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 The Field Guide to Understanding Human Error written by Sidney Dekker and published by CRC Press. This book was released on 2017-04-07 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: When faced with a human error problem, you may be tempted to ask 'Why didn't they watch out better? How could they not have noticed?'. You think you can solve your human error problem by telling people to be more careful, by reprimanding the miscreants, by issuing a new rule or procedure. These are all expressions of 'The Bad Apple Theory', where you believe your system is basically safe if it were not for those few unreliable people in it. This old view of human error is increasingly outdated and will lead you nowhere. The new view, in contrast, understands that a human error problem is actually an organizational problem. Finding a 'human error' by any other name, or by any other human, is only the beginning of your journey, not a convenient conclusion. The new view recognizes that systems are inherent trade-offs between safety and other pressures (for example: production). People need to create safety through practice, at all levels of an organization. Breaking new ground beyond its successful predecessor, The Field Guide to Understanding Human Error guides you through the traps and misconceptions of the old view. It explains how to avoid the hindsight bias, to zoom out from the people closest in time and place to the mishap, and resist the temptation of counterfactual reasoning and judgmental language. But it also helps you look forward. It suggests how to apply the new view in building your safety department, handling questions about accountability, and constructing meaningful countermeasures. It even helps you in getting your organization to adopt the new view and improve its learning from failure. So if you are faced by a human error problem, abandon the fallacy of a quick fix. Read this book.
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 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 Pre Accident Investigations written by Dr Todd Conklin and published by Ashgate Publishing, Ltd.. This book was released on 2012-10-28 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a set of new skills written for the managers that drive safety in their workplace. This is Human Performance theory made simple. If you are starting a new program, revamping an old program, or simply interested in understanding more about safety performance, this guide will be extremely helpful.
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 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 Second Victim written by Sidney Dekker and published by CRC Press. This book was released on 2013-03-26 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Pre Accident Investigations written by Todd Conklin and published by CRC Press. This book was released on 2017-08-10 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pre-Accident Investigations: Better Questions - An Applied Approach to Operational Learning challenges safety and reliability professionals to get better answers by asking better questions. A provocative examination of human performance and safety management, the book delivers a thought-provoking discourse about how we work, and defines a new approach to operational learning. This is not a book about traditional safety. This is a book about creating "real" safety in your organization. In order to predict incidents before they happen, an organization should first understand how their processes can result in failure. Instead of managing the outcomes, they must learn to manage and understand the processes used to create them. Ideal for use in safety, human performance, psychology, cognitive and decision making, systems engineering, and risk assessment areas, this book equips the safety professional with the tools, steps, and models of success needed to create long-term value and change from safety programs.
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 Death Scene Investigation Procedural Guide written by Michael S. Maloney and published by CRC Press. This book was released on 2012-02-15 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Death Scene Investigation: Procedural Guide is the answer to a long recognized dilemma: how to have every death investigated by an experienced death investigator." — Tom Bevel, author of Practical Crime Scene Analysis and Reconstruction and Bloodstain Pattern Analysis with an Introduction to Crime Scene Reconstruction, Third Edition Those tasked with investigating death scenes come from a variety of backgrounds and varying levels of experience. Death Scene Investigation: Procedural Guide gives the less experienced investigator the procedures for almost any death scene imaginable while providing the seasoned investigator a ready reference for deaths occurring even under the most unusual of circumstances. It details the precise steps that need to be taken when processing and analyzing a death scene to ensure vital evidence is not lost and "red flags" are not missed. Using a bulleted format for quick and easy access, the book provides hands-on, concise instruction in a style friendly to a range of professionals. Topics discussed in this practical manual include: Initial response and scene evaluation. This section includes a death investigation decision tree to lead investigators to a preliminary cause of death. The section is broken down into natural, accidental, suicidal, and homicidal deaths. It also explores the role of the medical examiner and autopsy protocol. Recovery of human remains from open field, aquatic, and buried sites. This section also discusses estimating the time of death. Wound dynamics and mechanisms of injury. Manners of death include asphyxiation; sharp force, blunt force, and chopping injuries; handgun, rifle, and shotgun wounds; and explosive, thermal, and electrical injuries. Special death scene investigations. Discussions include child and infant death, sex-related death, and death scenes with multiple victims. Death scene management. This section covers documentation, sketching, photography and videography, special observations, and search procedures. Death scene evidence processing. Topics include bloodstain patterns, shooting scenes, and entomological, biological, trace, friction ridge, and impression evidence. An appendix contains precautions for handling bloodborne pathogens and 15 innovative worksheets for field use are available for download. Death scene responders who master the techniques in this volume will expedite solving the circumstances of the death and the closing of the case. Michael S. Maloney was interviewed in Volume 13 of Anil Aggrawal's Internet Journal of Forensic Medicine and Toxicology.
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 The Source Field Investigations written by David Wilcock and published by Penguin. This book was released on 2012-07-31 with total page 562 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare yourself for a revealing tour through the most incredible scientific mysteries of the world with your guide David Wilcock, the New York Times bestselling author of Awakening in the Dream. More than two million people have seen David Wilcock’s incredible tour of the 2012 prophecies in his Internet documentary, The 2012 Enigma. Now, he expands his vision with a cutting-edge investigation into alternative sciences with deep insights into what is coming in our immediate future. A stunning synthesis of hidden science and lost prophecies, The Source Field Investigations exposes DNA transformation, wormholes, ancient conspiracies, the Maya calendar, and a new model of galactic energy fields triggering mental, biological, and spiritual evolution. Unlike the apocalyptic viewpoints depicted in big-budget disaster films, Wilcock believes that 2012 will be a watermark for widespread acceptance of a greater reality—and here, he lays out the blueprints for such a Golden Age.
Download or read book Just Culture written by Professor Sidney Dekker and published by Ashgate Publishing, Ltd.. This book was released on 2012-10-01 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the success of the 2007 original, Dekker revises, enhances and expands his view of just culture for this second edition, additionally tackling the key issue of how justice is created inside organizations. The goal remains the same: to create an environment where learning and accountability are fairly and constructively balanced. The First Edition of Sidney Dekker’s Just Culture brought accident accountability and criminalization to a broader audience. It made people question, perhaps for the first time, the nature of personal culpability when organizational accidents occur. Having raised this awareness the author then discovered that while many organizations saw the fairness and value of creating a just culture they really struggled when it came to developing it: What should they do? How should they and their managers respond to incidents, errors, failures that happen on their watch? In this Second Edition, Dekker expands his view of just culture, additionally tackling the key issue of how justice is created inside organizations. The new book is structured quite differently. Chapter One asks, ‘what is the right thing to do?’ - the basic moral question underpinning the issue. Ensuing chapters demonstrate how determining the ‘right thing’ really depends on one’s viewpoint, and that there is not one ‘true story’ but several. This naturally leads into the key issue of how justice is established inside organizations and the practical efforts needed to sustain it. The following chapters place just culture and criminalization in a societal context. Finally, the author reflects upon why we tend to blame individual people for systemic failures when in fact we bear collective responsibility. The changes to the text allow the author to explain the core elements of a just culture which he delineated so successfully in the First Edition and to explain how his original ideas have evolved. Dekker also introduces new material on ethics and on caring for the’ second victim’ (the professional at the centre of the incident). Consequently, we have a natural evolution of the author’s ideas. Those familiar with the earlier book and those for whom a just culture is still an aspiration will find much wisdom and practical advice here.
Download or read book Human Factors Methods written by Neville Stanton and published by Ashgate Publishing, Ltd.. This book was released on 2013 with total page 657 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition of Human Factors Methods: A Practical Guide for Engineering and Design now presents 107 design and evaluation methods including numerous refinements to those that featured in the original. The book acts as an ergonomics methods manual, aiding both students and practitioners. Offering a 'how-to' text on a substantial range of ergonomics methods, the eleven sections represent the different categories of ergonomics methods and techniques that can be used in the evaluation and design process.
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:
Download or read book Handbook of Human Factors in Litigation written by Y. Ian Noy and published by CRC Press. This book was released on 2004-12-28 with total page 1031 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using ergonomics in forensics can help prevent the recurrence of system failures through engineering or administrative controls. It can also raise the level of concern among professionals and the public regarding product, workplace, and service safety due to perceived exposure to liability. Even with such a potentially important and broad impact, f
