Individual Latent Error Detection (I-LED): Making Systems Safer

Description

Content: Cover Half Title Series Page Title Page Copyright Page Dedication Contents Preface Authors List of Abbreviations Chapter 1: Introduction 1.1 Background 1.2 Aim and Objectives 1.3 Structure of Book 1.4 Making Aircraft Maintenance Systems Safer Chapter 2: Application of Multi-Process Theory to I-LED Research 2.1 Introduction 2.2 Context for Safety Research 2.3 Nature of Error 2.3.1 Human Error 2.3.2 Impact of Human Error in Aircraft Maintenance 2.4 Existing Error Detection Research 2.5 Role of Schema in Error 2.5.1 Schema Theory 2.5.2 Linking Schema Theory to Error 2.6 Multi-process Approach to I-LED2.6.1 The Need for a Multi-Process Approach 2.6.2 Multi-Process Theory 2.6.3 Prospective Memory 2.6.4 Monitoring Theory 2.7 Error Detection and Recovery Examples 2.7.1 ASIMS Data 2.7.2 DASOR Examples 2.7.3 Link to Theoretical Framework 2.8 Summary Chapter 3: Rationalising Systems: Thinking with the Term 'Human Error' for Progressive Safety Research 3.1 Introduction 3.2 Human Error 3.3 Systems Thinking 3.4 Summary Chapter 4: Observing I-LED Events in the Workplace 4.1 Introduction 4.2 Research Strategy 4.2.1 Target Population 4.2.2 Importance and Challenge of Naturalistic Real-World Observations4.2.3 Theory upon Which to Observe I-LED Events 4.2.4 Linked Studies Approach to Research 4.3 Summary Chapter 5: A Time and a Place for the Recall of Past Errors 5.1 Introduction 5.2 Methodology 5.2.1 Questionnaire Design 5.2.2 Sampling Strategy 5.2.3 Piloting 5.2.4 Data Collection Procedure 5.2.5 Data Analysis 5.3 Results 5.3.1 Description of Sample 5.3.2 Analysis of Responses 5.3.2.1 Maintenance Task and Error Event 5.3.2.2 Error Detection Themes 5.3.2.3 Timing Factors 5.4 Discussion 5.4.1 Maintenance Task5.4.2 Error Event 5.4.3 Error Detection Themes 5.4.4 Timing Factors 5.5 Summary Chapter 6: A Golden Two Hours for I-LED 6.1 Introduction 6.2 Methodology 6.2.1 Participants 6.2.2 Diary Design 6.2.3 Piloting 6.2.4 Data Collection Procedure 6.3 Results 6.3.1 Description of Sample 6.3.2 Analysis 6.3.2.1 CFQ Scores 6.3.2.2 Diary Responses 6.4 Discussion 6.4.1 Individual Factors 6.4.1.1 CFQ Scores 6.4.1.2 Error Type 6.4.2 Sociotechnical Factors 6.4.2.1 Time 6.4.2.2 Environment 6.4.2.3 Cues Triggering Recall 6.5 I-LED Interventions 6.6 Study Limitations 6.7 SummaryChapter 7: I-LED Interventions: Pictures, Words and a Stop, Look, Listen 7.1 Introduction 7.2 Method 7.2.1 Participants 7.2.2 Design 7.2.3 Observations 7.2.4 Procedure 7.2.5 Data Analysis 7.3 Results 7.4 Discussion 7.4.1 I-LED Intervention Performance 7.4.2 I-LED Contribution to Safety-Related Risk Management 7.5 Study Limitations 7.6 Summary Chapter 8: A Total Safety Management Approach to System Safety 8.1 Introduction 8.2 TSM Construct for Organisational Resilience 8.2.1 Human Factors Integration within the STS 8.2.2 Safety System