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Human Performance Improvement through Human Error Prevention - A Comprehensive Implementation Guide for Protecting Employees and Maintaining Cost Efficiency (Hardcover)
Loot Price: R12,886
Discovery Miles 128 860
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Human Performance Improvement through Human Error Prevention - A Comprehensive Implementation Guide for Protecting Employees and Maintaining Cost Efficiency (Hardcover)
Expected to ship within 12 - 17 working days
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* Addresses the four fields of focus for error prevention /
reduction - namely, (1) hazards and barriers, (2) error traps and
counteraction behaviors, (3) erroneous and correct thought process
in decision-making and (4) prevention of the recurrence of error.
The scope of this book is unique. * Provides my unique model of
performance - using the daisy chain of knowledge, cognition,
beliefs, values, attitudes, behavior, results, performance. *
Addresses in detail Dr. Peter Drucker's teaching, as follows: "The
task of leadership is to create an alignment of strengths in a way
that makes a system's weaknesses irrelevant." My book makes it
clear that the "alignment of strengths" are the error prevention,
detection and mitigation barriers and the "weaknesses" are the
hazards in processes that are or should be made irrelevant by the
barriers. My book provides the specifics of how to identify and
assess the hazards and how to create effective barriers. * Provides
the most complete list and most comprehensive a discussion of
management responsibilities to establish and maintain the
quality-conscious work environment. * Provides my 30+ principles of
human error prevention, none of which duplicate Dr. James Reason's
12 principles of error management and a few of which contradict Dr.
Reason's principles. * Provides a unique seven 7 human error causal
factors which, when fully understood, enable one to better design
processes and better perform root cause analysis. * Addresses risk
management at three levels - (1) risk management of processes, (2)
risk management of components and (3) and risk management of
hardware systems and the facility as a whole. The techniques for
each are significantly different. Neither ISO 9001 not ISO 31000 do
this. * Provides the most complete list of techniques for improving
the effectiveness of process barriers and the most comprehensive
discussion of these techniques. * Describes the full scope of the
quality function in terms of hazards and barriers. * Provides a
unique nine types of corrective action with examples of each. *
Describes 36 biases that adversely impact decision-making. *
Describes the 10 questions that should be asked and answered before
making any significant decision. * Provides unique templates for
root cause analysis - templates that assure the discipline, rigor
and logic of the analysis. * Provides the most complete and
comprehensive coverage of the widely known Piper Alpha accident,
especially the causal factors of the accident, and introduces a
non-fail-safe character of the work permit process as the major
cause. * provides universally applicable criteria for 37 different
areas types of processes that may be included in the enterprise
business management system - criteria that are designed to prevent
human error in the design of the processes. Examples are: o 12
cross-references to facilitate document change management; o 100+
different types of records; o Methods by which to improve
inspection and test effectiveness. Regarding specific incidents,
the book: * Introduces violation of The Precautionary Principle in
addition to GroupThink as causes of the Challenger accident. *
Demonstrates that even if Alaska Flight 161 had not crashed due to
the change in the lubrication schedule for the jackscrew assembly,
sooner or later it would have crashed due to the lack of
specificity in the maintenance procedure for the jackscrew
assembly. * Demonstrates that even with all of the error-inducing
conditions aboard the Greenville submarine, its sinking of the
Ehime Maru could not have occurred without the failure of a
barrier. Error-inducing conditions cannot be root causes. * My book
Note: Bold typed items represent my unique additions to the body of
knowledge. Non-bold typed items represent my special treatment of
items that already exist in the body of knowledge.
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