HUMAN ERROR

HUMAN ERROR José Luis Garc í a-Chico (jgarciac@email.sjsu.edu) San Jose State University ISE 105 Spring 2006 April 24, 2006 “ To err is human…” (Cicero, I century BC) “… to understand the reasons why humans err is science” (Hollnagel, 1993)

What is important to know about human error? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Human error in nuclear powers plants ,[object Object],[object Object],[object Object],[object Object]

Definition of Human Error ,[object Object],[object Object],[object Object]

Human error performance (Norman, 1983)

Human error taxonomies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Human error taxonomies: SRK model of behavior (Rasmussen, 1982) ,[object Object],[object Object],[object Object],[object Object]

Generic Error Modeling System-GEMS (Reason, 1990) Skill-based level

Human Error Distribution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Human are error prone, but….is that all? ,[object Object],[object Object],[object Object],[object Object]

Model of Human Error causation (Reason, 1990) Accident / mishap Adapted from Shappel (2000)

Building solutions ,[object Object],[object Object],[object Object],[object Object]

Learning from past accident/incident ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nine steps to move forward from error: Woods & Cook (2002) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

A cased study: HUMAN FACTOR ANALYSIS OF OPERATIONAL ERRORS IN AIR TRAFFIC CONTROL Jose Luis Garcia-Chico San Jose State University Master Thesis of Human Factors and Ergonomics

Motivation of the study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Overview | Method | Research Questions | Initial Results

Taxonomic study: Initial Results Overview | Method | Research Questions | Initial Results

Top-10 OEs Overview | Method | Research Questions | Initial Results

Proximity of encounters: OE output

Concurrent and contextual factors Overview | Method | Research Questions | Initial Results

Further Reading ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HUMAN ERROR

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Was ist angesagt?

Was ist angesagt? (20)

Ähnlich wie HUMAN ERROR

Ähnlich wie HUMAN ERROR (20)

Mehr von Ülger Ahmet

Mehr von Ülger Ahmet (20)

Kürzlich hochgeladen

Kürzlich hochgeladen (20)

HUMAN ERROR