Download or read book A Critical Human Error written by Barbara A. Glasier and published by FriesenPress. This book was released on 2020-04-27 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sixty-one-year-old Meredith Taylor answers her door to find a worried-looking little girl, who announces, “I’ve come to stay with you for a while…I’m your granddaughter.” From this unexpected and jaw-dropping event, Meredith and her husband Andy are thrown into an emotional storm. But the turmoil that this little stranger’s appearance causes for them pales by comparison to what their unsuspecting son, Aaron, endures. What happens next is a series of revelations and shocking discoveries about Sam's conception and her mother's manipulation, not just of Aaron but of his whole family. Somehow though, in the midst of the rising pressure and the dizzying complications, six-year-old Sam manages to win Meredith and Andy’s hearts, even as they watch their own beloved son falling apart emotionally. Part-mystery thriller, part-affecting romance, and part-testament to the power of family love. A Critical Human Error is a book for grownups, who will relate to these complex people and the white-hot emotional conflicts they face.
Download or read book A Critical Human Error written by Barbara A. Glasier and published by . This book was released on 2020-02-07 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sixty-one-year-old Meredith Taylor answers her door one day to find a worried-looking little girl, who announces, "I've come to stay with you for a while...I'm your granddaughter." From this unexpected and jaw-dropping event, Meredith and her husband Andy are thrown into an emotional storm. But the turmoil that this little stranger's appearance causes for them pales by comparison to what their unsuspecting son, Aaron, endures. What happens next is a series of revelations and shocking discoveries about Sam's conception and her mother's manipulation, not just of Aaron but of his whole family. Somehow though, in the midst of the rising pressure and the dizzying complications, six-year-old Sam manages to win Meredith and Andy's hearts, even as they watch their own beloved son falling apart emotionally. Part-mystery thriller, part-affecting romance, and part-testament to the power of family love. A Critical Human Error is a book for grownups, who will relate to these complex people and the white-hot emotional conflicts they face....
Download or read book Behind Human Error written by David Woods and published by CRC Press. This book was released on 2017-09-18 with total page 495 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Human Error written by James Reason and published by Cambridge University Press. This book was released on 1990-10-26 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: This 1991 book is a major theoretical integration of several previously isolated literatures looking at human error in major accidents.
Download or read book To Err Is Human written by Institute of Medicine and published by National Academies Press. This book was released on 2000-03-01 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine
Download or read book The Field Guide to Human Error Investigations written by Sidney Dekker and published by Routledge. This book was released on 2017-11-01 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Risk Based Thinking written by Tony Muschara and published by Routledge. This book was released on 2017-11-13 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: Society at large tends to misunderstand what safety is all about. It is not just the absence of harm. When nothing bad happens over a period of time, how do you know you are safe? In reality, safety is what you and your people do moment by moment, day by day to protect assets from harm and to control the hazards inherent in your operations. This is the purpose of risk-based thinking, the key element of the six building blocks of Human and Organizational Performance (H&OP). Generally, H&OP provides a risk-based approach to managing human performance in operations. But, specifically, risk-based thinking enables foresight and flexibility—even when surprised—to do what is necessary to protect assets from harm but also achieve mission success despite ongoing stresses or shocks to the operation. Although you cannot prepare for every adverse scenario, you can be ready for almost anything. When risk-based thinking is integrated into the DNA of an organization’s way of doing business, people will be ready for most unexpected situations. Eventually, safety becomes a core value, not a priority to be negotiated with others depending on circumstances. This book provides a coherent perspective on what executives and line managers within operational environments need to focus on to efficiently and effectively control, learn, and adapt.
Download or read book Understanding Human Error in Mine Safety written by Mr Geoff Simpson and published by Ashgate Publishing, Ltd.. This book was released on 2012-10-01 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: The consideration of human factors issues is vital to the mining industry. As in other safety-critical domains, human performance problems constitute a significant threat to system safety, making the study of human factors an important field for improving safety in mining operations. The primary purpose of this book is to provide the reader with a much-needed overview of human factors within the mining industry, in particular to understand the role of human error in mine safety, explaining contemporary risk management and safety systems approaches. The approach taken is multidisciplinary and holistic, based on a model of the systems of work in the mining industry domain. The ingredients in this model include individual operators, groups/teams, technology/equipment, work organisation and the physical environment. Throughout the book, topics such as human error and safety management are covered through the use of real examples and case studies, allowing the reader to see the practical significance of the material presented while making the text rigorous, useful and enjoyable. Understanding Human Error in Mine Safety is written for professionals in the field, researchers and students of mining engineering, safety or human factors.
Download or read book Critical Steps written by Tony Muschara and published by CRC Press. This book was released on 2021-11-22 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical Steps happen every day at work and at home, purposefully. Work does not happen otherwise. If an operation has the capacity to do work, then it has the capacity to do harm. Work is energy directed by human beings to create value. But people are imperfect—we make mistakes, and sometimes we lose control of the work. Therefore, work is the use of force under conditions of uncertainty. A Critical Step is a human action that will trigger immediate, irreversible, and intolerable harm to an asset, if that action or a preceding action is performed improperly. Whether the human action involves clicking on a link attached to an e-mail message, walking down a flight of stairs with a newborn baby in arms, engaging the clutch on a gasoline-driven chain saw, or administering a medication to a patient in a hospital, these all satisfy the definition of what constitutes critical risks in our daily lives, professionally or personally. The overarching goal of managing Critical Steps is to maximize the success (safety, reliability, productivity, quality, profitability, etc.) of people’s performance in the workplace, to create value for the organization without losing control of built-in hazards necessary to create that value.
Download or read book A Human Error Approach to Aviation Accident Analysis written by Douglas A. Wiegmann and published by Routledge. This book was released on 2017-12-22 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Safety Differently written by Sidney Dekker and published by CRC Press. This book was released on 2014-06-23 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Human Performance Improvement through Human Error Prevention written by BW (Ben) Marguglio and published by CRC Press. This book was released on 2021-10-28 with total page 705 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a simulation of a live course on human performance improvement/human error prevention (HPI/HEP) created by the preeminent authority on HPI/HEP. It presents the greatest breadth of scope and specificity on this topic. This book comprises a focused, challenging human error prevention training course designed to improve understanding of error causation. It will dramatically reduce human error and repeat deviations, and it digs below the surface of issues and looks to fix the real causes of human error and mistakes. In addition, this book presents a complete seminar from the thought leader acclaimed by hundreds of clients, and includes unique principles, practices, models, and templates. Information is comprehensive and can be directly implemented. The principles and practices of human error prevention are universally applicable regardless of the type of industrial, commercial, or governmental enterprise, and regardless of the type of function performed within the enterprise. The application of the information in this book will significantly contribute to improved productivity, safety, and quality. After fully using this book, you will understand: Human error prevention/reduction terminology and definitions. The relationships among culture, beliefs, values, attitudes, behavior, results, and performance. The roles of leadership in establishing and maintaining a quality/safety-conscious work environment. The one fundamental precept explaining the importance of human error prevention/reduction. The two most critical elements of human error prevention/reduction. The three levels of barriers to human error. The four types of things in which the barriers may exist at each barrier level. The five stages of human error. The six "M"s that can emit or receive hazards activated by human error. The seven universally applicable human error causal factors. The Rule of 8 by which to prevent human error and mitigate its effects. Techniques for making barriers effective and the spectrum of barrier effectiveness. The relationship of human error prevention/reduction to the total quality/safety function. Error-inducing conditions (error traps) and behaviors for counteracting these conditions. Non-conservative and conservative thought processes and behaviors in decision-making. Coaching for preventing the recurrence of human error. Root cause analysis techniques for identifying human error causal factors. The nine types of corrective action. Human error measurement. Strategies for a human error prevention/reduction initiative. How to design, implement, and manage a human error prevention/reduction initiative.
Download or read book Human Reliability Error and Human Factors in Power Generation written by B. S. Dhillon and published by Springer Science & Business Media. This book was released on 2014-01-07 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human reliability, error, and human factors in the area of power generation have been receiving increasing attention in recent years. Each year billions of dollars are spent in the area of power generation to design, construct/manufacture, operate, and maintain various types of power systems around the globe, and such systems often fail due to human error. This book compiles various recent results and data into one volume, and eliminates the need to consult many diverse sources to obtain vital information. It enables potential readers to delve deeper into a specific area, providing the source of most of the material presented in references at the end of each chapter. Examples along with solutions are also provided at appropriate places, and there are numerous problems for testing the reader’s comprehension. Chapters cover a broad range of topics, including general methods for performing human reliability and error analysis in power plants, specific human reliability analysis methods for nuclear power plants, human factors in control systems, and human error in power plant maintenance. They are written in such a manner that the potential reader requires no previous knowledge to understand their contents. “Human Reliability, Error, and Human Factors in Power Generation” will prove useful to many individuals, including engineering professionals working in the power generation industry, researchers, instructors, and undergraduate and graduate students in the field of power engineering.
Download or read book The Human Contribution written by J. T. Reason and published by Ashgate Publishing, Ltd.. This book was released on 2008 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Human Contribution is vital reading for all professionals in high-consequence environments and for managers of any complex system. The book draws its illustrative material from a wide variety of hazardous domains, with the emphasis on healthcare reflecting the author's focus on patient safety over the last decade. All students of human factors - however seasoned - will also find it an invaluable and thought-provoking read.
Download or read book Space Safety and Human Performance written by Barbara G. Kanki and published by Butterworth-Heinemann. This book was released on 2017-11-10 with total page 946 pages. Available in PDF, EPUB and Kindle. Book excerpt: Space Safety and Human Performance provides a comprehensive reference for engineers and technical managers within aerospace and high technology companies, space agencies, operators, and consulting firms. The book draws upon the expertise of the world's leading experts in the field and focuses primarily on humans in spaceflight, but also covers operators of control centers on the ground and behavior aspects of complex organizations, thus addressing the entire spectrum of space actors. During spaceflight, human performance can be deeply affected by physical, psychological and psychosocial stressors. Strict selection, intensive training and adequate operational rules are used to fight performance degradation and prepare individuals and teams to effectively manage systems failures and challenging emergencies. The book is endorsed by the International Association for the Advancement of Space Safety (IAASS). - 2019 PROSE Awards - Winner: Category: Engineering and Technology: Association of American Publishers - Provides information on critical aspects of human performance in space missions - Addresses the issue of human performance, from physical and psychosocial stressors that can degrade performance, to selection and training principles and techniques to enhance performance - Brings together essential material on: cognition and human error; advanced analysis methods such as human reliability analysis; environmental challenges and human performance in space missions; critical human factors and man/machine interfaces in space systems design; crew selection and training; and organizational behavior and safety culture - Includes an endorsement by the International Association for the Advancement of Space Safety (IAASS)
Download or read book International Encyclopedia of Ergonomics and Human Factors written by Waldemar Karwowski and published by CRC Press. This book was released on 2001 with total page 712 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book TapRooT written by Mark Paradies and published by . This book was released on 2000 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt:
