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The Field Guide to Understanding Human Error, 2nd Edition
book

The Field Guide to Understanding Human Error, 2nd Edition

by Sidney Dekker
April 2017
Intermediate to advanced
252 pages
6h 32m
English
CRC Press
Content preview from The Field Guide to Understanding Human Error, 2nd Edition

14 So What Went Wrong?

So, what went wrong? This chapter introduces a few typical mechanisms by which human performance can get into trouble. They can apply to all kinds of settings where people perform safety-critical work. Here they are:

  • Cognitive fixation
  • Plan continuation
  • Stress
  • Fatigue
  • Buggy or inert knowledge
  • New technology and computerization
  • Automation surprises
  • Procedural adaptations.

This chapter can offer you no more than a selection and a flavor of these mechanisms. The research literature underneath most of these phenomena is huge. Remember, you want to avoid the folk modeling that is so common in efforts to understand human error. This chapter asks and allows you to leave a trace, to show how you get to your conclusion from your ...

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Publisher Resources

ISBN: 9781351889759