Critical Steps: Managing What Must Go Right in High-Risk Operations

Cover Page\nHalf Title Page\nTitle Page\nCopyright Page\nContents\nAcknowledgments\nAuthors\nList of Figures\nList of Tables\nIntroduction\n	The Principal Goal of Managing Critical Steps\n	Origins of the Critical Step Concept\n	Who Benefits Using Critical Steps?\n	Organization of the Book\n	References\nChapter 1 What Is a Critical Step?\n	Work = Risk\n	Critical Step Defined\n	Attributes of a Critical Step\n	Technical Expertise—The Bedrock of Critical Steps and Risk-Based Thinking\n	Critical Steps Improve Efficiency\n	Excellence Is NOT Good Enough!\n	Key Takeaways\n	Checks for Understanding\n	Things You Can Do Tomorrow\n	References\nChapter 2 Thinking about Human Performance Risk\n	Human Error = Loss of Control\n	Human Performance Risk Concept\n	Human Performance Risk Management Model\n	Fast and Slow Thinking\n	Expert Intuition\n	Conversations Create Safety\n	Key Takeaways\n	Checks for Understanding\n	Things You Can Do Tomorrow\n	References\nChapter 3 The Work Execution Process\n	The Three Phases of Work\n	Preparation\n	Execution\n	Learning\n	Key Takeaways\n	Checks for Understanding\n	Things You Can Do Tomorrow\n	References\nChapter 4 Risk-Important Actions\n	What Is a Risk-Important Action?\n	Do You Need a Parachute to Skydive?\n	RIA—A Double-Edged Sword\n	RIAs versus Touchpoints and Critical Steps\n	Examples of RIAs in Everyday Life\n	Key Takeaways\n	Checks for Understanding\n	Things You Can Do Tomorrow\n	References\nChapter 5 Performing a Critical Step\n	Positive Control\n	Effects of Fast and Slow Thinking on Positive Control\n	Human Performance Tools Promote Positive Control\n	Error Traps—Threats to Positive Control\n	Landmines—Hidden Critical Steps\n	Critical Steps Are ALWAYS Critical!\n	Key Takeaways\n	Checks for Understanding\n	Things You Can Do Tomorrow\n	References\nChapter 6 Managing Critical Steps\n	Objectives of Managing Critical Steps\n	A Critical Step Mental Model\n	The Practices of Managing Critical Steps\n	Summary—Plan | Do | Check | Adjust\n	Augmenting Adaptive Capacity\n	Managing Human Performance—Fundamentals\n	Key Takeaways\n	Checks for Understanding\n	Things You Can Do Tomorrow\n	References\nChapter 7 Critical Step Mapping\n	What Is Critical Step Mapping?\n	Maps and Their Limitations\n	When Can CSM Be Used?\n	Ten-Step Critical Step Mapping Process\n	Advantages and Disadvantages of the CSM Process\n	Key Takeaways\n	Checks for Understanding\n	Things You Can Do Tomorrow\n	References\nChapter 8 Integrating and Implementing Critical Steps\n	Integration versus Implementation\n	Execution Requires Systems Thinking\n	Attributes and Principles That Strengthen Integration\n	A Four-Stage Approach to Executing a Critical Steps Initiative\n	Guidance for Implementation\n	Call to Action—The Business Case\n	Key Takeaways\n	Checks for Understanding\n	Things You Can Do Tomorrow\n	References\nEpilogue People Have Dignity and Value\nAppendix 1: Glossary of Terms\nAppendix 2: Managing Human and Organizational Performance—A Primer\nAppendix 3: Answer Key for “Checks for Understanding”\nIndex