In order to conduct the human reliability analysis and manage the human error events more effectively and accurately, a human reliability analysis and its data management system were developed.
再者通过建立具有一定规模的人员可靠性数据库，以便为今后进一步的研究提供良好的数据支持。
The HCQA investigation also focused on systemic rather than the human error element of the events surrounding the tragedy.
HCQA调查人员也集中发现悲剧的原因是系统错误而非单一人为错误。
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