Originally Posted by
Al E. Vator
So the next logical question is the Swiss Cheese issue.
With SO many massive structural downward adjustments, weaknesses, shortcuts in recruiting and training (and thus so many holes in the cheese), when will those holes tragically align?
With everything we know about safety, how the hell can this still happen in this day and age?
Beggars belief.
maybe thats why theyre trying to move away from the swiss cheese model and focusing on threat and error management. no holes to align if you dont believe in the holes.