- Series: Human Factors in Transportation
- Paperback: 240 pages
- Publisher: CRC Press; 1 edition (December 28, 2004)
- Language: English
- ISBN-10: 0805847456
- ISBN-13: 978-0805847451
- Product Dimensions: 6 x 0.5 x 9 inches
- Shipping Weight: 10.4 ounces
- Average Customer Review: 9 customer reviews
Amazon Best Sellers Rank:
#2,329,124 in Books (See Top 100 in Books)
- #191 in Books > Medical Books > Psychology > Movements > Humanistic
- #243 in Books > Engineering & Transportation > Engineering > Industrial, Manufacturing & Operational Systems > Ergonomics
- #962 in Books > Engineering & Transportation > Engineering > Industrial, Manufacturing & Operational Systems > Health & Safety
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Ten Questions About Human Error: A New View of Human Factors and System Safety (Human Factors in Transportation) 1st Edition
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The text is extremely straightforward....it will be a valuable read for anyone interested in system safety-no matter what their field. Interesting reading and thought provoking discussions.
—IEEE EMBS Journal
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The book contains items that are relevant but the rambling styled writings of Dekker drove me and everyone of my classmates insane. This book is a bore to read through and could stand to have had a better editor.
The publisher should recall all those sold and distributed and replace them with legible copies.
This review is not a criticism against the author and the content / material but towards the publisher and the print quality.
Neverthless I would not want to purchase hard copy titles from this author that I already possess in soft back. Not sure if all his titles come from the same publishing house.
We think of a system as being like a clock, with various gears inside that interact with one another and together they make the clock work. If the clock fails, we investigate the internal parts to determine which one is defective, and fix or replace that part.
We do the same thing with systems of people. If an airplane crashes, we examine the people involved, determine whom to blame ("You're defective!"), and repair or replace that person ("Better training! Stop screwing up!")
We've reached the limit of what we can achieve using this paradigm. The accidents we are seeing today no longer fit the "someone screwed up" model of failure. Instead we're seeing normal people doing normal work in normal organizations, everyone doing what to them appears to be the right thing to do, and yet we still have these occasional enormous failures.
We then retroactively look for the defective part, and we tend to find what we are looking for. If only this person had done something different back then, this whole disaster wouldn't have happened.
People do not make errors. People do what seems like the right thing to do at the time, with no prior knowledge of what the outcome will be. People do not wear out like gears, and the system isn't static like a clock. People grow and adapt, and the system itself grows and adapts.
The problem isn't that people fail to follow our ideal model of how the system should work, the problem is our ideal model fails to model how the real world actually works.
The problem is our ideal model is static, with static gears that can't improve themselves, they can only degenerate. People aren't static. People are constantly in a state of flux, growing, adapting, making decisions, changing their environment, and in turn being changed by their environment. Our static models can't handle this reality.
We need a new philosophy. We need a new way of understanding. This book is about philosophy, how our philosophy is itself limited, where our philosophy fails, why we resist changing our philosophical understanding of how the world works, and what a new philosophy might look like.
This book does a thorough job of examining human interaction with systems and, towards the end, provides some clues about how systems could be designed so that they are less error prone, safer and more resilient.
Dekker reminds of Rasmussen -another giant about safety issues- in the kind of analysis.
If someone is looking for a récipé, Dekker could not be the adequate writer. However, if someone wants to know what problems is going to confront "following récipés", these are the right book and writer. If, after that, someone wants something more and very valuable too, try Rasmussen.