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The Field Guide to Understanding 'Human Error' (Hardcover, 3rd edition)
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The Field Guide to Understanding 'Human Error' (Hardcover, 3rd edition)
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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.
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