Mistakes happen, he theorized, because multiple vulnerabilities in a system align — like the holes in cheese — to create a recipe for disaster. Mistakes happen, he theorized, because multiple vulnerabilities in a system align — like the holes in cheese — to create a recipe for disaster. Reason, James (1938-2025), Deaths (Obituaries), Accidents and Safety, Disasters and Emergencies, Psychology and Psychologists, University of Leicester, Sumwalt, Robert L NYT > Science
James Reason, Who Used Swiss Cheese to Explain Human Error, Dies at 86
