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Ten Questions About Human Error

Ten Questions About Human Error
Author: Sidney Dekker
Publisher: CRC Press
Total Pages: 233
Release: 2004-12-27
Genre: Technology & Engineering
ISBN: 1410612066

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Ten Questions About Human Error asks the type of questions frequently posed in incident and accident investigations, people's own practice, managerial and organizational settings, policymaking, classrooms, Crew Resource Management Training, and error research. It is one installment in a larger transformation that has begun to identify both deep-rooted constraints and new leverage points of views of human factors and system safety. The ten questions about human error are not just questions about human error as a phenomenon, but also about human factors and system safety as disciplines, and where they stand today. In asking these questions and sketching the answers to them, this book attempts to show where current thinking is limited--where vocabulary, models, ideas, and notions are constraining progress. This volume looks critically at the answers human factors would typically provide and compares/contrasts them with current research insights. Each chapter provides directions for new ideas and models that could perhaps better cope with the complexity of the problems facing human error today. As such, this book can be used as a supplement for a variety of human factors courses.


Safety Differently

Safety Differently
Author: Sidney Dekker
Publisher: CRC Press
Total Pages: 304
Release: 2014-06-23
Genre: Technology & Engineering
ISBN: 1482242001

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The second edition of a bestseller, Safety Differently: Human Factors for a New Era is a complete update of Ten Questions About Human Error: A New View of Human Factors and System Safety. Today, the unrelenting pace of technology change and growth of complexity calls for a different kind of safety thinking. Automation and new technologies have resu


The Field Guide to Human Error Investigations

The Field Guide to Human Error Investigations
Author: Sidney Dekker
Publisher: Routledge
Total Pages: 137
Release: 2017-11-01
Genre: Social Science
ISBN: 1351786032

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This title was first published in 2002: This field guide assesses two views of human error - the old view, in which human error becomes the cause of an incident or accident, or the new view, in which human error is merely a symptom of deeper trouble within the system. The two parts of this guide concentrate on each view, leading towards an appreciation of the new view, in which human error is the starting point of an investigation, rather than its conclusion. The second part of this guide focuses on the circumstances which unfold around people, which causes their assessments and actions to change accordingly. It shows how to "reverse engineer" human error, which, like any other componant, needs to be put back together in a mishap investigation.


Behind Human Error

Behind Human Error
Author: David D. Woods
Publisher: CRC Press
Total Pages: 292
Release: 2017-09-18
Genre: Technology & Engineering
ISBN: 1317175530

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Human error is cited over and over as a cause of incidents and accidents. The result is a widespread perception of a 'human error problem', and solutions are thought to lie in changing the people or their role in the system. For example, we should reduce the human role with more automation, or regiment human behavior by stricter monitoring, rules or procedures. But in practice, things have proved not to be this simple. The label 'human error' is prejudicial and hides much more than it reveals about how a system functions or malfunctions. This book takes you behind the human error label. Divided into five parts, it begins by summarising the most significant research results. Part 2 explores how systems thinking has radically changed our understanding of how accidents occur. Part 3 explains the role of cognitive system factors - bringing knowledge to bear, changing mindset as situations and priorities change, and managing goal conflicts - in operating safely at the sharp end of systems. Part 4 studies how the clumsy use of computer technology can increase the potential for erroneous actions and assessments in many different fields of practice. And Part 5 tells how the hindsight bias always enters into attributions of error, so that what we label human error actually is the result of a social and psychological judgment process by stakeholders in the system in question to focus on only a facet of a set of interacting contributors. If you think you have a human error problem, recognize that the label itself is no explanation and no guide to countermeasures. The potential for constructive change, for progress on safety, lies behind the human error label.


A Human Error Approach to Aviation Accident Analysis

A Human Error Approach to Aviation Accident Analysis
Author: Douglas A. Wiegmann
Publisher: Routledge
Total Pages: 174
Release: 2017-12-22
Genre: Technology & Engineering
ISBN: 1351962353

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Human error is implicated in nearly all aviation accidents, yet most investigation and prevention programs are not designed around any theoretical framework of human error. Appropriate for all levels of expertise, the book provides the knowledge and tools required to conduct a human error analysis of accidents, regardless of operational setting (i.e. military, commercial, or general aviation). The book contains a complete description of the Human Factors Analysis and Classification System (HFACS), which incorporates James Reason's model of latent and active failures as a foundation. Widely disseminated among military and civilian organizations, HFACS encompasses all aspects of human error, including the conditions of operators and elements of supervisory and organizational failure. It attracts a very broad readership. Specifically, the book serves as the main textbook for a course in aviation accident investigation taught by one of the authors at the University of Illinois. This book will also be used in courses designed for military safety officers and flight surgeons in the U.S. Navy, Army and the Canadian Defense Force, who currently utilize the HFACS system during aviation accident investigations. Additionally, the book has been incorporated into the popular workshop on accident analysis and prevention provided by the authors at several professional conferences world-wide. The book is also targeted for students attending Embry-Riddle Aeronautical University which has satellite campuses throughout the world and offers a course in human factors accident investigation for many of its majors. In addition, the book will be incorporated into courses offered by Transportation Safety International and the Southern California Safety Institute. Finally, this book serves as an excellent reference guide for many safety professionals and investigators already in the field.


Patient Safety

Patient Safety
Author: Sidney Dekker
Publisher: CRC Press
Total Pages: 254
Release: 2016-04-19
Genre: Technology & Engineering
ISBN: 143985226X

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Increased concern for patient safety has put the issue at the top of the agenda of practitioners, hospitals, and even governments. The risks to patients are many and diverse, and the complexity of the healthcare system that delivers them is huge. Yet the discourse is often oversimplified and underdeveloped. Written from a scientific, human factors


Short History of Human Error

Short History of Human Error
Author: Oliver Thomson
Publisher: Arena books
Total Pages: 365
Release: 2013-12-09
Genre: History
ISBN: 1909421359

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This is a candid, sometimes controversial study of the psychological or other flaws of political, religious and economic leaders from ancient times to the present day: from Rameses II to Colonel Gaddafi, from Genghis Khan to Stalin and Hitler, from Buddha or Saint Paul to Martin Luther or Ron Hubbard, from bipolar, insecure, asthmatic or sex-addicted presidents to alcoholic prime ministers, mad kings, obese emperors and kleptomaniac dictators. Amongst their followers we find psychopathic police chiefs, gay generals, crazed philosophers, epileptic prophets and ludomaniac business- men. We look at how the minor personality disorders and health problems of the few have led frequently to considerable misery for the many.Without slavish adherence to the latest psychiatric fashions the author uses at least some of these concepts to help analyse the anti-social behaviour traits of leaders past and present and to assess the degree to which their mental or physical state contributed to most of the world's worst man-made disasters: wars, genocides, famines, persecutions, enslavements and recessions.We consider the questions: How many millions died because the Archangel Gabriel supposedly appeared to both the Virgin Mary and Mohammed? How many millions died because Napoleon was bullied at school, because Hitler failed to get into the Vienna Academy, because Stalin had an alcoholic father or because Mao suffered from attention deficit hyperactivity disorder?


Managing Maintenance Error

Managing Maintenance Error
Author: James Reason
Publisher: CRC Press
Total Pages: 191
Release: 2017-03-02
Genre: Technology & Engineering
ISBN: 1351920502

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Situations and systems are easier to change than the human condition - particularly when people are well-trained and well-motivated, as they usually are in maintenance organisations. This is a down-to-earth practitioner’s guide to managing maintenance error, written in Dr. Reason’s highly readable style. It deals with human risks generally and the special human performance problems arising in maintenance, as well as providing an engineer’s guide for their understanding and the solution. After reviewing the types of error and violation and the conditions that provoke them, the author sets out the broader picture, illustrated by examples of three system failures. Central to the book is a comprehensive review of error management, followed by chapters on:- managing person, the task and the team; - the workplace and the organization; - creating a safe culture; It is then rounded off and brought together, in such a way as to be readily applicable for those who can make it work, to achieve a greater and more consistent level of safety in maintenance activities. The readership will include maintenance engineering staff and safety officers and all those in responsible roles in critical and systems-reliant environments, including transportation, nuclear and conventional power, extractive and other chemical processing and manufacturing industries and medicine.


Human Factors Psychology

Human Factors Psychology
Author: P.A. Hancock
Publisher: Elsevier
Total Pages: 452
Release: 1987-10-01
Genre: Technology & Engineering
ISBN: 9780080867014

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This book is a collection of contemporary applications of psychological insights into practical human factors issues. The topics are arranged largely according to an information processing/energetic approach to human behavior. Consideration is also given to human-computer interaction and organizational design.


Second Victim

Second Victim
Author: Sidney Dekker
Publisher: CRC Press
Total Pages: 131
Release: 2013-03-26
Genre: Medical
ISBN: 146658341X

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How do people cope with having "caused" a terrible accident? How do they cope when they survive and have to live with the consequences ever after? We tend to blame and forget professionals who cause incidents and accidents, but they are victims too. They are second victims whose experiences of an incident or adverse event can be as traumatic as that of the first victims’. Yet information on second victimhood and its relationship to safety, about what is known and what organizations might need to do, is difficult to find. Thoroughly exploring an emerging topic with great relevance to safety culture, Second Victim: Error, Guilt, Trauma, and Resilience examines the lived experience of second victims. It goes through what we know about trauma, guilt, forgiveness, and injustice and how these might be felt by the second victim. The author discusses how to conduct investigations of incidents that do not alienate second victims or make them feel even worse. It explores the importance support and resilience and where the responsibilities for creating it may lie. Drawing on his unique background as psychologist, airline pilot, and safety specialist, and his own experiences with helping second victims from a variety of backgrounds, Sidney Dekker has written a powerful, moving account of the experience of the second victim. It forms compelling reading for practitioners, risk managers, human resources managers, safety experts, mental health workers, regulators, the judiciary, and many other professionals. Dekker provides a strong theoretical background to promote understanding of the situation of the second victim and solid practical advice about how to deal with trauma that continues after an event leading to preventable harm or even avoidable death of a patient, consumer, or colleague. Listen to Sidney Dekker speak about his book