Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Considerations Behind Human Error PDF full book. Access full book title Considerations Behind Human Error by Ferdinando Restina. Download full books in PDF and EPUB format.
Author: Ferdinando Restina Publisher: Lulu.com ISBN: 0244680132 Category : Reference Languages : en Pages : 314
Book Description
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.
Author: Ferdinando Restina Publisher: Lulu.com ISBN: 0244680132 Category : Reference Languages : en Pages : 314
Book Description
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.
Author: Sidney Dekker Publisher: Routledge ISBN: 1351786032 Category : Social Science Languages : en Pages : 137
Book Description
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.
Author: Marilyn Sue Bogner Publisher: CRC Press ISBN: 1351440209 Category : Technology & Engineering Languages : en Pages : 424
Book Description
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.
Author: David Woods Publisher: CRC Press ISBN: 1317175530 Category : Technology & Engineering Languages : en Pages : 495
Book Description
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.
Author: James Reason Publisher: Cambridge University Press ISBN: 9780521314190 Category : Psychology Languages : en Pages : 324
Book Description
This 1991 book is a major theoretical integration of several previously isolated literatures looking at human error in major accidents.
Author: Dr Leila Johannesen Publisher: Ashgate Publishing, Ltd. ISBN: 1409486389 Category : Technology & Engineering Languages : en Pages : 302
Book Description
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.
Author: Douglas A. Wiegmann Publisher: Routledge ISBN: 1351962353 Category : Technology & Engineering Languages : en Pages : 174
Book Description
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.
Author: Mr Geoff Simpson Publisher: Ashgate Publishing, Ltd. ISBN: 1409486087 Category : Psychology Languages : en Pages : 293
Book Description
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.
Author: American University (Washington, D.C.). Special Operations Research Office Publisher: ISBN: Category : Communist strategy Languages : en Pages : 310
Book Description
"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.
Author: Neville A. Stanton Publisher: CRC Press ISBN: 1439809925 Category : Technology & Engineering Languages : en Pages : 448
Book Description
Whether used for aviation, manufacturing, oil and gas extraction, energy distribution, nuclear or fossil fuel power generation, surveillance or security, all control rooms share two common features. The people operating them are often remote from the processes that they are monitoring and controlling and the operations work 24/7. The twin demands o
Author: Ferdinando Restina
Author: Ferdinando Restina
Author: Sidney Dekker
Author: Marilyn Sue Bogner
Author: David Woods
Author: James Reason
Author: Dr Leila Johannesen
Author: Douglas A. Wiegmann
Author: Mr Geoff Simpson
Author: American University (Washington, D.C.). Special Operations Research Office
Author: Neville A. Stanton