Mistaking error.
Mistaking error. Cook RI, Woods DD. Chapter in: Youngberg BJ, Hatlie, MJ, ed. Patient Safety Handbook, Sudbury, MA: Jones and Bartlett; 2004.
This chapter discusses the "New Look" as a paradigm shift in understanding the complexity of error and how to seek solutions to mitigate it. The difficulty in identifying "error" is framed in the work of Rasmussen and Hollnagel.