The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Operating at the Sharp End: The Complexity of Human Error
Abstract
This chapter examines issues surrounding human performance at the sharp end, including those described as errors and those considered expert. It provides an introduction to the complexity of system failures and the term human error. Studies of incidents in medicine and other fields attribute most bad outcomes to a category of human performance labeled human error. For practitioners at the sharp end of the system, there are three classes of cognitive factors that govern how people form intentions to act: Knowledge factors—factors related to the knowledge that can be drawn on when solving problems in context. Attentional dynamics—factors that govern the control of attention and the management of mental workload as situations evolve and change over time. Strategic factors—the trade-offs between goals that conflict, especially when the practitioners must act under uncertainty, risk, and the pressure of limited resources.
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Citations
Cites
Adaptive strategy selection in decision making.
Payne, J. W., Bettman, J. R., & Johnson, E. J. (1988) · Journal of Experimental Psychology: Learning, Memory, and Cognition · doi:10.1037/0278-7393.14.3.534 · Cited by 1,955
Outcome Bias in Decision Evaluation
Baron, J., & Hershey, J. C. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.4.569 · Cited by 873 · cited 1×
“…practice and the other similar disciplines such as military situations (Lipshitz, 1989), critics will be unable to disconnect their knowledge of the outcome in order to be able to make unbiased judgments about the performance of human operators during the incident (Baron & Hershey, 1988).”
Background
Cited by
Understanding adverse events: human factors.
Reason, J. (1995) · Quality and Safety in Health Care · doi:10.1136/qshc.4.2.80 · Cited by 938
Organizational resilience: Towards a theory and research agenda
Vogus, T. J., & Sutcliffe, K. M. (2007) · 2007 IEEE International Conference on Systems, Man and Cybernetics · doi:10.1109/icsmc.2007.4414160 · Cited by 846
Chisholm, C. D., Collison, E. K., Nelson, D. R., & Cordell, W. H. (2000) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2000.tb00469.x · Cited by 610
SEIPS 3.0: human-centered design of the patient journey for patient safety
Carayon, P., Wooldridge, A., Hoonakker, P., Hundt, A. S., & Kelly, M. M. (2020) · Applied Ergonomics · doi:10.1016/j.apergo.2019.103033 · Cited by 493
Measuring errors and adverse events in health care
Thomas, E. J., & Petersen, L. A. (2003) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2003.20147.x · Cited by 455
Metadata
- Authors
- Cook, R. I., & Woods, D. D.
- Venue
- Human Error in Medicine
- Publisher
- CRC Press
- Published
- 2018-02-06
- Pages
- 255-310
- OpenAlex
- W2908119557
- Cited by
- 313
- References
- 2
- FWCI
- 24.26
- Type
- book chapter
- Language
- en
- Open access
- closed
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