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The Field Guide to Understanding 'Human Error'

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    Available in PDF - DJVU Format | The Field Guide to Understanding 'Human Error'.pdf | Language: ENGLISH
    Sidney Dekker(Author)

    Book details


When faced with a ‘human error’ problem, you may be tempted to ask 'Why didn’t these people watch out better?' Or, 'How can I get my people more engaged in safety?' You might think you can solve your safety problems by telling your people to be more careful, by reprimanding the miscreants, by issuing a new rule or procedure and demanding compliance. 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.

Building on its successful predecessors, the third edition of The Field Guide to Understanding ‘Human Error’ will help you understand 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, suggesting that you are not the custodian of an already safe system. It will encourage you to start looking more closely at the performance that others may still call 'human error', allowing you to discover how your people create safety through practice, at all levels of your organization, mostly successfully, under the pressure of resource constraints and multiple conflicting goals.

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.

If you are faced with a ‘human error’ problem, abandon the fallacy of a quick fix. Read this book.

‘It's in the world's best interest to read Dekker’s book. The Field Guide is nothing short of a paradigm shift in thinking about “human error”, and in my domain of software and Internet engineering, it should be considered required reading. This Third Edition is much better than the Second, and the layout of the material is far more accessible.’--- John Allspaw, SVP, Infrastructure and Operations, Etsy‘If you design equipment or operating procedures, if you investigate accidents or deal with safety, this is an essential book. Sidney Dekker, a leading world authority on "human error" has enhanced his already exceptional "Field Guide" to be a concise, readable guide to both design of equipment and procedures and also the analysis of mishaps. The label "human error" is misleading and its use prevents discovery and correction of the true underlying causes of incidents. So read about hindsight bias, about the difference between the view from inside the system rather than from outside, and about difference between the blunt end (where you should do your work) and the sharp end (where people tend to focus). Read, learn, and put these ideas into practice. The results will be fewer incidents, less damage, less injury.’--- Don Norman, author of The Design of Everyday Things‘The Third Edition of Sidney Dekker's Field Guide to Understanding “Human Error” provides a solid practical framework for anyone wanting to make sense of safety science, human factors analysis, and the New View approach to conducting investigations of incidents and accidents. The trademark direct and passionate style that is common in Dekker's work focuses on the circumstances of frontline operators and managers working in complex systems, as well as the challenges of the safety investigator. Dekker does not mince his words ("Any human factors investigation that does not take goal conflicts seriously does not take human work seriously") and is clearly supportive both of sharp end workers, who are tasked with creating safety in the face of resource constraints in complex systems, as well as the investigators, charged with making sense of events that often seem surprising and unpredictable. Several new topics are introduced and enrich the earlier versions of the Field Guide - for instance the chapter on creating a safety department presents important principles for those with the courage to take on such a daunting task. This will be an invaluable resource for any organization serious about understanding and improving the safety of their operations.’ --- Dr Robert Robson, Principal Advisor, Healthcare System Safety and Accountability, Inc.‘When things go wrong in organisations, one thing is almost always found in the post-mortem: “human error” (in various guises). But one only needs to scratch the surface of system failures to understand that things are not so straightforward. What seems to make sense as a causal catch-all for our everyday slips and blunders snaps when stretched; it fails to explain the context and complexity of our work and systems. There is a better way. In this important book, Sidney Dekker conveys a practical approach for life after “human error”. It is both humanistic and systemic; it treats people holistically and non-judgementally, while considering system conditions and dynamics in context. If you are prepared to suspend your own preconceptions and reactions to failure this book will repay you with a practical, highly readable and deeply humane approach to dealing with failure.’--- Steven Shorrock, European Safety Culture Program Leader, EUROCONTROL

3.5 (10826)
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Required Software Any PDF Reader, Apple Preview
Supported Devices Windows PC/PocketPC, Mac OS, Linux OS, Apple iPhone/iPod Touch.
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Printable? Yes

Book details

  • PDF | 248 pages
  • Sidney Dekker(Author)
  • CRC Press; 3 edition (28 Nov. 2014)
  • English
  • 10
  • Health, Family & Lifestyle

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Review Text

  • By A. W. Bartholomew on 14 January 2015

    Excellent book which ties in with my background in Social Psychology.Perhaps one way of summarising this is: Dekker challenges the current behavioural systems approach to safety management focuses instead on the interpersonal relationships between complex systems and personal decision making of workers.This book should be read by all Health and Safety managers if they really want to understand why safety goes wrong.Alan Bartholomew

  • By richard j hillman on 21 September 2015

    Excellent book with a slight tendency for repetition. The central ideas are clearly presented, and bear repetition as the resistance to these new ways of looking at human error can be considerable - actually fixing things is harder than blaming someone else. If you work at the 'pointy end' of a safety critical job or industry, ever have to fill in safety reports or analyse incidents, you should have read this book. It will help you. If you manage a safety critical industry you should adopt the philosophy of this book immediately.Mr Dekker's background is aviation safety and this comes out in his examples which tend to be aviation-heavy but not exclusively so. Nonetheless, his examples are made clearly and demonstrate strongly his arguments and the sense and practicality of his analysis.A really interesting read which will definitely help me in my efforts to stay out of trouble.

  • By Graham Smith on 21 September 2015

    Valuable insight but the rather academic prose doesn't make it an easy read, which limits its usefulness. It is primarily of interest to the aviation industry more than industry in general.

  • By Andrew Leisk on 4 May 2016

    An absolute must read book for those interested in safety and for those who are not. A thought provoking book that will make you think about safety, safety reports in a totally different light.

  • By Sarah guest on 18 December 2015

    requested present so just fine

  • By marduc on 16 July 2015

    Mandatory study material


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