Sidney dekker field guide to understanding human error
Field Guide to Understanding Human Error by Sidney DekkerWhen faced with a human error problem, you may be tempted to ask Why didnt 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 This old view of human error is increasingly outdated and will lead you nowhere.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'
Cancel anytime. These five theories about how humans perform in organizations are principles, the building blocks of human performance, through which we have established a new way to think about safety and reliability in our worlds A just culture is a culture of trust, learning, and accountability. This third edition 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, retributive just culture, and the criminalization of human error. If you learn to look at accountability in different ways, your impact on restoring trust, learning, and a sense of humanity in your organization could be enormous.
His specialties and research interests are system safety, human error, reactions to failure and criminalization, and organizational resilience. He has some experience as a pilot, type trained on the DC-9and Airbus A Building on its successful predecessors, the third edition of The Field Guide to Understanding 'Human Error' will show a new way of dealing with a perceived "human error" problem in your organization. It will help you trace how your organization juggles inherent trade-offs between safety and other pressures and expectations These were systems that drifted into failure. This book explores complexity theory and systems thinking to understand better how this happens
Accidents have their basis in the real complexity of the system, not their apparent simplicity. It is essential that the critic should keep himself constantly aware of that fact. Goodreads helps you keep track of books you want to read. Want to Read saving…. Want to Read Currently Reading Read. Other editions.
Simply link your Qantas Frequent Flyer membership number to your Booktopia account and earn points on eligible orders. Either by signing into your account or linking your membership details before your order is placed. Your points will be added to your account once your order is shipped. Click on the cover image above to read some pages of this book! When faced with a 'human error' problem, you may be tempted to ask 'Why didn't these people watch out better?