Download or read book Considerations Behind Human Error written by Ferdinando Restina and published by Lulu.com. This book was released on 2019-12-19 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: WHAT COMMON FACTORS CONNECT THE DEATH OF MARY SANDERS DURING A SIMPLE SURGICAL INTERVENTION, CHERNOBYL NUCLEAR DISASTER, AND THE COSTA CONCORDIA SHIPWRECK? WAS IT A FATAL MINDSET, DEFECTIVE EQUIPMENT, AN ACT OF DESTINY OR...' IT IS THE HUMAN ERROR THE THREAD THAT BINDS THESE (AND MANY OTHER) TRAGIC EVENTS. HOW TO BEST PREVENT, MANAGE AND MITIGATE ITS EFFECTS AND CONSEQUENCES IS THE SUBJECT OF STUDY BY CPT. FERDINANDO RESTINA.

Download or read book Human Error in Medicine written by Marilyn Sue Bogner and published by CRC Press. This book was released on 2018-02-06 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited collection of articles addresses aspects of medical care in which human error is associated with unanticipated adverse outcomes. For the purposes of this book, human error encompasses mismanagement of medical care due to: * inadequacies or ambiguity in the design of a medical device or institutional setting for the delivery of medical care; * inappropriate responses to antagonistic environmental conditions such as crowding and excessive clutter in institutional settings, extremes in weather, or lack of power and water in a home or field setting; * cognitive errors of omission and commission precipitated by inadequate information and/or situational factors -- stress, fatigue, excessive cognitive workload. The first to address the subject of human error in medicine, this book considers the topic from a problem oriented, systems perspective; that is, human error is considered not as the source of the problem, but as a flag indicating that a problem exists. The focus is on the identification of the factors within the system in which an error occurs that contribute to the problem of human error. As those factors are identified, efforts to alleviate them can be instituted and reduce the likelihood of error in medical care. Human error occurs in all aspects of human activity and can have particularly grave consequences when it occurs in medicine. Nearly everyone at some point in life will be the recipient of medical care and has the possibility of experiencing the consequences of medical error. The consideration of human error in medicine is important because of the number of people that are affected, the problems incurred by such error, and the societal impact of such problems. The cost of those consequences to the individuals involved in medical error, both in the health care providers' concern and the patients' emotional and physical pain, the cost of care to alleviate the consequences of the error, and the cost to society in dollars and in lost personal contributions, mandates consideration of ways to reduce the likelihood of human error in medicine. The chapters were written by leaders in a variety of fields, including psychology, medicine, engineering, cognitive science, human factors, gerontology, and nursing. Their experience was gained through actual hands-on provision of medical care and/or research into factors contributing to error in such care. Because of the experience of the chapter authors, their systematic consideration of the issues in this book affords the reader an insightful, applied approach to human error in medicine -- an approach fortified by academic discipline.

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 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 Ten Questions About Human Error written by Sidney Dekker and published by CRC Press. This book was released on 2004-12-27 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Human Factors Issues in Rail Safety written by United States. Congress. House. Committee on Transportation and Infrastructure. Subcommittee on Railroads and published by . This book was released on 2007 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Human Factors in Aviation written by Eduardo Salas and published by Academic Press. This book was released on 2010-01-30 with total page 747 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully updated and expanded, the second edition of Human Factors in Aviation serves the needs of the widespread aviation community - students, engineers, scientists, pilots, managers and government personnel. Offering a comprehensive overview the volume covers topics such as pilot performance, human factors in aircraft design, vehicles and systems and NextGen issues. The need for an up-to-date, scienti?cally rigorous overview is underscored by the frequency with which human factors/crew error cause aviation accidents, pervasiveness of human error in safety breakdowns. Technical and communication advances, diminishing airspace and the priority of aviation safety all contribute to the generation of new human factors problems and the more extensive range of solutions. Now more than ever a solid foundation from which to begin addressing these issues is needed. - New edition thoroughly updated with 50% new material, offering full coverage of NexGen and other modern issues - Liberal use of case examples exposes students to real-world examples of dangers and solutions - Website with study questions and image collection

Download or read book Safety Management and Human Factors written by Pedro Arezes and published by AHFE Conference. This book was released on 2024-07-24 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: Proceedings of the 15th International Conference on Applied Human Factors and Ergonomics and the Affiliated Conferences, Nice, France, 24-27 July 2024.

Download or read book Managing the Risks of Organizational Accidents written by James Reason and published by Routledge. This book was released on 2016-01-29 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Major accidents are rare events due to the many barriers, safeguards and defences developed by modern technologies. But they continue to happen with saddening regularity and their human and financial consequences are all too often unacceptably catastrophic. One of the greatest challenges we face is to develop more effective ways of both understanding and limiting their occurrence. This lucid book presents a set of common principles to further our knowledge of the causes of major accidents in a wide variety of high-technology systems. It also describes tools and techniques for managing the risks of such organizational accidents that go beyond those currently available to system managers and safety professionals. James Reason deals comprehensively with the prevention of major accidents arising from human and organizational causes. He argues that the same general principles and management techniques are appropriate for many different domains. These include banks and insurance companies just as much as nuclear power plants, oil exploration and production companies, chemical process installations and air, sea and rail transport. Its unique combination of principles and practicalities make this seminal book essential reading for all whose daily business is to manage, audit and regulate hazardous technologies of all kinds. It is relevant to those concerned with understanding and controlling human and organizational factors and will also interest academic readers and those working in industrial and government agencies.

Download or read book International Encyclopedia of Ergonomics and Human Factors 3 Volume Set written by Informa Healthcare and published by CRC Press. This book was released on 2000-12-14 with total page 1980 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first encyclopedia in the field, the International Encyclopedia of Ergonomics and Human Factors provides a comprehensive and authoritative compendium of current knowledge on ergonomics and human factors. It gives specific information on concepts and tools unique to ergonomics. About 500 entries, published in three volumes and on CD-ROM, are pre

Download or read book Tactical Display for Soldiers written by National Research Council and published by National Academies Press. This book was released on 1997-01-17 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the human factors issues associated with the development, testing, and implementation of helmet-mounted display technology in the 21st Century Land Warrior System. Because the framework of analysis is soldier performance with the system in the full range of environments and missions, the book discusses both the military context and the characteristics of the infantry soldiers who will use the system. The major issues covered include the positive and negative effects of such a display on the local and global situation awareness of the individual soldier, an analysis of the visual and psychomotor factors associated with each design feature, design considerations for auditory displays, and physical sources of stress and the implications of the display for affecting the soldier's workload. The book proposes an innovative approach to research and testing based on a three-stage strategy that begins in the laboratory, moves to controlled field studies, and culminates in operational testing.

Download or read book Behind Human Error written by Dr Leila Johannesen and published by Ashgate Publishing, Ltd.. This book was released on 2012-10-01 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human error is so often cited as a cause of accidents. There is perception of a 'human error problem'. Solutions are thought to lie in changing the people or their role. The label 'human error', however, is prejudicial and hides more than it reveals about how a system malfunctions. This book takes you behind the label. It explains how human error results from social and psychological judgments by the system's stakeholders that focus only on one facet of a set of interacting contributors.

Download or read book Improving the Continued Airworthiness of Civil Aircraft written by National Research Council and published by National Academies Press. This book was released on 1998-09-11 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt: As part of the national effort to improve aviation safety, the Federal Aviation Administration (FAA) chartered the National Research Council to examine and recommend improvements in the aircraft certification process currently used by the FAA, manufacturers, and operators.

Download or read book Human Factors Considerations of Undergrounds in Insurgencies written by American University (Washington, D.C.). Special Operations Research Office and published by . This book was released on 1966 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The study is the second product of SORO (CRESS) research on undergrounds and describes, on the basis of existing empirical information and current state of knowledge, the organizational, motivational, and behavioral characteristics of undergrounds in insurgent movements and relates thise characteristics to the total revolutionary structure, mission, and operations. There are six parts to the study: Organization; Paramilitary Operations; Government Countermeasures. Three appendices give details on the methodological approach, offer an analysis of 24 insurgencies, and summarize World War II underground rules of clandestine behavior."--Report documentation page.

Download or read book Guidelines for Preventing Human Error in Process Safety written by CCPS (Center for Chemical Process Safety) and published by John Wiley & Sons. This book was released on 2010-08-13 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Almost all the major accident investigations--Texas City, Piper Alpha, the Phillips 66 explosion, Feyzin, Mexico City--show human error as the principal cause, either in design, operations, maintenance, or the management of safety. This book provides practical advice that can substantially reduce human error at all levels. In eight chapters--packed with case studies and examples of simple and advanced techniques for new and existing systems--the book challenges the assumption that human error is "unavoidable." Instead, it suggests a systems perspective. This view sees error as a consequence of a mismatch between human capabilities and demands and inappropriate organizational culture. This makes error a manageable factor and, therefore, avoidable.

Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Download or read book Human Factors Issues in Combat Identification written by Robert P Herz and published by CRC Press. This book was released on 2017-09-29 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited book presents an array of approaches on how human factors theory and research addresses the challenges associated with combat identification. Special emphasis is placed on reducing human error that leads to fratricide, which is the unintentional death or injury of friendly personnel by friendly weapons during an enemy engagement. Although fratricide has been a concern since humans first engaged in combat operations, it gained prominence during the Persian Gulf War. To reduce fratricide, advances in technological approaches to enhance combat identification (e.g., Blue Force Tracker) should be coupled with the application of human factors principles to reduce human error. The book brings together a diverse group of authors from academic and military researchers to government contractors and commercial developers to provide a single volume with broad appeal. Human Factors Issues in Combat Identification is intended for the larger human factors community within academia, the military and other organizations that work with the military such as government contractors and commercial developers as well as others interested in combat identification issues including military personnel and policy makers.