Multimodal safety management and human factors: crossing the borders of medical, aviation, road and rail industries
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| Other Authors: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Aldershot [u.a.]
Ashgate
2007
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| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Includes index |
| Physical Description: | XXII, 334 S. graph. Darst. 24cm |
| ISBN: | 9780754670216 |
Staff View
MARC
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| 245 | 1 | 0 | |a Multimodal safety management and human factors |b crossing the borders of medical, aviation, road and rail industries |c edited by José M. Anca |
| 264 | 1 | |a Aldershot [u.a.] |b Ashgate |c 2007 | |
| 300 | |a XXII, 334 S. |b graph. Darst. |c 24cm | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Includes index | ||
| 650 | 4 | |a Transportation |x Safety measures | |
| 650 | 4 | |a Transportation accidents | |
| 650 | 4 | |a Risk-taking (Psychology) | |
| 650 | 4 | |a Accident investigation | |
| 655 | 7 | |8 1\p |0 (DE-588)4522595-3 |a Fallstudiensammlung |2 gnd-content | |
| 700 | 1 | |a Anca, José M. |4 edt | |
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| 999 | |a oai:aleph.bib-bvb.de:BVB01-017100601 | ||
| 883 | 1 | |8 1\p |a cgwrk |d 20201028 |q DE-101 |u https://d-nb.info/provenance/plan#cgwrk | |
Record in the Search Index
| _version_ | 1804138593883521024 |
|---|---|
| adam_text | Contents
List of Figures ix
List of Tables xiii
Foreword xv
Preface xvii
Acknowledgements xix
List of Abbreviations xxi
PART 1 MULTIMODAL CHARACTERISTICS OF SAFETY
MANAGEMENT SYSTEMS 1
1 Can Simply Correcting the Deficiencies Found through Incident
Investigation Reduce Error? 3
Gerry Gibb, Safety Wise Solutions Pty Ltd
2 Moving Up the SMS Down Escalator 13
Bruce Tesmer, Continental Airlines
3 Unsafe or Safety-Significant Acts? 17
David McNair, Transportation Safety Board of Canada
4 The Calgary Health Region: Transforming the Management
of Safety 31
Jack Davis, Calgary Health Region, Jan M. Davies, University
of Calgary and Ward Flemons, Calgary Health Region
5 Governance and Safety Management 41
Greg Marshall, National Air Support
6 Overcoming the Short-Medium-Term Problems of Fleet
Transition: The Expectation and Achievement of Economic Gains 51
Boyd Falconer and Christopher Reid, University of
New South Wales and Jetstar Airways
PART 2 SAFETY MANAGEMENT METRICS, ANALYSIS AND
REPORTING TOOLS 59
7 A New Reporting System: Was the Patient Harmed or Nearly
Harmed? 61
Jan M. Davies, University of Calgary
Carmella Duchscherer and Glenn McRae, Calgary Health Region
vi Multimodal Safety Management and Human Factors
8 Using Aviation Insurance Data to Enhance General Aviation
Safety: Phase One Feasibility Study 73
Michael Lenne, Paul Salmon, Michael Regan, Narelle Haworth
and Nicola Fotheringham, Monash University Accident Research
Centre
9 Grappling with Complexity: Analysing an Accident with the
Theory of Constraints 83
Dmitri Zotov, Alan Wright and Lynn Hunt, Massey University
10 Drought in Safety Management - More Tools, Less Theory 107
Steve Tizzard, Civil Aviation Safety Authority (CASA), Australia
11 Aerial Agriculture Accidents 2000-2005: The Human Factors
and System Safety Lessons 113
Geoff Dell, Protocol Safety Management Pty Ltd and the Safety
Institute of Australia
12 Learning from Accidents and Incidents 131
Joanne De Landre, Safety Wise Solutions Pty Ltd
Miles Irving, Iaen Hodges and Bruce Weston, RailCorp
13 Managing Road User Error in Australia: Where Are We Now,
Where Are We Going and How Are We Going to Get There? 143
Paul M. Salmon, Michael Regan and Ian Johnston, Monash
University Accident Research Centre
PART 3 NORMAL OPERATIONS MONITORING AND
SURVEILLANCE TOOLS 157
14 Performance and Cognition in Dynamic Environments:
The Development of a New Tool to Assist Practitioners 159
Jemma M. Harris and Mark W. Wiggins, University of Western
Sydney, Scott Taylor, Eastern Australia Airlines
Matthew J. W. Thomas, University of South Australia
15 Error Management Training: Identification of Core Cognitive
and Interpersonal Skill Dimensions 169
Matthew J. W. Thomas and Renee M. Petrilli, University of
South Australia
16 Confidential Observations of Rail Safety (CORS):
An Adaptation of Line Operations Safety Audit (LOS A) 179
Allison McDonald and Brett Garrigan, Queensland Rail
Lisette Kanse, University of Queensland
Contents vii
17 Human Factors in Air Traffic Control: An Integrated Approach 189
Christine C. Boag-Hodgson, Airservices Australia
PART 4 THE MODALITY OF HUMAN FACTORS:
EXPLORING THE MANAGEMENT OF HUMAN ERROR 197
18 Human Factors at Railway Level Crossings: Key Issues and
Target Road User Groups 199
Jeremy Davey, Nadja Ibrahim and Angela Wallace,
Queensland University of Technology
19 Attitudes to Safety and Teamwork in the Operating Theatre, and
the Effects of a Program of Simulation-Based Team Training 211
Brendan Flanagan, Michele Joseph and Michael Bujor,
Southern Health Simulation and Skills Centre, Victoria
Stuart Marshall, The Alfred Hospital
20 Human Factors and the QFI: Developing Tools through
Experience 221
Boyd Falconer, University of New South Wales
21 Advanced Driver Assistance Systems and Road Safety:
The Human Factor 233
Michael A. Regan and Kristie L. Young, Monash University
Accident Research Centre
22 Recovery of Situational Awareness Using Operant Conditioning
Techniques 245
Peter N. Rosenweg, Psyfactors Pty Ltd
23 Effects of Flight Duty and Sleep on the Decision-Making of
Commercial Airline Pilots 259
Renee M. Petrilli, Matthew J. W. Thomas, Nicole Lamon, Drew
Dawson and Gregory D. Roach, University of South Australia
24 Medical Team Resource Management and Error Prevention
Training 271
David G. Newman, Flight Medicine Systems Pty Ltd
25 Driver Distraction: Review of the Literature and Suggestions for
Countermeasure Development 279
Kristie L. Young and Michael A. Regan, Monash University
Accident Research Centre
viii Multimodal Safety Management and Human Factors
26 Assessing and Managing Human Factors Risks -
Practical Examples in the Australian Rail Context 291
Julia Clancy, Lloyd s Register
27 Anaesthetic Registrars Stress Mediators in a Simulated
Critical Incident 301
Kate Fraser, Matthew J. W. Thomas andRenee Petrilli,
University of South Australia
28 Trying Before Buying: Human Factors Evaluations of New
Medical Technology 315
J.M. Davies, J.K. CairdandS. Chisholm
University of Calgary, Canada
Index 325
List of Figures
3.1 The Reason Model (A) 19
3.2 The Reason Model (B) 20
3.3 Sequence of events diagram 21
3.4 Investigation process from TSB manuals 22
3.5 DC-10 Chicago sequence of events example 24
3.6 Swissair 111 sequence of events example 25
3.7 Medical incident sequence of events 26
3.8 B767 Gimli fuel exhaustion sequence of events example 27
3.9 Air Transat A330 Azores fuel exhaustion sequence of events
example 28
3.10 A slight revision of the Reason Model 29
4.1 The Patient Safety Framework 35
7.1 Manufacturer s boxes of sodium chloride (NaCl) and
potassium chloride (KC1), in which the bottles of NaCl and
KC1 were transported and stored 63
7.2 Manufacturer s vials of sodium chloride (NaCl) and potassium
chloride (KC1) 63
7.3 The Calgary Health Region s safety framework 64
8.1 Potential data sources for accidents and incidents in general
aviation (for operations covered in the BTRE definition of GA) 77
9.1 Undesirable effects in the Ansett Dash 8 accident 85
9.2 Connections between undercarriage latch design and potential
to strike terrain 86
9.3 Financial stress and emergency training 87
9.4 Lack of continuation training - approach procedure 89
9.5 Maintenance aspects 89
9.6 Undercarriage failures 90
9.7 Absence of safety manager 91
9.8 Shortness of GPWS warning 92
x Multimodal Safety Management and Human Factors
9.9 Ansett Dash 8 current reality tree 93
9.10 Undesirable effects at the CAA 94
9.11 Absence of mindfulness at the CAA 95
9.12 Airline financial status effects 96
9.13 Current reality tree: the ability of the CAA to avert the Ansett
accident 97
9.14 Future reality tree: safety manager functions 99
9.15 The Ansett future reality tree 100
9.16 Conflict resolution diagram from CAA CRT 102
9.17 From sufficient resources to design of safety oversight regime 103
9.18 Future reality tree for the CAA 104
12.1 ICAM model of incident causation 133
12.2 ICAM analysis chart 138
13.1 The Swiss cheese model of error and accident causation 145
13.2 Prototype model of road user error and contributing conditions 148
13.3 A framework for an error tolerant road transport system 150
13.4 Data requirements for Phase four pilot study 152
13.5 Proposed pilot study methodology 153
15.1 A model of error management 175
17.1 TAAATS console display 192
20.1 Typical deficiencies among RAAF student pilots 224
20.2 Braithwaite s (2001) survey item designed to measure the
influence of hierarchy upon aircrew 225
20.3 Response from RAAF aircrew to Braithwaite s survey item 226
20.4 Tools for maximizing learning development 228
22.1 Cognitive failure and unsafe behaviour 247
22.2 The situational safety awareness model 249
23.1 Mean times (in mins) for crews to finalize their decision in the
high-sleep and low-sleep groups 267
23.2 Mean times (in mins) for crews to take positive action towards
their decision in the high-sleep and low-sleep groups 268
List of Figures xi
27.1 Experimental protocol with three night shifts or three days
leave prior to simulator session 305
27.2 Mean RMSSD (±SEM) for baseline and 10 minutes prior to
and post onset of the critical event for the rested condition and
non-rested condition 307
List of Tables
4.1 Increase in population in the Calgary Health Region,
2001-2005 32
4.2 Dimensions of quality of care 34
4.3 The 4Ps of safety management 36
6.1 Aircraft capacity growth 53
6.2 Growth in capacity to JetStar destinations 53
7.1 Levels of harm 68
10.1 Solo general and navigation hours, 1947-present 108
10.2 Minimum ab initio instructional hours to be a Chief Flying
Instructor 108
11.1 Pilot human factors accidents 115
11.2 Wire strikes 116
11.3 Failed to get/stay airborne 117
11.4 Landing accidents 118
11.5 Controlled flight into terrain 119
11.6 Loss of control/stall in procedure turn 120
11.7 Fuel exhaustion 120
11.8 Taxying accidents 121
11.9 Failure to re-configure aircraft correctly pre-flight 121
11.10 Aerial agriculture accidents 1985-1993 124
12.1 ICAM Organizational Factor Types 134
12.3 Case study and recommended actions 140
14.1 Cognitive task analysis interview questions 163
14.2 Mean number of tasks described as a function of stage of flight 163
14.3 Mean cognitive complexity scores as function of stage of flight 164
14.4 Mean perceived difficulty scores as function of stage of flight 164
16.1 A comparison of LOS A data (Klinect, Wilhelm and Helmreich,
1999) and CORS data 185
xiv Multimodal Safely Management and Human Factors
19.1 Post course postal evaluation (N = 18) 214
19.2 Preliminary data on the effect of the CRM training program on
teamwork and safety climates 214
19.3 Most frequent recommendations for improved safety in the OR 215
20.1 Civilian and RAAF pilot training comparison 223
20.2 A taxonomy of visualization in flying training 230
22.1 SSA test scale results for Group 1 and Group 2 participants 253
22.2 Report of use and retention of the SA recovery skill 254
23.1 Statistical analyses of the decision variables with duty as the
independent variable. 265
23.2 Statistical analyses of the decision variables with sleep as the
independent variable 266
27.1 Summary of attitudes to stress and fatigue (% response) 308
|
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| discipline | Soziologie Bauingenieurwesen Psychologie Verkehrstechnik |
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| spelling | Multimodal safety management and human factors crossing the borders of medical, aviation, road and rail industries edited by José M. Anca Aldershot [u.a.] Ashgate 2007 XXII, 334 S. graph. Darst. 24cm txt rdacontent n rdamedia nc rdacarrier Includes index Transportation Safety measures Transportation accidents Risk-taking (Psychology) Accident investigation 1\p (DE-588)4522595-3 Fallstudiensammlung gnd-content Anca, José M. edt HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017100601&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk |
| spellingShingle | Multimodal safety management and human factors crossing the borders of medical, aviation, road and rail industries Transportation Safety measures Transportation accidents Risk-taking (Psychology) Accident investigation |
| subject_GND | (DE-588)4522595-3 |
| title | Multimodal safety management and human factors crossing the borders of medical, aviation, road and rail industries |
| title_auth | Multimodal safety management and human factors crossing the borders of medical, aviation, road and rail industries |
| title_exact_search | Multimodal safety management and human factors crossing the borders of medical, aviation, road and rail industries |
| title_full | Multimodal safety management and human factors crossing the borders of medical, aviation, road and rail industries edited by José M. Anca |
| title_fullStr | Multimodal safety management and human factors crossing the borders of medical, aviation, road and rail industries edited by José M. Anca |
| title_full_unstemmed | Multimodal safety management and human factors crossing the borders of medical, aviation, road and rail industries edited by José M. Anca |
| title_short | Multimodal safety management and human factors |
| title_sort | multimodal safety management and human factors crossing the borders of medical aviation road and rail industries |
| title_sub | crossing the borders of medical, aviation, road and rail industries |
| topic | Transportation Safety measures Transportation accidents Risk-taking (Psychology) Accident investigation |
| topic_facet | Transportation Safety measures Transportation accidents Risk-taking (Psychology) Accident investigation Fallstudiensammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017100601&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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