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Keywords: sentinel event
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Proceedings Papers
Publisher: American Society of Safety Professionals
Paper presented at the ASSE Professional Development Conference and Exposition, June 12–15, 2005
Paper Number: ASSE-05-711
... thing from aviation, it is everyone is fallible; the best pilots have committed error with tragic results. In 1978, United Airlines flight 173 was flown into the ground as the crew fixated on a landing gear light. The plane ran out of fuel. collaboration sentinel event kaiser permanente...