The Field Guide To Understanding Human Error

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The Field Guide to Understanding Human Error

Author : Sidney Dekker
Publisher : CRC Press
ISBN 13 : 1351889753
Total Pages : 250 pages
Book Rating : 4.3/5 (518 download)

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Book Synopsis The Field Guide to Understanding Human Error by : Sidney Dekker

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 250 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 This old view of human error is increasingly outdated and will lead you nowhere.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.

The Field Guide to Understanding 'Human Error'

Author : Professor Sidney Dekker
Publisher : Ashgate Publishing, Ltd.
ISBN 13 : 1472439074
Total Pages : 249 pages
Book Rating : 4.4/5 (724 download)

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Book Synopsis The Field Guide to Understanding 'Human Error' by : Professor Sidney Dekker

Download or read book The Field Guide to Understanding 'Human Error' written by Professor Sidney Dekker and published by Ashgate Publishing, Ltd.. This book was released on 2014-12-28 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: This latest edition of The Field Guide to Understanding ‘Human Error' will help you understand how to move beyond 'human error'; how to understand accidents; how to do better investigations; how to understand and improve your safety work. You will be invited to think creatively and differently about the safety issues you and your organization face. In each, you will find possibilities for a new language, for different concepts, and for new leverage points to influence your own thinking and practice, as well as that of your colleagues and organization.

The Field Guide to Human Error Investigations

Author : Sidney Dekker
Publisher : Routledge
ISBN 13 : 1351786032
Total Pages : 137 pages
Book Rating : 4.3/5 (517 download)

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Book Synopsis The Field Guide to Human Error Investigations by : Sidney Dekker

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.

The Field Guide to Understanding Human Error

Author : Dekker Sidney
Publisher : Ashgate Publishing
ISBN 13 : 9781283994552
Total Pages : 236 pages
Book Rating : 4.9/5 (945 download)

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Book Synopsis The Field Guide to Understanding Human Error by : Dekker Sidney

Download or read book The Field Guide to Understanding Human Error written by Dekker Sidney and published by Ashgate Publishing. This book was released on 2006 with total page 236 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.

Just Culture

Author : Sidney Dekker
Publisher : CRC Press
ISBN 13 : 1317109899
Total Pages : 250 pages
Book Rating : 4.3/5 (171 download)

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Book Synopsis Just Culture by : Sidney Dekker

Download or read book Just Culture written by Sidney Dekker and published by CRC Press. This book was released on 2018-09-07 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: A just culture is a culture of trust, learning and accountability. It is particularly important when an incident has occurred; when something has gone wrong. How do you respond to the people involved? What do you do to minimize the negative impact, and maximize learning? This third edition of Sidney Dekker’s extremely successful Just Culture offers new material on restorative justice and ideas about why your people may be breaking rules. Supported by extensive case material, you will learn about safety reporting and honest disclosure, about retributive just culture and about the criminalization of human error. Some suspect a just culture means letting people off the hook. Yet they believe they need to remain able to hold people accountable for undesirable performance. In this new edition, Dekker asks you to look at 'accountability' in different ways. One is by asking which rule was broken, who did it, whether that behavior crossed some line, and what the appropriate consequences should be. In this retributive sense, an 'account' is something you get people to pay, or settle. But who will draw that line? And is the process fair? Another way to approach accountability after an incident is to ask who was hurt. To ask what their needs are. And to explore whose obligation it is to meet those needs. People involved in causing the incident may well want to participate in meeting those needs. In this restorative sense, an 'account' is something you get people to tell, and others to listen to. Learn to look at accountability in different ways and your impact on restoring trust, learning and a sense of humanity in your organization could be enormous.

Human Error

Author : James Reason
Publisher : Cambridge University Press
ISBN 13 : 9780521314190
Total Pages : 324 pages
Book Rating : 4.3/5 (141 download)

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Book Synopsis Human Error by : James Reason

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.

Human Performance Improvement through Human Error Prevention

Author : BW (Ben) Marguglio
Publisher : CRC Press
ISBN 13 : 1000397165
Total Pages : 705 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Human Performance Improvement through Human Error Prevention by : BW (Ben) Marguglio

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.

Foundations of Safety Science

Author : Sidney Dekker
Publisher : Routledge
ISBN 13 : 1351059777
Total Pages : 530 pages
Book Rating : 4.3/5 (51 download)

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Book Synopsis Foundations of Safety Science by : Sidney Dekker

Download or read book Foundations of Safety Science written by Sidney Dekker and published by Routledge. This book was released on 2019-04-09 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt: How are today’s ‘hearts and minds’ programs linked to a late-19th century definition of human factors as people’s moral and mental deficits? What do Heinrich’s ‘unsafe acts’ from the 1930’s have in common with the Swiss cheese model of the early 1990’s? Why was the reinvention of human factors in the 1940’s such an important event in the development of safety thinking? What makes many of our current systems so complex and impervious to Tayloristic safety interventions? ‘Foundations of Safety Science’ covers the origins of major schools of safety thinking, and traces the heritage and interlinkages of the ideas that make up safety science today. Features Offers a comprehensive overview of the theoretical foundations of safety science Provides balanced treatment of approaches since the early 20th century, showing interlinkages and cross-connections Includes an overview and key points at the beginning of each chapter and study questions at the end to support teaching use Uses an accessible style, using technical language where necessary Concentrates on the philosophical and historical traditions and assumptions that underlie all safety approaches

The British National Bibliography

Author : Arthur James Wells
Publisher :
ISBN 13 :
Total Pages : 1884 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The British National Bibliography by : Arthur James Wells

Download or read book The British National Bibliography written by Arthur James Wells and published by . This book was released on 2006 with total page 1884 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Bibliographie Mensuelle

Author : United Nations Library (Geneva, Switzerland)
Publisher :
ISBN 13 :
Total Pages : 236 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Bibliographie Mensuelle by : United Nations Library (Geneva, Switzerland)

Download or read book Bibliographie Mensuelle written by United Nations Library (Geneva, Switzerland) and published by . This book was released on 2010-07 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Controller

Author :
Publisher :
ISBN 13 :
Total Pages : 446 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Controller by :

Download or read book The Controller written by and published by . This book was released on 2001 with total page 446 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Questions of Accountability

Author : Matthew Flinders
Publisher : Bloomsbury Publishing
ISBN 13 : 1509964231
Total Pages : 343 pages
Book Rating : 4.5/5 (99 download)

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Book Synopsis Questions of Accountability by : Matthew Flinders

Download or read book Questions of Accountability written by Matthew Flinders and published by Bloomsbury Publishing. This book was released on 2023-09-21 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores accountability from a range of perspectives, crossing traditional disciplinary, thematic, and professional boundaries. It asks fresh questions about accountability and its place and importance in democratic societies. Accountability matters. It matters because it connects the governors with the governed, and for this reason it is a hallmark of democratic governance. And yet, amidst a backdrop of concerns about democratic back-sliding, the rise of populism, the role of algorithmic governance, moral barbarism, and post-truth politics - to mention just a few issues - a number of potentially far-reaching questions of accountability have been asked. It is for exactly this reason that this book explores the concept of accountability from a range of perspectives, crossing traditional disciplinary, thematic, and professional boundaries. It asks fresh questions about accountability and its place and importance in democratic societies. The book considers the questions raised by the shifting architecture of accountability. Whilst some scholars suggest that accountability processes have never been so effective -trumpeting the rise of monitory democracy with its dense array of watchdogs, sleaze-busters, auditors, legislative committees, statutory supports, and investigative mechanisms - others express concern about the risk of 'overloads', 'gaps', and 'traps'. This has led to a focus on fuzzy accountability and diagonal accountability, pointing to increasing conceptual confusion. Bringing together world-leading scholars and former politicians and public servants, the book cuts through this confusion and provides the reader with the answers to the most debated issues, including rarely discussed 'pathologies of accountability', post-human governance, and a novel focus on balance and proportionality.

Understanding Policy Success

Author : Allen McConnell
Publisher : Red Globe Press
ISBN 13 :
Total Pages : 292 pages
Book Rating : 4.3/5 (555 download)

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Book Synopsis Understanding Policy Success by : Allen McConnell

Download or read book Understanding Policy Success written by Allen McConnell and published by Red Globe Press. This book was released on 2010-08-11 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Success and failure are key to any consideration of public policy but there have been remarkably few attempts to assess systematically the various dimensions and complex nature of policy success. This important new text fills the gap by developing a systematic framework and offering an entirely new way of introducing students to policy analysis.

Commercial Aviation Safety, Seventh Edition

Author : Anthony Lawrenson
Publisher : McGraw Hill Professional
ISBN 13 : 1264278713
Total Pages : 557 pages
Book Rating : 4.2/5 (642 download)

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Book Synopsis Commercial Aviation Safety, Seventh Edition by : Anthony Lawrenson

Download or read book Commercial Aviation Safety, Seventh Edition written by Anthony Lawrenson and published by McGraw Hill Professional. This book was released on 2023-06-02 with total page 557 pages. Available in PDF, EPUB and Kindle. Book excerpt: Your definitive guide to commercial aviation safety—fully updated to cover the latest regulations and practices This thoroughly revised guide covers all the principles and practices of commercial aviation safety—from human factors and accident investigation to management strategies and regulatory compliance. Written by a team of experts, Commercial Aviation Safety, Seventh Edition delivers comprehensive risk management information—both on the ground and in the air. You will get plain language explanations of the latest standards from the International Civil Aviation Organization (ICAO), the Federal Aviation Administration (FAA), the European Union Aviation Safety Agency (EASA), and other National Aviation Authorities (NAAs). Up-to-date U.S. and international accident statistics also are provided. Each section of the book includes detailed real-world examples as well as analysis and explanations of the core issues. This new edition covers: The evolution of commercial aviation safety Safety terms, theories, and models Commercial aviation accidents causes International aviation accident investigation processes Aircraft, airport, and air traffic safety systems Human fallibility risk mitigation Safety culture assessment and management Safety system theory and practice International and U.S. aviation safety management systems and data Proactive system safety procedures and protocols Aviation security methods Up-to-date codes and regulations The role of government in safety Emerging trends in commercial aviation safety

Understanding Patient Safety, Third Edition

Author : Robert Wachter
Publisher : McGraw Hill Professional
ISBN 13 : 1259860256
Total Pages : 529 pages
Book Rating : 4.2/5 (598 download)

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Book Synopsis Understanding Patient Safety, Third Edition by : Robert Wachter

Download or read book Understanding Patient Safety, Third Edition written by Robert Wachter and published by McGraw Hill Professional. This book was released on 2017-12-01 with total page 529 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now revised and updated—the landmark patient safety primer written by the world’s leading authorities Medical errors are the unfortunate byproduct of an increasingly complex healthcare system. Now more than ever, keeping patients safe takes well-trained caregivers, relevant insights from a range of industries, additional investment—and a groundbreaking text like Understanding Patient Safety. Understanding Patient Safety is “must read” for those seeking to master the clinical, organizational, and systems issues of patient safety. In this bestselling primer, patient safety pioneer Robert Wachter and Kiran Gupta put all the essential tools and principles at your fingertips. Engaging and accessible, the book is filled with high-yield cases, analyses, tables, graphics, along with key points and references—all designed to help you optimize quality and safety. Understanding Patient Safety begins with an introduction to patient safety and medical errors. Its second section surveys specific types of medical errors, including those related to surgery, medications, diagnosis, transition and handoff, and infections. The third section covers proven solutions, from establishing reporting systems, to creating a culture of safety. The third edition reflects pivotal new developments in the field, including major updates in diagnostic errors, information technology and patient safety, ambulatory safety, and clinician burnout. Features: •Coverage of human factors and errors at the person-machine interface •Review of workplace issues, including supporting caregivers after major errors •How to organize an effective safety program •Coordination of patient education and training •Overview of the malpractice system •Discussion of the patient’s role

Error-Proofing Humans

Author : Paul G Hylenski
Publisher :
ISBN 13 : 9781088158180
Total Pages : 0 pages
Book Rating : 4.1/5 (581 download)

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Book Synopsis Error-Proofing Humans by : Paul G Hylenski

Download or read book Error-Proofing Humans written by Paul G Hylenski and published by . This book was released on 2023-05-13 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Error-Proofing Humans: A Comprehensive Methodology for Understanding and Reducing Human Error Do you want to understand and minimize human error? Error-Proofing Humans: A Comprehensive Methodology for Understanding and Reducing Human Error is the book for you. Created by an industry veteran and human factors specialist, this book is essential for anyone looking to create a safer, more reliable environment and avoid costly mistakes. Error Proofing Humans is the go-to source for all the latest research on human error and its causes. Learn from experts in the field as they discuss the theoretical background of human error and its consequences, as well as practical tools for analysis and prevention. This book covers a wide range of topics, from the most basic concepts of human error analysis to advanced techniques for dealing with complex systems. It is the perfect resource for business owners, safety professionals, and anyone who wants to learn more about the human factors involved in mistakes and accidents. Make sure to learn from the best in the field and get Human Factors in Error-Proofing Humans: A Comprehensive Methodology for Understanding and Reducing Human Error today!

Human Factors for Civil Flight Deck Design

Author : Don Harris
Publisher : Routledge
ISBN 13 :
Total Pages : 352 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Human Factors for Civil Flight Deck Design by : Don Harris

Download or read book Human Factors for Civil Flight Deck Design written by Don Harris and published by Routledge. This book was released on 2004 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressees all the human factors issues pertinent to the design of modern flight decks, from the design of the pilot's seats and workspace to the cognitive ergonomics of the flight management computer interface.