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作用-变化与作用连锁模型日本佐藤吉信从系统安全的观点出发，提出了一种称为“作用-变化与作用连锁模型”的事故致因理论。该理论认为，系统元素在其他元素或环境因素的作用下发生变化，这种变化主要表现为元素的功能发生变化，其性能降低
expl. action-change and action chain model

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