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Behind Human Error
Human error is so often cited as a cause of accidents. There is perception of a 'human error problem'. Solutions are thought to lie in changing the people or their role. The label 'human error', however, is prejudicial and hides more than it reveals about how a system malfunctions.This book takes you behind the label. It explains how human error results from social and psychological judgments by the system's stakeholders that focus only on one facet of a set of interacting contributors.
Improving Healthcare Team Communication
Communications research in aviation is widely regarded by many in the healthcare community as the 'gold standard' to emulate. Yet healthcare and aviation differ in many ways, as do the vital communications shared among members of clinical teams. Aviation team communication should, then, be understood in terms of what lessons will benefit those who work in healthcare. In Improving Healthcare Team Communication, renowned experts provide insights from 'sharp end' operator research in high-hazard sectors that shed light on the performance of cognitive tasks including resource availability assessment, allocation, anticipation, prediction, trade-off decisions, speculation and negotiation. The book reports on recent field research to address what is known, and what needs to be learned, about team communication among operators. Students, clinicians and healthcare managers can find answers in it to the questions they face daily. How can healthcare information be better shared? What can we expect from its improvement, and how do we get there? Lessons learned from team communication research and experience in aviation and healthcare will point the way to improved patient safety.
Still Not Safe
Still Not Safe is the story of the rise of the patient-safety movement- and how an "epidemic" of medical errors was derived from a reality that didn't support such a characterization. Physician Robert Wears and organizational theorist Kathleen Sutcliffe trace the origins of patient safety to the emergence of market trends that challenged the place of doctors in the larger medical ecosystem: the rise in medical litigation and physicians' aversion to risk; institutional changes in the organization and control of healthcare; and a bureaucratic movement to "rationalize" medical practice- to make a hospital run like a factory. Weaving together narratives from medicine, psychology, philosophy, and human performance, Still Not Safe offers a counterpoint to the presiding, doctor-centric narrative of contemporary American medicine.--book jacket
The Human Side of Postmortems
Imagine you had to write a postmortem containing statements like these? "We were unable to resolve the outage as quickly as we would have hoped because our decision making was impacted by extreme stress." "We spent two hours repeatedly applying the fix that worked during the previous outage, only to find out that it made no difference in this one." "We did not communicate openly about an escalating outage that was caused by our botched deployment because we thought we were about to lose our jobs." While the above scenarios are entirely realistic, it's hard to find many postmortem write-ups that even hint at these "human factors." Their absence is, in part, due to the social stigma associated...
Communication: Breakdowns and Breakthroughs
This volume was first published by Inter-Disciplinary Press in 2013. One cannot not communicate, says one axiom of Paul Watzlawick and emphasizes that everything we do and everything we leave is a message to ones counterpart. Where communication takes place, conflict is close. From minor misunderstandings to war, from communication refusal to communication overload: the combination of communication and conflict has different degrees of development.
Beyond The Phoenix Project
This is a companion transcript of the audio series, Beyond The Phoenix Project, intended to be used for reference and to enable further research of cited material, and not as a standalone work. In the audio series, Gene Kim and John Willis present a nine-part discussion that includes an oral history of the DevOps movement, as well as discussions around pivotal figures and philosophies that DevOps draws upon, from Goldratt to Deming; from Lean to Safety Culture to Learning Organizations.The book is a great way for listeners to take an even deeper dive into topics relevant to DevOps and leading technology organizations.
In Our Own Image
This study provides a comprehensive systematic classification, comparison, and evaluation of the major classes of theories of ultimate reality. It offers compelling analyses of anthropomorphism and apophaticism, including tracing multiple dimensions of anthropomorphism in various models of ultimate reality.
Human Factors in Alarm Design
Focusing on the application of human factors and ergonomics in the design of alarm systems, this book brings together all the disparate areas in a single volume.; The aim of the book is to present current human factor issues regarding alarm design in a variety of setting, such as industrial alarm systems in process industries, aviation, autom
The Psychological Foundations of Evidence Law
Identifies and evaluates the psychological choices implicit in the rules of evidence Evidence law is meant to facilitate trials that are fair, accurate, and efficient, and that encourage and protect important societal values and relationships. In pursuit of these often-conflicting goals, common law judges and modern drafting committees have had to perform as amateur applied psychologists. Their task has required them to employ what they think they know about the ability and motivations of witnesses to perceive, store, and retrieve information; about the effects of the litigation process on testimony and other evidence; and about our capacity to comprehend and evaluate evidence. These are the...
