Commercial aviation: a general picture -- Aviation : a high stakes field -- The fight for efficiency -- The learning process : how the system evolves -- The enlightened despotism in aviation -- Event analysis as an improvement tool -- Potential and uses of event analysis -- The search for the failure -- Breakage of causal chains -- Establishment of legal responsibility -- The event-based learning cycle -- Information gathering phase -- Information distribution phase -- Information utilization phase: generation of new abilities -- Limitations of event-based learning -- The changing role of technology and people in aviation -- Human error : myths and reality -- The human role: skills and knowledge as accident triggers -- The human role : skills and knowledge in accidents avoidance -- The human contribution -- People as alternative resource : feasibility and requirements -- Common practice -- Alternative model -- Organizational learning in air safety : the role of the different stakeholders -- A single keyword -- The manufacturers world -- The regulators world -- The operators' world -- Conclusions -- The engine for organizational learning: where it is and where it should be -- Introduction -- Aviation learning short history : from aviation dusk to present -- What the new training principles should be -- The future of improvements in air safety -- The "PISS" rule : produce intelligible software, stupid -- The "lack of training" issue -- Knowledge and performance -- The human value and the conditions to use it.
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