James Reason, Who Used Swiss Cheese to Explain Human Error, Dies at 86

Mistakes happen, he theorized, because multiple vulnerabilities in a system align — like the holes in cheese — to create a recipe for disaster.

Mar 13, 2025 - 15:37
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James Reason, Who Used Swiss Cheese to Explain Human Error, Dies at 86
Mistakes happen, he theorized, because multiple vulnerabilities in a system align — like the holes in cheese — to create a recipe for disaster.