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The Field Guide to Understanding Human Error Kindle Edition
|Length: 260 pages|
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Top Customer Reviews
Dekker tries to put himself in the shoes of that human operator showing why an analysis that does not try to understand an event from that position is useless.
There is a very hard criticism to different kind of positions taken by people that do not make that effort.
If we try to make something as a "winzip on a summary" of the book, I think we could reach these conclusions:
When we have to analyze an event, it should be useful starting with this hipothesis: "People are not usually dumb, people are not usually crazy and people have not usually chosen the day of a big accident to make self-killing." This starting point could be enough to avoid many of the practices fairly critiziced by Dekker.
We live in the information age now; the only way to improve our lot is to share information for the purpose of continual learning. Dekker's approach points the way.
This particular book purports to be a 'field guide', implying that it has a 'how to' orientation. To some extent it does, but it should be clarified that the focus is *understanding* human error, not investigating it or preventing it (and the book challenges the utility of the concept of 'human error'). As such, the main goal of the book appears to be presenting a theoretical framework for thinking about safety which Dekker, as a member of the safety research community, has developed over the past two decades. The core elements of this framework might be summarized as follows:
(1) Many of the systems we deal with are complex, with interactions of both human and physical factors.
(2) Complex systems aren't inherently safe, their natural tendency is to drift towards failure.
(3) We don't see more failures than we do because people, generally being well intentioned, are continually making an effort to cope with the pressures they face to achieve various goals, while simultaneously trying to avoid failures and maintain safety. This usually requires transcending formal rules and procedures in order to adapt to the needs of particular dynamically evolving circumstances. But sometimes these efforts do fall short, cumulatively over time, hence we have some failures.Read more ›
Some of the chapters get to be a bit hard going - with lots of restating the basic tenet of Old View vs New View though.
All in all - quite thought provoking and worth a read.
Avoid the traps of "Old" thinking. Why did the obvious (to us in hindsight) errors occur? Why did those decisions make sense at the time they occurred?
Gain some real insight as to the roots and pervasive nature of human error.
I bought 3 more copies as gifts while reading the first part. Thank you Mr. Dekker!
Most Recent Customer Reviews
This book is getting dated but is still valuable as parts are being used by different Human Performance certification courses.Published 15 months ago by Aleph the Seeker
Very enjoyable book.
Teaches a completely new way to look at errors!
Well written text that can be applied across any industry with safety related work. Good use of airline and other examples in each chapter.Published 19 months ago by lucky d
Awesomely articulated book on the complex issues of workplace safety. A must read for anyone who practices in the field of accident prevention. Easily applied to any industry.Published 22 months ago by Ray Master
Clear guide about Human Errors.
Many focused on understanding as event, looking backwards.
Would be good to add a chapter about how to prevent
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