PDF/EPUB Human Error Author James Reason – dugisits.co.za


  • Paperback
  • 320
  • Human Error
  • James Reason
  • English
  • 23 May 2020
  • 9780521314190

James Reason º 8 characters

Human Error characters Ñ 108 Ch of the theoretical structure is new and original and of particular importance is the identification of cognitive processes common to a wide variety of error typ. This is a difficult read unless you re studying for your doctorate in sociology or psychology which I am not I picked this book up after reading another one of the author s book on accidents which was a far easier read However I did get the basics on types of human errors and a general overview of the analyses used in the field which are inconclusive Humans will always make errors We have moved along since this book was first published 1990 in finding the root causes of accidents in nuclear power and other hazardous industries With modern tech the march continues on

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Human Error characters Ñ 108 Modern technology has now reached a point where improved safety can only be achieved through a better understanding of human error mechanisms In its treatment of m. I read this book because working in a pharmacy I hoped that having an understanding of the psychological basis of error might be helpful in avoiding itThe book starts with some history In the early twentieth century Freud was pondering on apparent slips and accidents having a basis in the subconscious I suppose according to Freud if someone made a slip in dispensing medication it would be because they had some deep seated dislike of a patient or harboured unconscious opinions about their treatment Thankfully other views from the early twentieth century have aged better In 1905 Ernst Mach wrote that knowledge and error flow from the same mental sources only success can tell one from the other Mach is referring to the fact that certain helpful types of behaviour can also cause problems For example people have the ability to learn skills which involve a high level of automatic facility allowing musicians to play musical instruments typists to type drivers to drive cars all without thinking about the mechanics of every string plucked key pressed or gear changed But this automatic facility so useful in many situations can be a liability when circumstances alter Step from a manual car into an automatic and you can run into problems when your left foot wants to press a clutch that isn t there In a pharmacy if you have dispensed hundreds of boxes of a medication in a particular strength there is an opening for error when you come to dispense an unusual strength of that same medicationI suppose an awareness of this kind of situation does potentially help guard against times when routine brings the possibility of diminished conscious control But Human Error is not the book to go to if you want simple answers First there are those bad outcomes arising from useful behaviour Then there s the sense that an error is rarely confined to one person When things go wrong it is usually the result of lots of people making many decisions meeting varied circumstances which finally lead down to the unfortunate individual who makes a blunder the last piece in a malign jigsaw puzzle Then there are the traps in all the means we employ to guard against error automated systems leading to loss of skills in dealing with problems or systems protected by layers of defence tending to soak up hidden deficiencies until there is a sudden failure Oddly I came away from this book with a greater acceptance of error even in trying to find a way to avoid it Error is inevitable and if you make error a forbidden sin then you can never discuss or learn from things going wrong It is perhaps ironic that Human Error is a highly academic book which leaves nothing to chance in its numbered sections sub sections and sub sub sections It does not flow Concepts have to be nailed down into endless acronyms leaving me floundering amongst SLIMs SLIs THERPs PSFs PIFs and SUs Even the name Three Mile Island gets turned into TMI I did not enjoy wading through this academic acronym code I can t see any problem with calling Three Mile Island by that name as many times as reuiredNevertheless if you can live with the style and accept that you won t find an easy prescription that will make you a accurate less error prone person this is a very interesting book I would recommend it to anyone working in a job where a small slip can have serious conseuences or to anyone making big decisions where small unintended conseuences in those decisions can store up serious problems for the future

review Human Error

Human Error characters Ñ 108 Ajor accidents the book spans the disciplinary gulf between psychological theory and those concerned with maintaining the reliabiblity of hazardous technologies Mu. Probably 3 12 stars Some of this book was really interesting I got a bit list in the sections having to do with genetics but for the most part the writer made the scientific understandable I learned about evolution and random selection as well as history of early man