Behind Human Error / Edition 2

Behind Human Error / Edition 2

by David D. Woods, Richard Cook, Nadine Sarter, Sidney Dekker
     
 

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

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Overview

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.

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Product Details

ISBN-13:
9780754678342
Publisher:
Ashgate Publishing, Limited
Publication date:
02/29/2000
Edition description:
New Edition
Pages:
292
Sales rank:
523,903
Product dimensions:
6.10(w) x 9.10(h) x 1.00(d)

Meet the Author

Table of Contents

List of Figures vii

List of Tables ix

Acknowledgments xi

Reviews for Behind Human Error, Second Edition xii

About the Authors xiii

Preface xv

Part I An Introduction to the Second Story

1 The Problem with "Human Error" 3

2 Basic Premises 19

Part II Complex Systems Failure

3 Linear and Latent Failure Models 41

4 Complexity, Control and Sociological Models 61

5 Resilience Engineering 83

Part III Operating at the Sharp End

6 Bringing Knowledge to Bear in Context 101

7 Mindset 113

8 Goal Conflicts 123

Part IV How Design can Induce Error

9 Clumsy Use of Technology 143

10 How Computer-based Artifacts Shape Cognition and Collaboration 155

11 Mode Error in Supervisory Control 171

12 How Practitioners Adapt to Clumsy Technology 191

Part V Reactions to Failure

13 Hindsight Bias 199

14 Error as Information 215

15 Balancing Accountability and Learning 225

16 Summing Up: How to Go Behind the Label "Human Error" 235

References 251

Index 269

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