00e9 dans les syst\u00e8mes complexes","author":"E Fadier","year":"1990","unstructured":"Fadier E (1990) Fiabilit\u00e9 humaine: m\u00e9thodes d\u2019analyse et domaines d\u2019application. In: Leplat J, De Terssac G (eds) Les facteurs humains de la fiabilit\u00e9 dans les syst\u00e8mes complexes. Octar\u00e8s, Marseille, pp 47\u201380"},{"issue":"1","key":"404_CR54","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.ssci.2010.05.004","volume":"49","author":"B Fahlbruch","year":"2011","unstructured":"Fahlbruch B, Sch\u00f6bel M (2011) SOL\u2014safety through organizational learning: a method for event analysis. Saf Sci 49(1):27\u201331. doi: 10.1016\/j.ssci.2010.05.004","journal-title":"Saf Sci"},{"key":"404_CR55","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1007\/s10111-007-0072-1","volume":"10","author":"P Falzon","year":"2008","unstructured":"Falzon P (2008) Enabling safety: issues in design and continuous design. Cogn Technol Work 10:7\u201314","journal-title":"Cogn Technol Work"},{"key":"404_CR56","doi-asserted-by":"crossref","DOI":"10.1201\/b17456","volume-title":"Constructive ergonomics","author":"P Falzon","year":"2014","unstructured":"Falzon P (2014) Constructive ergonomics. Taylor & Francis, London"},{"key":"404_CR57","first-page":"301","volume":"13","author":"J-M Faverge","year":"1970","unstructured":"Faverge J-M (1970) The operator\u2019s reliability and safety in industry [L\u2019homme, agent d\u2019infiabilit\u00e9 et de fiabilit\u00e9 du processus industriel]. Ergonomics 13:301\u2013327","journal-title":"Ergonomics"},{"issue":"10","key":"404_CR58","doi-asserted-by":"publisher","first-page":"1530","DOI":"10.1016\/j.ssci.2010.06.003","volume":"48","author":"M Ferjencik","year":"2010","unstructured":"Ferjencik M (2010) Root cause analysis of an old accident in an explosives production plant. Saf Sci 48(10):1530\u20131544. doi: 10.1016\/j.ssci.2010.06.003","journal-title":"Saf Sci"},{"issue":"4","key":"404_CR59","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1136\/qhc.12.4.304","volume":"12","author":"B Fischhoff","year":"2003","unstructured":"Fischhoff B (2003) Hindsight\u00a0=\/=\u00a0foresight: the effect of outcome knowledge on judgment under uncertainty. Quality Saf Health Care 12(4):304\u2013311. doi: 10.1136\/qhc.12.4.304","journal-title":"Quality Saf Health Care"},{"issue":"3","key":"404_CR60","first-page":"267","volume":"4","author":"JC Flanagan","year":"1954","unstructured":"Flanagan JC (1954) La technique de l\u2019incident critique. Revue de Psychologie Appliqu\u00e9e 4(3):267\u2013295","journal-title":"Revue de Psychologie Appliqu\u00e9e"},{"issue":"2","key":"404_CR61","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/S0003-6870(96)00060-9","volume":"29","author":"A Garrigou","year":"1998","unstructured":"Garrigou A, Carballeda G, Daniellou F (1998) The role of \u2018know-how\u2019 in maintenance activities and reliability in a high-risk process control plant. Appl Ergon 29(2):127\u2013131. doi: 10.1016\/S0003-6870(96)00060-9","journal-title":"Appl Ergon"},{"key":"404_CR62","unstructured":"Glouberman S, Zimmerman B (2002) Complicated and Complex Systems: What Would Successful Reform of Medicare Look Like?. Commission on the future of heath care in canada"},{"key":"404_CR63","first-page":"175","volume-title":"Human factors in organizational design and management","author":"MC Haims","year":"1996","unstructured":"Haims MC, Carayon P (1996) Implementation of an \u201cin-house\u201d participatory ergonomics program: a caase study in a public service organization. In: Brown VO, Hendrick HW (eds) Human factors in organizational design and management. Elsevier, Amsterdam, pp 175\u2013180"},{"issue":"4","key":"404_CR64","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1016\/j.erap.2009.04.003","volume":"59","author":"K Hakkarainen","year":"2009","unstructured":"Hakkarainen K, Olson DR (2009) The uses of evidence in accident analysis by professionally versus scientifically trained investigators. Revue Europ\u00e9enne de Psychologie Appliqu\u00e9e\/European Review of Applied Psychology 59(4):253\u2013264. doi: 10.1016\/j.erap.2009.04.003","journal-title":"Revue Europ\u00e9enne de Psychologie Appliqu\u00e9e\/European Review of Applied Psychology"},{"issue":"suppl 2","key":"404_CR65","doi-asserted-by":"publisher","first-page":"ii46","DOI":"10.1136\/qhc.12.suppl_2.ii46","volume":"12","author":"K Henriksen","year":"2003","unstructured":"Henriksen K, Kaplan H (2003) Hindsight bias, outcome knowledge and adaptive learning. Quality Saf Health Care 12(suppl 2):ii46\u2013ii50. doi: 10.1136\/qhc.12.suppl_2.ii46","journal-title":"Quality Saf Health Care"},{"issue":"1","key":"404_CR66","first-page":"33","volume":"22","author":"E Hollnagel","year":"2008","unstructured":"Hollnagel E (2008a) The changing nature of risks. HFESA J Ergonom Aust 22(1):33\u201346","journal-title":"HFESA J Ergonom Aust"},{"issue":"2","key":"404_CR67","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.ssci.2007.06.028","volume":"46","author":"E Hollnagel","year":"2008","unstructured":"Hollnagel E (2008b) Risk\u00a0+\u00a0barriers\u00a0=\u00a0safety? Saf Sci 46(2):221\u2013229","journal-title":"Saf Sci"},{"key":"404_CR68","volume-title":"The ETTO principle: efficiency\u2014thoroughness trade-off. Why things that go right sometimes go wrong?","author":"E Hollnagel","year":"2009","unstructured":"Hollnagel E (2009) The ETTO principle: efficiency\u2014thoroughness trade-off. Why things that go right sometimes go wrong?. Ashgate, Farnham"},{"key":"404_CR69","unstructured":"Hollnagel E (2012) Resilience engineering and the systemic view of safety at work: Why work-as-done is not the same as work-as-imagined. Bericht zum 58. Kongress der Gesellschaft f\u00fcr Arbeitswissenschaft, Dortmund. GfA-Press, pp 19\u201324"},{"key":"404_CR70","doi-asserted-by":"publisher","unstructured":"Hollnagel E (2014) Is safety a subject for science? Saf Sci 67(in press):21\u201324. doi: 10.1016\/j.ssci.2013.07.025","DOI":"10.1016\/j.ssci.2013.07.025"},{"key":"404_CR71","volume-title":"Resilience engineering: concepts and precepts","author":"E Hollnagel","year":"2006","unstructured":"Hollnagel E, Woods D, Leveson N (2006) Resilience engineering: concepts and precepts. Ashgate, Aldershot"},{"key":"404_CR72","unstructured":"Hollnagel E, Pari\u00e8s J, Woods D, Wreathall J (2010) Resilience Engineering in Practice: A Guidebook (Vol. 3 Resilience Engineering Perspectives). Ashgate, Farnham, UK"},{"key":"404_CR73","unstructured":"ICSI (2013) Facteurs Humains et Organisationnels de la s\u00e9curit\u00e9: l\u2019analyse approfondie d\u2019\u00e9v\u00e9nement. Cahiers de la S\u00e9curit\u00e9 Industrielle, Institut pour une Culture de S\u00e9curit\u00e9 Industriell (ICSI), 2014-04"},{"issue":"Suppl 1","key":"404_CR74","doi-asserted-by":"publisher","first-page":"i83","DOI":"10.1136\/bmjqs.2010.046714","volume":"20","author":"R Iedema","year":"2011","unstructured":"Iedema R (2011) Creating safety by strengthening clinicians\u2019 capacity for reflexivity. BMJ Qual Saf 20(Suppl 1):i83\u2013i86. doi: 10.1136\/bmjqs.2010.046714","journal-title":"BMJ Qual Saf"},{"issue":"5","key":"404_CR75","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1016\/j.socscimed.2006.03.035","volume":"63","author":"R Iedema","year":"2006","unstructured":"Iedema R, Jorm C, Braithwaite J, Travaglia J, Lum M (2006) A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. Soc Sci Med 63(5):1201\u20131212. doi: 10.1016\/j.socscimed.2006.03.035","journal-title":"Soc Sci Med"},{"key":"404_CR76","unstructured":"INRS (2013) L\u2019analyse de l\u2019accident de travail. La m\u00e9thode de l\u2019arbre des causes ED 6163"},{"key":"404_CR77","volume-title":"Acting with technology: activity theory and interaction design","author":"V Kaptelinin","year":"2006","unstructured":"Kaptelinin V, Nardi B (2006) Acting with technology: activity theory and interaction design. MIT Press, Cambridge"},{"key":"404_CR78","first-page":"35.31","volume-title":"Handbook on human factors and ergonomics methods","author":"G Klein","year":"2005","unstructured":"Klein G, Armstrong A (2005) Critical decision method. In: Stanton N, Hedge A, Brookhuis K, Salas E, Hendrick H (eds) Handbook on human factors and ergonomics methods. CRC Press, Boca Raton, pp 35.31\u201335.38"},{"key":"404_CR79","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/j.ssci.2008.01.010","volume":"47","author":"DR Kouabenan","year":"2009","unstructured":"Kouabenan DR (2009) Role of beliefs in accident and risk analysis and prevention. Saf Sci 47:767\u2013776","journal-title":"Saf Sci"},{"key":"404_CR80","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1016\/j.ssci.2014.12.010","volume":"74","author":"S Kum","year":"2015","unstructured":"Kum S, Sahin B (2015) A root cause analysis for arctic marine accidents from 1993 to 2011. Saf Sci 74:206\u2013220. doi: 10.1016\/j.ssci.2014.12.010","journal-title":"Saf Sci"},{"key":"404_CR81","volume-title":"Interviews an introduction to qualitative research interviewing","author":"S Kvale","year":"1996","unstructured":"Kvale S (1996) Interviews an introduction to qualitative research interviewing. Sage Publications, London"},{"key":"404_CR82","volume-title":"Interviews: learning the craft of qualitative research interviewing","author":"S Kvale","year":"2009","unstructured":"Kvale S, Brinkmann S (2009) Interviews: learning the craft of qualitative research interviewing. Sage, Los Angeles"},{"key":"404_CR83","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.ssci.2005.06.005","volume":"43","author":"JC Coze Le","year":"2005","unstructured":"Le Coze JC (2005) Are organisations too complex to be introduced in technical risk assessment and current safety auditing? Saf Sci 43:613\u2013638","journal-title":"Saf Sci"},{"key":"404_CR84","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ssci.2006.12.001","volume":"46","author":"JC Coze Le","year":"2008","unstructured":"Le Coze JC (2008) Disasters and organisations: from lessons learnt to theorizing. Saf Sci 46:132\u2013149","journal-title":"Saf Sci"},{"issue":"1","key":"404_CR85","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1016\/j.ssci.2012.07.007","volume":"51","author":"JC Coze Le","year":"2013","unstructured":"Le Coze JC (2013) What have we learned about learning from accidents? Post-disasters reflections. Saf Sci 51(1):441\u2013453. doi: 10.1016\/j.ssci.2012.07.007","journal-title":"Saf Sci"},{"key":"404_CR86","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2015.07.013","author":"JC Coze Le","year":"2015","unstructured":"Le Coze JC (2015) Reflecting on Jens Rasmussen\u2019s legacy (2) behind and beyond, a \u2018constructivist turn\u2019. Appl Ergon. doi: 10.1016\/j.apergo.2015.07.013","journal-title":"Appl Ergon"},{"key":"404_CR87","volume-title":"Les \u00e9pist\u00e9mologies constructivistes","author":"J-L Moigne Le","year":"1995","unstructured":"Le Moigne J-L (1995) Les \u00e9pist\u00e9mologies constructivistes. P.U.F, Paris"},{"issue":"17","key":"404_CR88","doi-asserted-by":"crossref","first-page":"197","DOI":"10.3917\/rdm.017.0197","volume":"1","author":"J-L Moigne Le","year":"2001","unstructured":"Le Moigne J-L (2001) Pourquoi je suis un constructiviste non repentant. Revue du Mauss 1(17):197\u2013223","journal-title":"Revue du Mauss"},{"issue":"76","key":"404_CR89","doi-asserted-by":"publisher","first-page":"105","DOI":"10.3917\/th.762.0105","volume":"2","author":"S Leclercq","year":"2013","unstructured":"Leclercq S, Monteau M, Cuny X (2013) Quels mod\u00e8les pour pr\u00e9venir les accidents du travail d\u2019aujourd\u2019hui ? Le Travail Humain 2(76):105\u2013127. doi: 10.3917\/th.762.0105","journal-title":"Le Travail Humain"},{"key":"404_CR90","volume-title":"Task, errors and mental models","author":"J Leplat","year":"1988","unstructured":"Leplat J (1988) Task complexity in work situations. In: Goodstein LP, Andersen HB, Olsen SE (eds) Task, errors and mental models. Taylor and Francis, London"},{"key":"404_CR91","volume-title":"Les accidents du travail","author":"J Leplat","year":"1974","unstructured":"Leplat J, Cuny X (1974) Les accidents du travail. PUF, Paris"},{"issue":"4","key":"404_CR92","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/S0925-7535(03)00047-X","volume":"42","author":"N Leveson","year":"2004","unstructured":"Leveson N (2004) A new accident model for engineering safer systems. Saf Sci 42(4):237\u2013270","journal-title":"Saf Sci"},{"issue":"1","key":"404_CR93","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1016\/j.ssci.2009.12.021","volume":"49","author":"N Leveson","year":"2011","unstructured":"Leveson N (2011) Applying systems thinking to analyze and learn from events. Saf Sci 49(1):55\u201364. doi: 10.1016\/j.ssci.2009.12.021","journal-title":"Saf Sci"},{"issue":"10","key":"404_CR94","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1080\/001401397187667","volume":"40","author":"M Llory","year":"1997","unstructured":"Llory M (1997) Human- and work-centered safety: keys for a new conception of management. Ergonomics 40(10):1148\u20131158","journal-title":"Ergonomics"},{"issue":"10","key":"404_CR95","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1016\/j.ssci.2009.01.004","volume":"47","author":"J Lundberg","year":"2009","unstructured":"Lundberg J, Rollenhagen C, Hollnagel E (2009) What-You-Look-For-Is-What-You-Find\u2014the consequences of underlying accident models in eight accident investigation manuals. Saf Sci 47(10):1297\u20131311","journal-title":"Saf Sci"},{"issue":"6","key":"404_CR96","doi-asserted-by":"crossref","first-page":"2132","DOI":"10.1016\/j.aap.2010.07.003","volume":"42","author":"J Lundberg","year":"2010","unstructured":"Lundberg J, Rollenhagen C, Hollnagel E (2010) What you find is not always what you fix-How other aspects than causes of accidents decide recommendations for remedial actions. Accid Anal Prev 42(6):2132\u20132139","journal-title":"Accid Anal Prev"},{"issue":"4","key":"404_CR97","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1007\/s10111-008-0115-2","volume":"11","author":"J Marc","year":"2009","unstructured":"Marc J, Rogalski J (2009) Collective management in dynamic situations: the individual contribution. Cogn Technol Work 11(4):313\u2013327","journal-title":"Cogn Technol Work"},{"key":"404_CR98","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s10111-006-0041-0","volume":"9","author":"A Miller","year":"2007","unstructured":"Miller A, Xiao Y (2007) Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogn Technol Work 9:51\u201366","journal-title":"Cogn Technol Work"},{"key":"404_CR99","volume-title":"Constructive Ergonomics","author":"V Mollo","year":"2014","unstructured":"Mollo V, Nascimento A (2014) Reflective practices and the development of individuals, collectives, and organizations. In: Falzon P (ed) Constructive Ergonomics. CRC Press, Paris"},{"key":"404_CR100","unstructured":"Monteau M, Krawsky G, Cuny X (1972) M\u00e9thode pratique de recherche de facteurs d\u2019accidents. Rapport INRS n\u00b077\/RE, Nancy"},{"issue":"7","key":"404_CR101","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1016\/j.ssci.2006.01.002","volume":"44","author":"G Morel","year":"2006","unstructured":"Morel G, Chauvin C (2006) A socio-technical approach of risk management applied to collisions involving fishing vessels. Saf Sci 44(7):599\u2013619. doi: 10.1016\/j.ssci.2006.01.002","journal-title":"Saf Sci"},{"key":"404_CR102","volume-title":"Introduction \u00e0 la pens\u00e9e complexe","author":"E Morin","year":"2005","unstructured":"Morin E (2005) Introduction \u00e0 la pens\u00e9e complexe. \u00c9ditions du seuil, Paris"},{"key":"404_CR103","volume-title":"On complexity","author":"E Morin","year":"2008","unstructured":"Morin E (2008) On complexity. Hampton Press, Cresskill"},{"issue":"2","key":"404_CR104","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.apergo.2004.09.009","volume":"36","author":"P Mulholland","year":"2005","unstructured":"Mulholland P, Zdrahal Z, Domingue J (2005) Supporting continuous learning in a large organization: the role of group and organizational perspectives. Appl Ergon 36(2):127\u2013134. doi: 10.1016\/j.apergo.2004.09.009","journal-title":"Appl Ergon"},{"key":"404_CR105","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/978-3-662-45704-7_9","volume-title":"Risk and Cognition","author":"G Munoz","year":"2015","unstructured":"Munoz G, Vidal-Gomel C, Bourmaud G (2015) The operators\u2019 system of instruments: a risk management tool. In: Mercantini J-M, Faucher C (eds) Risk and Cognition, vol 80. Springer, Berlin, pp 229\u2013247"},{"key":"404_CR106","volume-title":"Constructive Ergonomics","author":"A Nascimento","year":"2014","unstructured":"Nascimento A, Cuvelier L, Mollo V, Dicioccio A, Falzon P (2014) Constructing safety: from the normative to the adaptive view. In: Falzon P (ed) Constructive Ergonomics. CRC Press, Boca Raton"},{"issue":"3","key":"404_CR107","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1016\/S1549-3741(03)29052-3","volume":"29","author":"JB Neily","year":"2003","unstructured":"Neily JB, Ogrinc G, Mills P, Williams R, Stalhandske E, Bagian J, Weeks W (2003) Using aggregate root cause analysis to improve patient safety. Jt Comm J Qual Saf 29(3):434\u2013439","journal-title":"Jt Comm J Qual Saf"},{"key":"404_CR108","volume-title":"Handbook on human factors and ergonomics methods","author":"L Newman","year":"2005","unstructured":"Newman L (2005) Interview Method. In: Stanton N, Hedge A, Brookhuis K, Salas E, Hendrick H (eds) Handbook on human factors and ergonomics methods. CRC Press, Boca Raton"},{"issue":"2","key":"404_CR109","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.socscimed.2011.05.010","volume":"73","author":"D Nicolini","year":"2011","unstructured":"Nicolini D, Waring J, Mengis J (2011) Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med 73(2):217\u2013225. doi: 10.1016\/j.socscimed.2011.05.010","journal-title":"Soc Sci Med"},{"issue":"1","key":"404_CR110","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1287\/orsc.5.1.14","volume":"5","author":"I Nonaka","year":"1994","unstructured":"Nonaka I (1994) A dynamic theory of organizational knowledge creation. Organ Sci 5(1):14\u201337","journal-title":"Organ Sci"},{"issue":"1","key":"404_CR111","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.apergo.2013.04.024","volume":"41","author":"L Norros","year":"2014","unstructured":"Norros L (2014) Developing human factors\/ergonomics as a design discipline. Appl Ergon 41(1):61\u201371. doi: 10.1016\/j.apergo.2013.04.024","journal-title":"Appl Ergon"},{"key":"404_CR112","volume-title":"Ergonomie","author":"M Noulin","year":"2002","unstructured":"Noulin M (2002) Ergonomie. Octar\u00e8s, Toulouse"},{"key":"404_CR113","volume-title":"The NRI MORT User\u2019s Manual","author":"NRI foundation","year":"2009","unstructured":"NRI foundation (2009) The NRI MORT User\u2019s Manual, 2nd edn. Washington, DC","edition":"2"},{"issue":"3","key":"404_CR114","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/s10111-006-0053-9","volume":"9","author":"AS Nyssen","year":"2007","unstructured":"Nyssen AS (2007) Coordination in hospitals: organized or emergent process? Cogn Technol Work 9(3):149\u2013154","journal-title":"Cogn Technol Work"},{"issue":"2","key":"404_CR115","first-page":"28","volume":"7","author":"C Osorio","year":"2010","unstructured":"Osorio C, Clot Y (2010) L\u2019analyse collective des accidents du travail: Une m\u00e9thode d\u2019analyse pour int\u00e9grer la dimension subjective et d\u00e9velopper le genre professionnel. Activit\u00e9s 7(2):28\u201341","journal-title":"Activit\u00e9s"},{"key":"404_CR116","unstructured":"Palaci F, Agn\u00e8s P, Benchekroun TH (2009) L\u2019accident du travail au carrefour de l\u2019organisation du travail et de l\u2019organisation de la pr\u00e9vention. Communication pr\u00e9sent\u00e9e au 44e Congr\u00e8s de la Soci\u00e9t\u00e9 d\u2019Ergonomie de Langue Fran\u00e7aise, Toulouse, 22\u201324 septembre"},{"key":"404_CR117","first-page":"43","volume-title":"Resilience engineering: Concepts and precepts","author":"J Pari\u00e8s","year":"2006","unstructured":"Pari\u00e8s J (2006) Complexity, emergence, resilience. In: Hollnagel E, Woods D, Leveson N (eds) Resilience engineering: Concepts and precepts. Ashgate, Aldershot, pp 43\u201353"},{"issue":"3","key":"404_CR118","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s10111-006-0054-8","volume":"9","author":"E Patterson","year":"2007","unstructured":"Patterson E, Woods D, Cook R, Render M (2007) Collaborative cross-checking to enhance resilience. Cogn Technol Work 9(3):155\u2013162","journal-title":"Cogn Technol Work"},{"key":"404_CR119","volume-title":"Causality: models, reasoning, and inference","author":"J Pearl","year":"2000","unstructured":"Pearl J (2000) Causality: models, reasoning, and inference. Cambridge University Press, Cambridge"},{"key":"404_CR120","volume-title":"Ing\u00e9nieries et Sciences Humaines, la pr\u00e9vention des risques en dispute","author":"D P\u00e9caud","year":"2010","unstructured":"P\u00e9caud D (2010) Ing\u00e9nieries et Sciences Humaines, la pr\u00e9vention des risques en dispute. Lavoisier, collection Sciences du risque et du danger, Paris"},{"key":"404_CR121","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2016-005511","author":"MF Peerally","year":"2016","unstructured":"Peerally MF, Carr S, Waring J, Dixon-Woods M (2016) The problem with root cause analysis. BMJ Qual Saf. doi: 10.1136\/bmjqs-2016-005511","journal-title":"BMJ Qual Saf"},{"key":"404_CR122","volume-title":"Constructive ergonomics","author":"J Petit","year":"2014","unstructured":"Petit J, Coutarel F (2014) Interventions as dynamic processes for the joint development of stakeholders and organizations. In: Falzon P (ed) Constructive ergonomics. CRC Press, Paris"},{"issue":"1","key":"404_CR123","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/S0925-7535(00)00004-7","volume":"34","author":"N Pidgeon","year":"2000","unstructured":"Pidgeon N, O\u2019Leary M (2000) Man-made disasters: why technology and organizations (sometimes) fail. Saf Sci 34(1):15\u201330","journal-title":"Saf Sci"},{"issue":"2\u20133","key":"404_CR124","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/S0925-7535(97)00052-0","volume":"27","author":"J Rasmussen","year":"1997","unstructured":"Rasmussen J (1997) Risk management in a dynamic society: a modelling problem. Saf Sci 27(2\u20133):183\u2013213","journal-title":"Saf Sci"},{"issue":"2","key":"404_CR125","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/s10111-010-0148-1","volume":"12","author":"A Re","year":"2010","unstructured":"Re A, Macchi L (2010) From cognitive reliability to competence? An evolving approach to human factors and safety. Cogn Technol Work 12(2):79\u201385","journal-title":"Cogn Technol Work"},{"key":"404_CR126","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9781139062367","volume-title":"Human error","author":"J Reason","year":"1990","unstructured":"Reason J (1990) Human error. Cambridge University Press, New York"},{"issue":"Part A(0)","key":"404_CR127","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.apergo.2014.07.012","volume":"46","author":"R Rocha","year":"2015","unstructured":"Rocha R, Mollo V, Daniellou F (2015) Work debate spaces: a tool for developing a participatory safety management. Appl Ergon 46(Part A(0)):107\u2013114. doi: 10.1016\/j.apergo.2014.07.012","journal-title":"Appl Ergon"},{"key":"404_CR128","first-page":"45","volume":"37","author":"JJ Rooney","year":"2004","unstructured":"Rooney JJ, Vanden Heuvel LN (2004) Root cause analysis for beginners. Qual Prog 37:45\u201353","journal-title":"Qual Prog"},{"issue":"2","key":"404_CR129","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.anclin.2007.03.007","volume":"25","author":"JW Rudolph","year":"2007","unstructured":"Rudolph JW, Simon R, Rivard P, Dufresne RL, Raemer DB (2007) Debriefing with good judgment: combining rigorous feedback with\u00a0genuine inquiry. Anesthesiol Clin 25(2):361\u2013376","journal-title":"Anesthesiol Clin"},{"issue":"99","key":"404_CR130","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.ress.2011.10.016","volume":"2012","author":"JH Saleh","year":"2012","unstructured":"Saleh JH, Pendley CC (2012) From learning from accidents to teaching about accident causation and prevention: multidisciplinary education and safety literacy for all engineering students. Reliab Eng Syst Saf 2012(99):105\u2013113","journal-title":"Reliab Eng Syst Saf"},{"issue":"5","key":"404_CR131","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1177\/0959354311414969","volume":"21","author":"A Sannino","year":"2011","unstructured":"Sannino A, Sutter B (2011) Cultural-historical activity theory and interventionist methodology: classical legacy and contemporary developments. Theory Psychol 21(5):557\u2013570. doi: 10.1177\/0959354311414969","journal-title":"Theory Psychol"},{"issue":"1","key":"404_CR132","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.ssci.2010.03.004","volume":"49","author":"M Sch\u00f6bel","year":"2011","unstructured":"Sch\u00f6bel M, Manzey D (2011) Subjective theories of organizing and learning from events. Saf Sci 49(1):47\u201354. doi: 10.1016\/j.ssci.2010.03.004","journal-title":"Saf Sci"},{"key":"404_CR133","volume-title":"The reflective practitioner","author":"D Sch\u00f6n","year":"1983","unstructured":"Sch\u00f6n D (1983) The reflective practitioner. How professionals think in action, London Temple Smith"},{"key":"404_CR134","volume-title":"Le paradigme ergologique ou un m\u00e9tier de philosophe","author":"Y Schwartz","year":"2000","unstructured":"Schwartz Y (2000) Le paradigme ergologique ou un m\u00e9tier de philosophe. Octar\u00e8s \u00c9ditions, Toulouse"},{"key":"404_CR135","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/0170840614541886","volume":"35","author":"D Seidl","year":"2014","unstructured":"Seidl D, Whittington R (2014) Enlarging the strategy-as-practice research agenda: towards taller and flatter ontologies. Organ Stud 35:1\u201315","journal-title":"Organ Stud"},{"issue":"3","key":"404_CR136","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1518\/001872008x250773","volume":"50","author":"T Sheridan","year":"2008","unstructured":"Sheridan T (2008) Risk, human error, and system resilience: fundamental ideas. Hum Factors 50(3):418\u2013426. doi: 10.1518\/001872008x250773","journal-title":"Hum Factors"},{"issue":"3","key":"404_CR137","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1177\/030631289019003001","volume":"19","author":"S Star","year":"1989","unstructured":"Star S, Griesemer J (1989) Institutional ecology, \u2018translations\u2019 and boundary objects: amateurs and professionals in berkeley\u2019s museum of vertebrate zoology, 1907-39. Soc Stud Sci 19(3):387\u2013420. doi: 10.1177\/030631289019003001","journal-title":"Soc Stud Sci"},{"issue":"2","key":"404_CR138","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/S0925-7535(98)00062-9","volume":"31","author":"S Taylor-Adams","year":"1999","unstructured":"Taylor-Adams S, Vincent C, Stanhope N (1999) Applying human factors methods to the investigation and analysis of clinical adverse events. Saf Sci 31(2):143\u2013159","journal-title":"Saf Sci"},{"issue":"2","key":"404_CR139","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/0925-7535(96)00055-0","volume":"23","author":"C Teiger","year":"1996","unstructured":"Teiger C (1996) The cooperation between trade unionists and ergonomists: the stakes involved in training trade unionists in ergonomic work analysis. Saf Sci 23(2):119\u2013124. doi: 10.1016\/0925-7535(96)00055-0","journal-title":"Saf Sci"},{"key":"404_CR140","unstructured":"Teiger C, Lacomblez M (2013) (Se) Former pour transformer le travail. Dynamiques de constructions d\u2019une analyse critique du travail. Presses de l\u2019Universit\u00e9 Laval, Laval"},{"issue":"3","key":"404_CR141","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/0925-7535(96)00034-3","volume":"23","author":"C Teiger","year":"1996","unstructured":"Teiger C, Montreuil S (1996) The foundation and contributions of ergonomics work analysis in training programs. Saf Sci 23(3):81\u201395","journal-title":"Saf Sci"},{"key":"404_CR142","doi-asserted-by":"crossref","unstructured":"Thellier S, Falzon P, Cuvelier L (2015) Construction of an \u201cactivity sharing space\u201d to improve healthcare safety. 32nd Annual conference of the european association of cognitive ergonomics (ECCE 2015). 1\u20133 July, Warsaw","DOI":"10.1145\/2788412.2788430"},{"key":"404_CR143","unstructured":"Thellier S, Cuvelier L, Falzon P, Jeffroy F (2016) Risk analysis by healthcare professionals in radiotherapy: assessing difficulties, developing a method. International conference on healthcare systems, ergonomics and patient safety (HEPS), 4\u20137 oct., Toulouse"},{"issue":"3","key":"404_CR144","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3917\/rac.006.0003","volume":"1","author":"P Trompette","year":"2009","unstructured":"Trompette P, Vinck D (2009) Revisiting the notion of Boundary Object Revue d\u2019anthropologie des connaissances 1(3):3\u201325","journal-title":"Revisiting the notion of Boundary Object Revue d\u2019anthropologie des connaissances"},{"key":"404_CR145","unstructured":"U.S. Department of Energy (2013) DOE handbook: accident and operational safety analysis (Vol. Vol.1: accident analysis techniques). U.S. Department of Energy, Washington, DC"},{"issue":"3","key":"404_CR146","doi-asserted-by":"crossref","first-page":"285","DOI":"10.3917\/th.793.0285","volume":"79","author":"L Belleghem Van","year":"2016","unstructured":"Van Belleghem L (2016) Eliciting activity: a method of analysis at the service of discussion. Le Travail Humain 79(3):285\u2013306","journal-title":"Le Travail Humain"},{"key":"404_CR147","unstructured":"Van Belleghem L, Forcioli Conti E (2015) Une ing\u00e9nierie de la discussion? Chiche! 50\u00e8me congr\u00e8s de la SELF, Paris les 23, 24, 25 septembre 2015"},{"key":"404_CR148","volume-title":"L\u2019entretien d\u2019explicitation","author":"P Vermersch","year":"2011","unstructured":"Vermersch P (2011) L\u2019entretien d\u2019explicitation. ESF, Paris"},{"key":"404_CR149","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1136\/qshc.2004.010454","volume":"13","author":"C Vincent","year":"2004","unstructured":"Vincent C (2004) Analysis of clinical incidents: a window on the system not a search for root causes. Qual Saf Health Care 13:242\u2013243","journal-title":"Qual Saf Health Care"},{"key":"404_CR150","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1136\/bmj.316.7138.1154","volume":"316","author":"C Vincent","year":"1998","unstructured":"Vincent C, Taylor-Adams S, Stanhope N (1998) Framework for analyzing risk and safety in clinical medicine. Br Med J 316:1154\u20131157","journal-title":"Br Med J"},{"key":"404_CR151","volume-title":"L\u2019ergonomie et les chiffres de la sant\u00e9 au travail: ressources, tensions et pi\u00e8ges","author":"S Volkoff","year":"2005","unstructured":"Volkoff S (2005) L\u2019ergonomie et les chiffres de la sant\u00e9 au travail: ressources, tensions et pi\u00e8ges. Octar\u00e8s, Toulouse"},{"issue":"4","key":"404_CR152","first-page":"390","volume":"13","author":"G Krogh Von","year":"1995","unstructured":"Von Krogh G, Roos J (1995) Convers Manag Eur Manag J 13(4):390\u2013394","journal-title":"Convers Manag Eur Manag J"},{"key":"404_CR153","first-page":"251","volume-title":"Les Dimensions Humaines du Travail: Th\u00e9orie et pratique de psychologie du travail et des organisations","author":"A Weill-Fassina","year":"2004","unstructured":"Weill-Fassina A, Kouabenan DR, De la Garza C (2004) Analyse des accidents du travail, gestion des risques et pr\u00e9vention. In: Brangier E, Lancry A, Louche C (eds) Les Dimensions Humaines du Travail: Th\u00e9orie et pratique de psychologie du travail et des organisations. Presses Universitaires de Nancy, Nancy, pp 251\u2013283"},{"key":"404_CR154","doi-asserted-by":"crossref","first-page":"34","DOI":"10.4135\/9781446219386.n2","volume-title":"Innovative forms of organizing: International perspectives","author":"R Whittington","year":"2003","unstructured":"Whittington R, Melin L (2003) The challenge of organizing\/strategizing. In: Pettigrew A, Whittington R, Melin L, S\u00e1nchez-Runde C, van den Bosch F, Ruigrok X, Numagami T (eds) Innovative forms of organizing: International perspectives. SAGE Publications, London, pp 34\u201349"},{"key":"404_CR155","first-page":"490","volume-title":"Handbook of human factors and ergonomics","author":"JR Wilson","year":"1997","unstructured":"Wilson JR, Haines HM (1997) Participatory ergonomics. In: Salvendy G (ed) Handbook of human factors and ergonomics. Wiley, New York, pp 490\u2013513"},{"issue":"2","key":"404_CR156","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1007\/s101110200012","volume":"4","author":"D Woods","year":"2002","unstructured":"Woods D, Cook R (2002) Nine steps to move forward from error. Cogn Technol Work 4(2):137\u2013144","journal-title":"Cogn Technol Work"},{"key":"404_CR157","first-page":"1","volume-title":"Resilience engineering: concepts and precepts","author":"D Woods","year":"2006","unstructured":"Woods D, Hollnagel E (2006) Prologue: Resilience engineering concepts. In: Hollnagel E, Woods D, Leveson N (eds) Resilience engineering: concepts and precepts. Ashgate, Aldershot, pp 1\u20136"}],"container-title":["Cognition, Technology &amp; Work"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10111-017-0404-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s10111-017-0404-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10111-017-0404-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T09:46:18Z","timestamp":1719049578000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s10111-017-0404-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":157,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["404"],"URL":"https:\/\/doi.org\/10.1007\/s10111-017-0404-8","relation":{},"ISSN":["1435-5558","1435-5566"],"issn-type":[{"type":"print","value":"1435-5558"},{"type":"electronic","value":"1435-5566"}],"subject":[],"published":{"date-parts":[[2017,2]]}}}