Translating systems thinking into practice: a guide to developing incident reporting systems

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"The objective of this book is to provide practical guidance on developing and implementing incident reporting and learning systems that are underpinned by the latest 'systems thinking' on accident causation and prevention. Although the systems approach to accident causation is now well known (e.g. Dekker, 2011; Reason, 1990; 1997; 2008), the extent to which incident reporting and learning systems used in safety-critical domains incorporate systems thinking is questionable. As a result, there is a notable gap between research and practice, and opportunities to develop more effective and holistic accident prevention measures are not being taken. The book begins by outlining the systems thinking in accident causation and prevention philosophy and the need for incident reporting and learning systems that are based in systems thinking. It then outlines a generic process model for developing and implementing such incident reporting and learning systems within safety-critical systems"--  Read more... Abstract: "The objective of this book is to provide practical guidance on developing and implementing incident reporting and learning systems that are underpinned by the latest 'systems thinking' on accident causation and prevention. Although the systems approach to accident causation is now well known (e.g. Dekker, 2011; Reason, 1990; 1997; 2008), the extent to which incident reporting and learning systems used in safety-critical domains incorporate systems thinking is questionable. As a result, there is a notable gap between research and practice, and opportunities to develop more effective and holistic accident prevention measures are not being taken. The book begins by outlining the systems thinking in accident causation and prevention philosophy and the need for incident reporting and learning systems that are based in systems thinking. It then outlines a generic process model for developing and implementing such incident reporting and learning systems within safety-critical systems" Content: &lt P&gt 1. Systems Thinking and Incident Causation. 2. Systems Thinking and Incident Analysis. 3. A Process Model for Developing an Incident Reporting System. 4.Understanding the Context.5. Identifying the Needs andPriorities of End Users. 6. Adapting Accimap for Use in an Incident Reporting System. 7. Evaluating Reliability and Validity. 8. Designing aPrototype Incident Reporting System. 9. Evaluating Usability. 10. Evaluating Data Quality. 11. Outputs from the Development Process -- UPLOADS. 12. AnalyzingIncident Data. 13. Designing Incident Prevention Strategies. 14. Lessons Learned, Future Research Directions, and the Incident Reporting Systems of Tomorrow. Appendix A. UPLOADS Contributing Factor Classification Scheme. Appendix B. Examples of Coding Tasks for Reliability and Validity Assessments. Appendix C. UPLOADS Incident Report Form. Appendix D. Training Manual: The UPLOADS Approach to Accident Analysis.&lt /P&gt