A day when (Almost) nothing happened

Hollnagel, Erik; Laursen, Tom; Sørensen, Rikke

doi:10.1016/j.ssci.2021.105631

Cited by 9 publications

(6 citation statements)

References 16 publications

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“…Local forums for learning from adverse events, such as morbidity and mortality meetings, should be part of the regular work of all anaesthetic departments [84]. The Working Party recommends that time within job plans is allocated to enable staff to prepare for and attend these meetings, and that they include learning from when things go well [85,86] in addition to learning from cases that do not go to plan [84]. Chairs for these meetings should have human factors knowledge and should be trained to carry out this learning activity.…”

Section: Regular Morbidity and Mortality Meetingsmentioning

confidence: 99%

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals

et al. 2023

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SummaryHuman factors is an evidence‐based scientific discipline used in safety critical industries to improve safety and worker well‐being. The implementation of human factors strategies in anaesthesia has the potential to reduce the reliance on exceptional personal and team performance to provide safe and high‐quality patient care. To encourage the adoption of human factors science in anaesthesia, the Difficult Airway Society and the Association of Anaesthetists established a Working Party, including anaesthetists and operating theatre team members with human factors expertise and/or interest, plus a human factors scientist, an industrial psychologist and an experimental psychologist/implementation scientist. A three‐stage Delphi process was used to formulate a set of 12 recommendations: these are described using a ‘hierarchy of controls’ model and classified into design, barriers, mitigations and education and training strategies. Although most anaesthetic knowledge of human factors concerns non‐technical skills, such as teamwork and communication, human factors is a broad‐based scientific discipline with many other additional aspects that are just as important. Indeed, the human factors strategies most likely to have the greatest impact are those related to the design of safe working environments, equipment and systems. While our recommendations are primarily provided for anaesthetists and the teams they work with, there are likely to be lessons for others working in healthcare beyond the speciality of anaesthesia.

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Section: Regular Morbidity and Mortality Meetingsmentioning

confidence: 99%

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals

et al. 2023

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“…We identified whether these examples were at odds with the literal wording, or the intent, of existing rules and regulations. All scenarios were described using the behavioural and psychological features Hollnagel et al [37] proposed as guidance to analyse situations. In case different interviewees came up with the same base case, the stories were combined into one scenario.…”

Section: Scenario Descriptionsmentioning

confidence: 99%

Goal Conflicts, Classical Management and Constructivism: How Operators Get Things Done

Boskeljon-Horst

Boer²,

Sillem

et al. 2022

Safety

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In this study we identify the differences in goal realisation when applying two conflicting paradigms regarding rule perception and management. We gathered more than 30 scenarios where goal conflicts were apparent in a military operational unit. We found that operators repetitively utilized certain routines in executing their tasks in an effort to realize several conflicting goals. These routines were not originally intended nor designed into the rules and not explicitly included in documentation. They were not necessarily at odds with the literal wording and/or the intent of rules and regulations, although we did find examples of this. Our data showed that local ingenuity was created innovatively within the frame of existing rules or kept invisible to those outside the unit. The routines were introduced and passed on informally, and we found no evidence of testing for the introduction of new risks, no migration into the knowledge base of the organisation, and no dissemination as new best practices. An explanation for this phenomenon was found in the fact that the military organisation was applying a top-down, classical, rational approach to rules. In contrast, the routines were generated by adopting a constructivist view of rules as dynamic, local, situated constructions with operators as experts. The results of this study suggest that organisations are more effective in solving goal conflicts and creating transparency on local ingenuity if they adopt a constructivist paradigm instead of, or together with, a classical paradigm.

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“…Figure 2. Detailed categories of specific disturbance 11 papers (28%) studied the resilience properties under failures, error or degradation of technical systems [7,[10][11][12]21,24,35,36,41,42,53]. Edwards, et al additionally take human operator breakdown into account [53].…”

Section: 2disturbances Considered In Atm Resiliencementioning

confidence: 99%

“…Specifically, 9 papers considered the human, technique and environment interactions [5,6,8,9,12,17,23,37,42,]. 8 papers took into account human, technique and organization [7,14,15,18,20,26,32,41]. Six papers focused on the single factor of human [19,[28][29][30][31]33].…”

Section: 5interactions Between Different Factorsmentioning

confidence: 99%

“…Among the 17 papers in the category of ATC, 8 of them payed attention to human factors [27][28][29][30][31][32][33][34]. 7 papers focused on technical problems such as data transmission resilience and communication network reliability in ATC system [35][36][37][38][39][40][41]. The left 2 papers studied the resilience of ATC sectors [42,43].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Advances in Resilience Engineering for Air Traffic Management Applications

Zhao

2022

J. Phys.: Conf. Ser.

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As an emerging safety perspective, resilience engineering is attracting increasingly attentions in aerospace industry. Numerous researches have been carried out to explore ATM resilience properties from different aspects. Nevertheless, there appear to be significant variations on the research objects, issues concerned, methods employed and indexes used. As far as we know, there seems to be an absence of a dedicated literature review to explore the application status of resilience in ATM area. To this end, our work is concentrated on the research situation and progress of resilience in ATM. A wide range of databases are retrieved to obtain an extensive coverage of the literature. Subsequently, the research works are reviewed on the basis of different classifications followed by a brief introduction of related findings and implications. Attempting to provide some reference for further studies, promising directions are pointed out in view of the challenges and requirements. It is desired that this work may throw some light on further explorations of ATM resilience.

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A day when (Almost) nothing happened

Cited by 9 publications

References 16 publications

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals

Goal Conflicts, Classical Management and Constructivism: How Operators Get Things Done

Advances in Resilience Engineering for Air Traffic Management Applications

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