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The Field Guide to Understanding Human Error
 
 
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The Field Guide to Understanding Human Error (Paperback)

by Sidney Dekker (Author)
4.0 out of 5 stars  See all reviews (2 customer reviews)
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Product Description

Product Description

When faced with a human error problem, you may be tempted to ask 'Why didn't they watch out better? How could they not have noticed?'. You think you can solve your human error problem by telling people to be more careful, by reprimanding the miscreants, by issuing a new rule or procedure. 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. This old view of human error is increasingly outdated and will lead you nowhere. The new view, in contrast, understands that a human error problem is actually an organizational problem. Finding a 'human error' by any other name, or by any other human, is only the beginning of your journey, not a convenient conclusion. The new view recognizes that systems are inherent trade-offs between safety and other pressures (for example: production). People need to create safety through practice, at all levels of an organization. Breaking new ground beyond its successful predecessor, "The Field Guide to Understanding Human Error" guides you through the traps and misconceptions of the old view. It explains how to avoid the hindsight bias, to zoom out from the people closest in time and place to the mishap, and resist the temptation of counterfactual reasoning and judgmental language. But it also helps you look forward. It suggests how to apply the new view in building your safety department, handling questions about accountability, and constructing meaningful countermeasures. It even helps you in getting your organization to adopt the new view and improve its learning from failure. So if you are faced by a human error problem, abandon the fallacy of a quick fix. Read this book.


About the Author

Sidney Dekker is Professor of Human Factors and Flight Safety, and Director of Research at the School of Aviation, Lund University, Sweden. He has previously worked at the Public Transport Cooperation in Melbourne, Australia; the Massey University School of Aviation, New Zealand, British Aerospace, UK, and has been a Senior Fellow at Nanyang Technological University in Singapore. His specialties and research interests are system safety, human error, reactions to failure and criminalization, and organizational resilience. He has some experience as a pilot, type trained on the DC-9and Airbus A340.
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Front Cover | Copyright | Table of Contents | Excerpt | Index | Back Cover
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6 of 6 people found the following review helpful:
5.0 out of 5 stars The best guide to how to investigate error, 8 Jun 2008
By Mr. Andrew Evans "Andy Evans" (Aberdeen, UK) - See all my reviews
(REAL NAME)   
Essential reading for any safety investigator. An eye-opening way to transform your investigations by moving from the old-view to the new-view. I've used this book as a 'course book' for a seminar of 25 safety professionals to great effect. Plus there is a good guide to the role of a safety department too.
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3 of 3 people found the following review helpful:
3.0 out of 5 stars 3.5 stars, 18 Aug 2009
By J. L. Tse (London) - See all my reviews
(REAL NAME)   
This book is an interesting read. Dekker certainly knows his stuff and writes in a relatively approachable way.

The chapters are relatively short..so digestible..that's a key benefit when topics are heavy like 'human error'. They are also punctuated with quotes from accident reports, which help illustrate his arguments well, and puts some flesh onto the bones behind the principles he is discussing. The final chapter also summarises key points from previous chapters as a handy recap of what you need to take away after reading the book.

It's very much focused on the aircraft sector..though he does sometimes, and welcomely bring in some examples from other sectors (though not enough really to users a comprehensive flavour).

Conceptually, what he preaches makes sense...and is something that really challenges how companies might have traditionally tackled human error. However, I am left with a little unease in trying to accept his viewpoint entirely. His New View as he calls it, places human error as a consequence (not a cause of accidents) of organisational inadequacy, rather than fixating the responsibility of error at the operators feet. That makes sense to some degree, but wether one can have one without the other is my key challenge to this paradigm he proposes.

Nonetheless, it is worth reading if only to see how he approaches human error and his viewpoint is worthy to keep in mind when considering what human error is.

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