The Walkerton E. coli outbreak: a test of Rasmussen's framework for risk management in a dynamic society

References

• Amalberti , R . 2001 . The paradoxes of almost totally safe transportation systems. . Safety Science , 37 : 109 – 126 .
   Web of Science ®Google Scholar
• Buckley , W . 1968 . Modern Systems Research for The Behavioral Scientist , Chicago, IL : Aldine Publishing Company .
   Google Scholar
• Commission ofInquiry on the Blood System in Canada . 1997 . Final Report , Ottawa : Canadian Government Publishing .
   Google Scholar
• Feynman , RP . 1988 . ‘What Do You Care What Other People Think?‘ Further Adventures of a Curious Character , New York : Norton .
   Google Scholar
• Hopkins , A . 2000 . Lessons from Longford: The Esso Gas Plant Explosion , Sydney : CCH Australia Ltd .
   Google Scholar
• Moray , N . 1988 . “ Ex Ris⊘ semper aliquid antiquum: sources of a new paradigm for engineering psychology ” . In Tasks, Errors, and Mental Models: A Festschrift to Celebrate The 60th Birthday of Professor Jens Rasmussen , Edited by: Goodstein , LP , Andersen , HB and Olsen , SE . 12 – 17 . London : Taylor & Francis .
   Google Scholar
• Norman , DA . 1993 . Things That Make Us Smart: Defending Human Attributes in the Age of The Machine , Reading, MA : Addison-Wesley .
   Google Scholar
• O’Connor , DR . 2002a . Part one—Report of The Walkerton Inquiry: The Events of May 2000 and Related Issues , Toronto : Ontario Ministry of the Attorney General .
   Google Scholar
• O’Connor , DR . 2002b . Part one: A Summary—Report of The Walkerton Inquiry: The Events of May 2000 and Related Issues , Toronto : Ontario Ministry of the Attorney General .
   Google Scholar
• Oversight , Hearings . 1979 . Accident At the Three Mile Island Nuclear Power Plant , Washington, DC : US Government Printing Office .
   Google Scholar
• Rasmussen , J . 1997 . Risk management in a dynamic society: a modelling problem. . Safety Science , 27 : 183 – 213 .
   Web of Science ®Google Scholar
• Rasmussen , J and Svedung , I . 2000 . Proactive Risk Management in a Dynamic Society , Karlstad, Sweden : Swedish Rescue Services Agency .
   Google Scholar
• Rasmussen , J , Pejtersen , AM and Goodstein , LP . 1994 . Cognitive Systems Engineering , New York : Wiley .
   Google Scholar
• Reason , J . 1990 . Human Error , Cambridge, UK : Cambridge University Press .
   Google Scholar
• Saul , JR . 1992 . Voltaire's Bastards: The Dictatorship of Reason in the West , Toronto : Penguin .
   Google Scholar
• Svedung , I and Rasmussen , J . 2002 . Graphic representation of accident scenarios: mapping system structure and the causation of accidents . Safety Science , 40 : 397 – 417 .
   Web of Science ®Google Scholar
• Tanabe , F . 2000 . Functional structure, constraints and mental model . Cognition, Technology & Work , 2 : 238 – 239 .
   Google Scholar
• Vaughan , D . 1996 . The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA , Chicago : University of Chicago Press .
   Google Scholar
• Vicente , KJ . 1999 . Cognitive Work Analysis: Toward Safe, Productive, and Healthy Computer-based Work , Mahwah, NJ : Erlbaum .
   Google Scholar
• Vicente , KJ . 2001 . “ Cognitive engineering research at Ris⊘ from 1962–1979. ” . In Advances in Human Performance and Cognitive Engineering Research , 1 – 57 . New York : Elsevier . Vol. 1, E. Salas (Ed.)
   Google Scholar
• Vicente , KJ . 2002 . From patients to politicians: a cognitive engineering view of patient safety . Quality and Safety in Healthcare , 11 : 302 – 304 .
   PubMedGoogle Scholar
• Vicente , KJ and Rasmussen , J . 1992 . Ecological interface design: theoretical foundations . IEEE Transactions on Systems, Man, and Cybernetics , SMC-22 : 589 – 606 .
   Web of Science ®Google Scholar
• Woo , DM and Vicente , KJ . 2003 . Sociotechnical systems, risk management, and public health: comparing the North Battleford and Walkerton outbreaks. . Reliability Engineering and System Safety , 80 : 253 – 269 .
   Web of Science ®Google Scholar