Managing Maintenance Error

A Practical Guide

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Author: James Reason,Alan Hobbs

Publisher: Gower Publishing, Ltd.

ISBN: 9780754615910

Category: Transportation

Page: 183

View: 3891

Situations and systems are easier to change than the human condition - particularly when people are well-trained and well-motivated, as they usually are in maintenance organisations. This is a down-to-earth practitioner¿s guide to managing maintenance error, written in Dr. Reason¿s highly readable style. It deals with human risks generally and the special human performance problems arising in maintenance, as well as providing an engineer¿s guide for their understanding and the solution. After reviewing the types of error and violation and the conditions that provoke them, the author sets out the broader picture, illustrated by examples of three system failures. Central to the book is a comprehensive review of error management, followed by chapters on:- managing person, the task and the team; - the workplace and the organization; - creating a safe culture; It is then rounded off and brought together, in such a way as to be readily applicable for those who can make it work, to achieve a greater and more consistent level of safety in maintenance activities. The readership will include maintenance engineering staff and safety officers and all those in responsible roles in critical and systems-reliant environments, including transportation, nuclear and conventional power, extractive and other chemical processing and manufacturing industries and medicine.

Managing Maintenance Error

A Practical Guide

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Author: J. T. Reason,Alan Hobbs

Publisher: Ashgate Pub Limited

ISBN: 9780754615903

Category: Transportation

Page: 183

View: 1441

A down-to-earth practitioner's guide to managing maintenance error dealing with risks, human performance problems - their understanding and solution and creating a safety culture; for all in maintenance-critical environments.

Human Reliability, Error, and Human Factors in Engineering Maintenance

with Reference to Aviation and Power Generation

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Author: B.S. Dhillon

Publisher: CRC Press

ISBN: 9781439803844

Category: Technology & Engineering

Page: 200

View: 4642

Of the billions of dollars spent on plant management and operation annually, an estimated 80% of the total amount is spent to rectify the chronic failure of systems, machines, and humans. Although information on human reliability, error, and human factors in engineering maintenance is scattered throughout journals and proceedings, no single resource covers all of these topics within a maintenance safety framework. Consulting different and diverse sources can not only make finding information laborious and time consuming, but also cause delays on the job. Human Reliability, Error, and Human Factors in Engineering Maintenance with Reference to Aviation and Power Generation provides engineers a tool for meeting the increasing problem of human error. Drawing on a myriad of sources, the book provides quick and easy access to information that can then be immediately applied to actual problems in the field. It includes examples and their solutions to illustrate engineering safety management at work and gives readers a view of the intensity of developments in the area. The author’s clear, concise, user-friendly style breaks the information down into understandable and applicable concepts. This book not only provides up-to-date coverage of the on-going efforts in human reliability, error, and human factors in engineering maintenance, but also covers useful developments in the general areas of human factors, reliability, and error. This information can then be translated into increased maintenance safety that has a positive impact on the bottom line.

Individual Latent Error Detection (I-LED)

Making Systems Safer

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Author: Justin R.E. Saward,Neville A. Stanton

Publisher: CRC Press

ISBN: 1351056689

Category: Technology & Engineering

Page: 176

View: 3863

Undetected human error in aircraft maintenance creates a latent error condition that can contribute to undesirable outcomes. Individual Latent Error Detection (I-LED) acts as an additional system safety control that helps an engineer recall past errors through environmental cues. This book addresses a gap in the human factors research and current safety strategies by exploring the nature and extent of I-LED and its benefit to safety resilience. The book will describe the I-LED concept using a systems perspective and propose practical interventions to be integrated within existing safety systems as an additional control to enhance resilience against human performance variability.

Investigating Human Error

Incidents, Accidents, and Complex Systems, Second Edition

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Author: Barry Strauch

Publisher: CRC Press

ISBN: 131711311X

Category: Technology & Engineering

Page: 309

View: 2371

In this book the author applies contemporary error theory to the needs of investigators and of anyone attempting to understand why someone made a critical error, how that error led to an incident or accident, and how to prevent such errors in the future. Students and investigators of human error will gain an appreciation of the literature on error, with numerous references to both scientific research and investigative reports in a wide variety of applications, from airplane accidents, to bus accidents, to bonfire disasters. Based on the author's extensive experience as an accident investigator and instructor of both aircraft accident investigation techniques and human factors psychology, it reviews recent human factors literature, summarizes major transportation accidents, and shows how to investigate the types of errors that typically occur in high risk industries. It presents a model of human error causation influenced largely by James Reason and Neville Moray, and relates it to error investigations with step-by-step guidelines for data collection and analysis that investigators can readily apply as needed. This second edition of Investigating Human Error has been brought up to date throughout, with pertinent recent accidents and safety literature integrated. It features new material on fatigue, distraction (eg mobile phone and texting) and medication use. It also now explores the topics of corporate culture, safety culture and safety management systems. Additionally the second edition considers the effects of the reduction in the number of major accidents on investigation quality, the consequences of social changes on transportation safety (such as drinking and driving, cell phone use, etc), the contemporary role of accident investigation, and the effects of the prosecution of those involved in accidents.

Error Reduction in Health Care

A Systems Approach to Improving Patient Safety

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Author: Patrice L. Spath

Publisher: John Wiley & Sons

ISBN: 9781118001561

Category: Medical

Page: 416

View: 4660

Error Reduction in Health Care Completely revised and updated, this second edition of Error Reduction in Health Care offers a step-by-step guide for implementing the recommendations of the Institute of Medicine to reduce the frequency of errors in health care services and to mitigate the impact of errors when they do occur. With contributions from noted leaders in health safety, Error Reduction in Health Care provides information on analyzing accidents and shows how systematic methods can be used to understand hazards before accidents occur. In the chapters, authors explore how to prioritize risks to accurately focus efforts in a systems redesign, including performance measures and human factors. This expanded edition covers contemporary material on innovative patient safety topics such as applying Lean principles to reduce mistakes, opportunity analysis, deductive adverse event investigation, improving safety through collaboration with patients and families, using technology for patient safety improvements, medication safety, and high reliability organizations. The Editor

Human Reliability, Error, and Human Factors in Power Generation

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Author: B. S. Dhillon

Publisher: Springer Science & Business Media

ISBN: 3319040197

Category: Technology & Engineering

Page: 188

View: 4446

Human reliability, error, and human factors in the area of power generation have been receiving increasing attention in recent years. Each year billions of dollars are spent in the area of power generation to design, construct/manufacture, operate, and maintain various types of power systems around the globe, and such systems often fail due to human error. This book compiles various recent results and data into one volume, and eliminates the need to consult many diverse sources to obtain vital information. It enables potential readers to delve deeper into a specific area, providing the source of most of the material presented in references at the end of each chapter. Examples along with solutions are also provided at appropriate places, and there are numerous problems for testing the reader’s comprehension. Chapters cover a broad range of topics, including general methods for performing human reliability and error analysis in power plants, specific human reliability analysis methods for nuclear power plants, human factors in control systems, and human error in power plant maintenance. They are written in such a manner that the potential reader requires no previous knowledge to understand their contents. “Human Reliability, Error, and Human Factors in Power Generation” will prove useful to many individuals, including engineering professionals working in the power generation industry, researchers, instructors, and undergraduate and graduate students in the field of power engineering.

Manual of Critical Care Nursing - E-Book

Nursing Interventions and Collaborative Management

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Author: Marianne Saunorus Baird,Susan Bethel

Publisher: Elsevier Health Sciences

ISBN: 0323065929

Category: Medical

Page: 1008

View: 8772

It's the ideal go-to reference for the clinical setting! Compact and easy to use, Manual of Critical Care Nursing, 6th Edition presents essential information on approximately 80 disorders and conditions, as well as concepts relevant to caring for all critically ill patients and functioning in the critical care environment. Award-winning clinical nurse specialists Marianne Baird and Sue Bethel separate the content first by body system and then by disorder, with each disorder including a brief description of pathophysiology, assessment, diagnostic testing, collaborative management, nursing diagnoses, desired outcomes, nursing interventions, and patient teaching and rehabilitation. A concise format presents the material in a way that reflects a practicing nurse's thought processes. Coverage of approximately 80 critical care conditions/disorders includes those most commonly seen in critical care units. Chapter outlines provide easy access to disorders. A portable size makes it ideal for use in the unit or bedside, and is also easy to carry on campus. Unique! Gerontology icon highlights considerations relating to the care of older adults. Unique! Research briefs in special boxes discuss selected research studies for evidence-based patient care. Unique! The latest NANDA-approved nursing diagnoses increase familiarity with NANDA terminology. Appendixes provide quick reference to information needed in the critical care setting. Revised format mirrors a practicing nurse's approach to patient care, making it easier to find information. Newly formatted care plans incorporate diagnoses, interventions, and desired outcomes in a consistent, logical organization. Patient safety alerts and high alerts call attention to issues important to a patient’s safety. Unique! Diagnostic Tests tables highlight the definition, purpose, and abnormal findings for each test. Unique! Collaborative Management tables concisely summarize key points while incorporating nationally recognized guidelines. Colored tabs mark the location of each body system, making topics easier to find. Smaller trim size increases portability for use in the unit or bedside, while enhancing readability.

Human Factors Methods for Improving Performance in the Process Industries

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Author: Center for Chemical Process Safety (CCPS)

Publisher: Wiley-AIChE

ISBN: 9780470117545

Category: Technology & Engineering

Page: 248

View: 7274

Human Factors Methods for Improving Performance in the Process Industries provides guidance for managers and plant engineering staff on specific, practical techniques and tools for addressing forty different human factors issues impacting process safety. Human factors incidents can result in injury and death, damage to the environment, fines, and business losses due to ruined batches, off-spec products, unplanned shutdowns, and other adverse effects. Prevention of these incidents increases productivity and profits. Complete with examples, case histories, techniques, and implementation methodologies, Human Factors Methods for Improving Performance in the Process Industries helps managers and engineering staff design and execute an efficient program. Organized for topical reference, the book includes: An overview on implementing a human factors program at the corporate level or the plant level, covering the business value, developing a program to meet specific needs, improving existing systems, roles and responsibilities, measures of performance, and more Summaries of forty different human factors relating to process safety, with a description of the tools, a practical example with graphics and visual aids, and additional resources Information on addressing the OSHA Process Safety Management (PSM) requirement for conducting human factors reviews in process hazard analyses (PHAs) A CD-ROM with a color version of the book Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.