Analysis of Organisation-Committed Human Error by Extended CREAM

This report analyses the results of the human error classification scheme of CREAM applied to organisation-committed human errors related to six departments. These human errors were not caused by the tasks spotlighted by CREAM, but were concentrated on managerial or administrative tasks, so that the authors have corrected and analysed the definitions and links of cause–effect relations related to the large organisation by means of an extended method of CREAM. Considering human errors on the basis of these analyses, findings have allowed the authors to come up with effective relations between organisation-related causal factors and person-related ones. This has demonstrated that organisation-caused human errors are sufficiently analysable by means of the extended method of CREAM.