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Healthy Skepticism Library item: 8433

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Chevreau FR, Wybo JL, Cauchois D.
Organizing learning processes on risks by using the bow-tie representation.
J Hazard Mater 2006 Mar 31; 130:(3):276-83
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6TGF-4GY89YR-4&_user=10&_coverDate=03%2F31%2F2006&_rdoc=1&_fmt=full&_orig=search&_cdi=5253&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=18690bdb2028a8c20ea45827891f7061


Abstract:

The Aramis method proposes a complete and efficient way to manage risk analysis by using the bow-tie representation. This paper shows how the bow-tie representation can also be appropriate for experience learning. It describes how a pharmaceutical production plant uses bow-ties for incident and accident analysis. Two levels of bow-ties are constructed: standard bow-ties concern generic risks of the plant whereas local bow-ties represent accident scenarios specific to each workplace. When incidents or accidents are analyzed, knowledge that is gained is added to existing local bow-ties. Regularly, local bow-ties that have been updated are compared to standard bow-ties in order to revise them. Knowledge on safety at the global and at local levels is hence as accurate as possible and memorized in a real time framework. As it relies on the communication between safety experts and local operators, this use of the bow-ties contributes therefore to organizational learning for safety.

Keywords:
Aramis method; Risk analysis; Bow-tie diagram; Organizational learning; Experience feedback process MeSH Terms: Accidents, Occupational/prevention & control* Causality Chemical Industry/organization & administration Chemical Industry/standards* Decision Trees* Drug Industry Environmental Exposure/prevention & control Equipment Failure European Union France Guidelines Hazardous Substances Humans Inservice Training* Models, Organizational Problem-Based Learning* Risk Assessment/methods* Safety Management/methods* Substances: Hazardous Substances

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909