Analysis Human Error
Contents |
from expected behavior. Under normal conditions, we can make between three to seven errors per hour. Under stressful, emergency, or unusual conditions, we can make an average of 11 errors human error statistics per hour. But why do we make errors? Is it the individual’s fault?
Human Error Analysis Hea
A recent presentation by the Idaho National Laboratory showed following: Latent organizational weaknesses include work processes, and, as the above shows,
Human Error Definition
such work processes usually are behind human error. Why did the error occur? The procedure wasn’t followed. Why? Human error. Why was there human error? The work process needs improvement. Sometimes, human error
Human Error Prevention
proves just how good some workers are. At the beginning of a root cause analysis, it’s not uncommon to hear someone say: “Bob has been calibrating these instruments for 20 years and he just screwed up.” Though it may seem like finger-pointing, it’s actually the ultimate compliment, and the incident investigation facilitator should recognize it. Think about the math. Bob has performed this task twice a week, 100 human error analysis techniques times a year for 20 years. That’s 2,000 calibrations—and this is his first significant error? Error rates of just 1/1000 are considered exceptional, and Bob beat this by a long shot. Does this warrant a root cause analysis at all? It may, because incidents rarely if ever have just one cause. Are we absolutely sure that Bob’s mistake was the only reason the incident occurred? Dig deeper and you likely will find there’s more to the problem than Bob’s once-in-an-eon snafu. Beyond Blame If we stop at “Procedure Not Followed,” the usual response is to blame a person. Blame is easy and does not focus on the process. Let’s face it—“Procedure Not Followed” is a simple (albeit oversimplified) explanation of confusing and complex problems. It also requires little or no work from anyone in an organization except the person who made the mistake. How does this make the person feel? Not listened to, unappreciated and, eventually, apathetic, which isn’t good for anybody. The key to getting beyond the procedure-not-followed conundrum in a root cause analysis is obtaining detail, and it’s here where the Cause Mapping facilitator plays a key role. During the brief kickoff meeting that can start an incident investigation, th
Communication, Networking & Broadcasting human error analysis osha Components, Circuits, Devices & Systems Computing & Processing human error analysis and reduction technique Engineered Materials, Dielectrics & Plasmas Engineering Profession Fields, Waves & Electromagnetics General human error analysis pdf Topics for Engineers Geoscience Nuclear Engineering Photonics & Electro-Optics Power, Energy, & Industry Applications Robotics & Control Systems Signal Processing http://procedurenotfollowed.com/root-cause-human-error.html & Analysis Transportation Browse Books & eBooks Conference Publications Courses Journals & Magazines Standards By Topic My Settings Content Alerts My Projects Search Alerts Preferences Purchase History Search History What can I access? Get Help About IEEE Xplore Feedback http://ieeexplore.ieee.org/iel5/21/6313126/06313142.pdf?tp=&arnumber=6313142&punumber=21 Technical Support Resources and Help Terms of Use What Can I Access? Subscribe Personal Sign In Create Account IEEE Account Change Username/Password Update Address Purchase Details Payment Options Order History View Purchased Documents Profile Information Communications Preferences Profession and Education Technical Interests Need Help? US & Canada: +1 800 678 4333 Worldwide: +1 732 981 0060 Contact & Support About IEEE Xplore Contact Us Help Terms of Use Nondiscrimination Policy Sitemap Privacy & Opting Out of Cookies A not-for-profit organization, IEEE is the world's largest technical professional organization dedicated to advancing technology for the benefit of humanity.© Copyright 2016 IEEE - All rights reserved. Use of this web site signifies your agreement to the terms and conditions.
be down. Please try the request again. Your cache administrator is webmaster. Generated Fri, 30 Sep 2016 11:50:25 GMT by s_hv902 (squid/3.5.20)
be down. Please try the request again. Your cache administrator is webmaster. Generated Fri, 30 Sep 2016 11:50:25 GMT by s_hv902 (squid/3.5.20)