Explaining the Patterns of Breakdown
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Dekker, Sidney
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2014
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Abstract
So, what went wrong? What patterns can you identify in your data? This chapter introduces some human performance issues that could guide you:
• cognitive fixation; • plan continuation; • fatigue; • buggy or inert knowledge; • new technology and computerization; • procedural adaptations;
It then discusses the currently popular use of “loss of situation awareness” and “complacency” as supposed explanations for ‘human error.’ The advice of the field guide is very simple: don’t use these things. It will explain why.
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The field guide to understanding human error
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Psychology and Cognitive Sciences not elsewhere classified