Multimodal Safety Management and Human Factors

Contents......Page 6
List of Figures......Page 10
List of Tables......Page 14
Foreword......Page 16
Preface......Page 18
Acknowledgements......Page 20
List of Abbreviations......Page 22
PART 1 MULTIMODAL CHARACTERISTICS OF SAFETY MANAGEMENT SYSTEMS......Page 24
1 Can Simply Correcting the Deficiencies Found through Incident Investigation Reduce Error?......Page 26
2 Moving Up the SMS Down Escalator......Page 36
3 Unsafe or Safety-Significant Acts?......Page 40
4 The Calgary Health Region: Transforming the Management of Safety......Page 54
5 Governance and Safety Management......Page 64
6 Overcoming the Short-Medium-Term Problems of Fleet Transition: The Expectation and Achievement of Economic Gains......Page 74
PART 2 SAFETY MANAGEMENT METRICS, ANALYSIS AND REPORTING TOOLS......Page 82
7 A New Reporting System: Was the Patient Harmed or Nearly Harmed?......Page 84
8 Using Aviation Insurance Data to Enhance General Aviation Safety: Phase One Feasibility Study......Page 96
9 Grappling with Complexity: Analysing an Accident with the Theory of Constraints......Page 106
10 Drought in Safety Management – More Tools, Less Theory......Page 130
11 Aerial Agriculture Accidents 2000–2005: The Human Factors and System Safety Lessons......Page 136
12 Learning from Accidents and Incidents......Page 154
13 Managing Road User Error in Australia: Where Are We Now, Where Are We Going and How Are We Going to Get There?......Page 166
PART 3 NORMAL OPERATIONS MONITORING AND SURVEILLANCE TOOLS......Page 180
14 Performance and Cognition in Dynamic Environments: The Development of a New Tool to Assist Practitioners......Page 182
15 Error Management Training: Identification of Core Cognitive and Interpersonal Skill Dimensions......Page 192
16 Confidential Observations of Rail Safety (CORS): An Adaptation of Line Operations Safety Audit (LOSA)......Page 202
17 Human Factors in Air Traffic Control: An Integrated Approach......Page 212
PART 4 THE MODALITY OF HUMAN FACTORS: EXPLORING THE MANAGEMENT OF HUMAN ERROR......Page 220
18 Human Factors at Railway Level Crossings: Key Issues and Target Road User Groups......Page 222
19 Attitudes to Safety and Teamwork in the Operating Theatre, and the Effects of a Program of Simulation-Based Team Training......Page 234
20 Human Factors and the QFI: Developing Tools through Experience......Page 244
21 Advanced Driver Assistance Systems and Road Safety: The Human Factor......Page 256
22 Recovery of Situational Awareness Using Operant Conditioning Techniques......Page 268
23 Effects of Flight Duty and Sleep on the Decision-Making of Commercial Airline Pilots......Page 282
24 Medical Team Resource Management and Error Prevention Training......Page 294
25 Driver Distraction: Review of the Literature and Suggestions for Countermeasure Development......Page 302
26 Assessing and Managing Human Factors Risks – Practical Examples in the Australian Rail Context......Page 314
27 Anaesthetic Registrars’ Stress Mediators in a Simulated Critical Incident......Page 324
28 Trying Before Buying: Human Factors Evaluations of New Medical Technology......Page 338
A......Page 348
B......Page 349
C......Page 350
E......Page 351
I......Page 352
M......Page 353
P......Page 354
S......Page 355
U......Page 356
Z......Page 357