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This practical guide is designed to enable individual pilots,
training departments and airline managers to better understand and
use the techniques of facilitation. Based on extensive field
studies by the editors and invited contributors, it presents an
easily accessible guide to the philosophy of facilitation combined
with practical applications designed to improve training and flight
operations. Illustrated with realistic examples from aviation
settings, and specifically designed for aviation professionals, the
applications include: * debriefing of training sessions * crew
self-debriefing of line operations * analysis of problematic flight
incidents * assisting crew members after traumatic events It will
be essential reading for managers and instructors in airline
training departments, flight training organizations, flight schools
and researchers in flight training.
Most aviation accidents are attributed to human error, pilot error
especially. Human error also greatly effects productivity and
profitability. In his overview of this collection of papers, the
editor points out that these facts are often misinterpreted as
evidence of deficiency on the part of operators involved in
accidents. Human factors research reveals a more accurate and
useful perspective: The errors made by skilled human operators -
such as pilots, controllers, and mechanics - are not root causes
but symptoms of the way industry operates. The papers selected for
this volume have strongly influenced modern thinking about why
skilled experts make errors and how to make aviation error
resilient.
Why would highly skilled, well-trained pilots make errors that lead
to accidents when they had safely completed many thousands of
previous flights? The majority of all aviation accidents are
attributed primarily to human error, but this is often
misinterpreted as evidence of lack of skill, vigilance, or
conscientiousness of the pilots. The Limits of Expertise is a fresh
look at the causes of pilot error and aviation accidents, arguing
that accidents can be understood only in the context of how the
overall aviation system operates. The authors analyzed in great
depth the 19 major U.S. airline accidents from 1991-2000 in which
the National Transportation Safety Board (NTSB) found crew error to
be a causal factor. Each accident is reviewed in a separate chapter
that examines events and crew actions and explores the cognitive
processes in play at each step. The approach is guided by extensive
evidence from cognitive psychology that human skill and error are
opposite sides of the same coin. The book examines the ways in
which competing task demands, ambiguity and organizational
pressures interact with cognitive processes to make all experts
vulnerable to characteristic forms of error. The final chapter
identifies themes cutting across the accidents, discusses the role
of chance, criticizes simplistic concepts of causality of
accidents, and suggests ways to reduce vulnerability to these
catastrophes. The authors' complementary experience allowed a
unique approach to the study: accident investigation with the NTSB,
cognitive psychology research both in the lab and in the field,
enormous first-hand experience of piloting, and application of
aviation psychology in both civil and military operations. This
combination allowed the authors to examine and explain the
domain-specific aspects of aviation operations and to extend
advances in basic research in cognition to complex issues of human
performance in the real world. Although The Limits of Expertise is
directed to aviation operations, the implications are clear for
understanding the decision processes, skilled performance and
errors of professionals in many domains, including medicine.
Despite growing concern with the effects of concurrent task demands
on human performance, and research demonstrating that these demands
are associated with vulnerability to error, so far there has been
only limited research into the nature and range of concurrent task
demands in real-world settings. This book presents a set of NASA
studies that characterize the nature of concurrent task demands
confronting airline flight crews in routine operations, as opposed
to emergency situations. The authors analyze these demands in light
of what is known about cognitive processes, particularly those of
attention and memory, with the focus upon inadvertent omissions of
intended actions by skilled pilots. The studies reported within the
book employed several distinct but complementary methods:
ethnographic observations, analysis of incident reports submitted
by pilots, and cognitive task analysis. They showed that concurrent
task management comprises a set of issues distinct from (though
related to) mental workload, an area that has been studied
extensively by human factors researchers for more than 30 years.
This book will be of direct relevance to aviation psychologists and
to those involved in aviation training and operations. It will also
interest individuals in any domain that involves concurrent task
demands, for example the work of emergency room medical teams.
Furthermore, the countermeasures presented in the final chapter to
reduce vulnerability to errors associated with concurrent task
demands can readily be adapted to work in diverse domains.
Despite growing concern with the effects of concurrent task demands
on human performance, and research demonstrating that these demands
are associated with vulnerability to error, so far there has been
only limited research into the nature and range of concurrent task
demands in real-world settings. This book presents a set of NASA
studies that characterize the nature of concurrent task demands
confronting airline flight crews in routine operations, as opposed
to emergency situations. The authors analyze these demands in light
of what is known about cognitive processes, particularly those of
attention and memory, with the focus upon inadvertent omissions of
intended actions by skilled pilots. The studies reported within the
book employed several distinct but complementary methods:
ethnographic observations, analysis of incident reports submitted
by pilots, and cognitive task analysis. They showed that concurrent
task management comprises a set of issues distinct from (though
related to) mental workload, an area that has been studied
extensively by human factors researchers for more than 30 years.
This book will be of direct relevance to aviation psychologists and
to those involved in aviation training and operations. It will also
interest individuals in any domain that involves concurrent task
demands, for example the work of emergency room medical teams.
Furthermore, the countermeasures presented in the final chapter to
reduce vulnerability to errors associated with concurrent task
demands can readily be adapted to work in diverse domains.
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