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E-raamat: Translating Systems Thinking into Practice: A Guide to Developing Incident Reporting Systems

(University of the Sunshine Coast,Maroochydore, Australia,), , ,
  • Formaat: 308 pages
  • Ilmumisaeg: 21-Sep-2018
  • Kirjastus: CRC Press
  • Keel: eng
  • ISBN-13: 9781317172482
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Translating Systems Thinking into Practice: A Guide to Developing Incident Reporting SystemsSuurem pilt
  • Formaat: 308 pages
  • Ilmumisaeg: 21-Sep-2018
  • Kirjastus: CRC Press
  • Keel: eng
  • ISBN-13: 9781317172482
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Systems thinking tells us that human error, violations and technology failures result from poorly designed and managed work systems. To help us understand and prevent injuries and incidents, incident reporting systems must be capable of collecting data on contributory factors from across the overall work system, in addition to factors relating to the immediate context of the event (e.g. front-line workers, environment, and equipment).

This book describes how to design a practical, usable incident reporting system based on this approach. The book contains all the information needed to effectively design and implement a new incident reporting system underpinned by systems thinking. It also provides guidance on how to evaluate and improve existing incident reporting systems so they are practical for users, collect good quality data, and reflect the principles of systems thinking.

Features











Highlights the key principles of systems thinking for designing incident reporting systems Outlines a process for developing and testing incident reporting systems Describes how to evaluate incident reporting systems to ensure they are practical, usable, and collect good quality data Provides detailed guidance on how to analyze incident data, and translate the findings into appropriate incident prevention strategies

Arvustused

"Dr. Natassia Goode and colleagues have created an important resource, narrowing the research-practice gap. All readers, whether ergonomics and human factors specialists or OHS or safety science practitioners, will find much to stimulate their thinking. It demonstrates that it is possible to take an evidence-based approach to incident reporting and investigation to assist learning from incidents. Whether you are developing a new incident reporting system or modifying your current workplace system, this book contains the theory and practical advice to assist with meaningful and sustainable system redesign." Alison Gembarovski, Ergonomics and OHS Practitioner

"With Translating Systems Thinking into Practice, authors Goode, Salmon, Lenné and Finch have taken on a daunting task: to convey the nuances of a quite a complex and layered subject matter in a way that makes it relatable and usable for industry practitioners and scholars alike and all in a single, 288-page volume. Thankfully, they deliver on the promise, and with more than a little style. Theres more than a bit of providence in the creation of this volume. The authors have a long history with much of what they share, and the book is a recapitulation of a research program edited in a way that makes it relatable to a much broader audience. I daresay that those who already know the authors work may be familiar much of the information in the book, but its still nice to have it all packaged up in the one volume. Systems Thinking has been around for a while but has less hold in industry than it does in academia, more so with certain disciplines who still eye it with suspicion. Part of the reason may be that its been tarnished by negative strokes of the human factors-brush, but it can also be somewhat impenetrable and theoretically dense a different language for some which is what made this book stand out so much to me." Australian & New Zealand Journal of Health, Safety and Environment 2018 Issue, copyright in the review is held by CCH Australia Limited

"Overall, this is an excellent book by four researchers with very significant experience in the field. The book targets a fairly small target audience but has a unique selling point: it simply provides more information on developing incident reporting systems, in a user-friendly way, than can be found anywhere else. If you are responsible for developing new incident reporting systems, or evaluating and improving existing systems, then time spend reading this book will yield enormous benefits for learning from incidents." Steven Shorrock, Chartered Psychologist, Chartered Ergonomist and Human Factors Specialist, Eurocontrol

Preface xi
Authors xvii
Acknowledgements xix
1 Systems Thinking and Incident Causation
1(1)
Practitioner Summary
1(1)
1.1 Introduction
1(1)
1.2 Introduction to Systems Thinking
2(2)
1.3 Systems Thinking Applied
4(2)
1.4 Systems Thinking Models
6(7)
1.5 Implications for Incident and Reporting Systems
13(1)
References
14(3)
2 Systems Thinking and Incident Analysis
17(1)
Practitioner Summary
17(1)
2.1 Introduction to Incident Analysis
17(1)
2.2 Accimap
18(2)
2.3 CAST
20(2)
2.4 HFACS
22(2)
2.5 Accimap, CAST, and HFACS Applied
24(12)
2.6 Summary and Conclusions
36(1)
References
37(2)
3 A Process Model for Developing an Incident Reporting System
39(1)
Practitioner Summary
39(1)
3.1 Introduction
39(1)
3.2 Overview of the Process Model
40(1)
3.3 The Development Sequence
40(2)
3.4 Stage 1: Understand the Context
42(2)
3.5 Stage 2: The Accident Analysis Method
44(1)
3.6 Stage 3: Data Collection Protocol
45(6)
3.7 Stage 4: Learning from Incidents Process
51(2)
3.8 Stage 5: Software Tools and Training Materials
53(3)
3.9 Stage 6: Implementating-Evaluating Data Quality
56(1)
3.10 Criteria for Designing and Evaluating Incident Reporting Systems
57(2)
3.11 Next Steps
59(1)
References
59(4)
4 Understanding the Context
63(14)
Practitioner Summary
63(1)
Practical Challenges
63(1)
4.1 Introduction
64(1)
4.2 The Context for This Case Study
64(2)
4.3 Injury and Incident Data Collection in Australia Prior to UPLOADS
66(2)
4.4 State of Knowledge in the LOA Domain
68(3)
4.5 Summary and Next Steps
71(2)
References
73(4)
5 Identifying the Needs and Priorities of End Users
77(1)
Practitioner Summary
77(1)
Practical Challenges
77(1)
5.1 Introduction
78(1)
5.2 Step-by-Step Guide
78(11)
5.3 Summary and Next Steps
89(1)
Further Reading
90(1)
References
90(3)
6 Adapting Accimap for Use in an Incident Reporting System
93(1)
Practitioner Summary
93(1)
Practical Challenges
93(1)
6.1 Introduction
93(1)
6.2 Tasks Involved in Adapting Accimap
94(1)
6.3 Adapting the Levels on the Accimap Framework
94(3)
6.4 Developing a Contributory Factor Classification Scheme
97(10)
6.5 Summary and Next Steps
107(3)
Further Reading
110(1)
References
110(2)
Appendix: Literature Review References
112(3)
7 Evaluating Reliability and Validity
115(1)
Practitioner Summary
115(1)
Practical Challenges
115(1)
7.1 Introduction
115(1)
7.2 What Is Reliability and Validity?
116(1)
7.3 Step-by-Step Guide to Evaluating Reliability and Validity
117(7)
7.4 Evaluating the UPLOADS Classification Scheme
124(7)
7.5 Conclusions and Next Steps
131(1)
Further Reading
132(1)
References
132(3)
8 Designing a Prototype Incident Reporting System
135(16)
Practitioner Summary
135(1)
Practical Challenges
135(1)
8.1 Introduction
136(1)
8.2 Design Requirements
136(2)
8.3 Prototype Data Collection Protocol
138(4)
8.4 Prototype Learning from Incidents Process
142(2)
8.5 Prototype Software Tool
144(1)
8.6 Prototype Training Material
145(3)
8.7 Summary and Next Steps
148(1)
References
149(2)
9 Evaluating Usability
151(12)
Practitioner Summary
151(1)
Practical Challenges
151(1)
9.1 Introduction
151(1)
9.2 What Is Usability?
152(1)
9.3 Step-by-Step Guide to Evaluating Usability
152(4)
9.4 Evaluating the Usability of the UPLOADS Prototype
156(3)
9.5 Summary and Next Steps
159(3)
References
162(1)
10 Evaluating Data Quality
163(14)
Practitioner Summary
163(1)
Practical Challenges
163(1)
10.1 Introduction
163(1)
10.2 What Is Data Quality?
164(1)
10.3 Step-by-Step Guide to Undertaking an Implementation Trial...
165(3)
10.4 Evaluating the Data Quality of the UPLOADS Prototype
168(8)
10.5 Summary and Next Steps
176(1)
Further Reading
176(1)
References
176(1)
11 Outputs from the Development Process - UPLOADS
177(1)
Practitioner Summary
177(1)
11.1 Introduction
177(1)
11.2 Accident Analysis Method
178(2)
11.3 Data Collection Protocol
180(6)
11.4 The Process for Learning from Incidents
186(2)
11.5 Supporting Software Tools
188(3)
11.6 Training Materials
191(2)
11.7 Summary
193(1)
References
193(2)
12 Analyzing Incident Data
195(1)
Practitioner Summary
195(1)
Practical Challenges
195(1)
12.1 Introduction
195(1)
12.2 Step-by-Step Guide to Analyzing Incident Data
196(4)
12.3 Analysis of Data Collected via UPLOADS
200(11)
12.4 Implications for Understanding and Preventing Incidents
211(1)
12.5 Summary and Next Steps
212(1)
Further Reading
213(1)
References
213(2)
13 Designing Incident Prevention Strategies
215(16)
Practitioner Summary
215(1)
Practical Challenges
215(1)
13.1 Introduction
215(1)
13.2 Step-by-Step Guide to Designing Incident Prevention Strategies
216(5)
13.3 UPLOADS Incident Prevention Strategy Design Process
221(9)
13.4 Summary and Conclusions
230(1)
References
230(1)
14 Lessons Learned, Future Research Directions, and the Incident Reporting Systems of Tomorrow
231(12)
Practitioner Summary
231(1)
14.1 Introduction
231(1)
14.2 Key Findings and Lessons Learned
232(3)
14.3 Further Research on Incident Reporting Systems
235(2)
14.4 Incident Reporting in 2050
237(2)
14.5 Summary
239(1)
14.6 Conclusions
240(1)
References
240(3)
Appendix A UPLOADS Contributory Factor Classification Scheme 243(10)
Appendix B Examples of Coding Tasks for Reliability and Validity Assessments 253(4)
Appendix C UPLOADS Incident Report Form 257(6)
Appendix D Training Manual: The UPLOADS Approach to Accident Analysis 263(18)
Index 281
Natassia Goode is a Research Fellow within the Centre for Human and Sociotechnical Systems at the University of the Sunshine Coast. Dr. Goode currently holds an Advance Queensland Research Fellowship focused on applying systems thinking methods in healthcare. Her PhD and honours research in psychology investigated how people learn about complex systems. Since then, her research has focused on applying systems thinking to optimize the way that organizations manage safety. She has co-authored over 45 peer-reviewed journal articles, and numerous conference contributions and industry reports.

Paul M. Salmon is a Professor in Human Factors and the creator and director of the Centre for Human Factors and Sociotechnical Systems (www.hf-sts.com) at the University of the Sunshine Coast. Professor Salmon currently holds an Australian Research Council Future Fellowship in transport safety. He has a 17-year track record of applied Human Factors research in areas such as road and rail safety, aviation, defence, sport and outdoor recreation, healthcare, workplace safety, land use and urban planning, and cybersecurity. His research has focused on understanding and optimizing human, team, organizational, and system performance through the application of Human Factors theory and methods. He has co-authored 14 books, over 180 peer-reviewed journal articles, and numerous book chapters and conference contributions. He has received many awards and accolades for his research and, in 2016, was awarded the Human Factors and Ergonomics Society Australias Cumming Memorial Medal for his contribution to Human Factors research and practice.

Michael G. Lenné is an Adjunct Professor (research) at the Monash University Accident Research Centre (MUARC), Victoria, Australia. He obtained a PhD in human factors psychology in 1998 and has since served in a number of research roles in university and government settings. His most recent academic position was Professor in Human Factors at MUARC, where his research program used simulation and instrumented vehicles to study the impacts of vehicle design, technology, and road design on behavior and safety. Professor Lennés research is widely disseminated, with over 120 journal publications, 5 books, and over 200 reports that provide practical recommendations. He has been the guest editor for three journal special issues since 2014, and served on the editorial boards of the fields leading journals. In 2014, he transitioned into a scientific role with a primary focus on the development of research partnerships that directly support the development of technology to improve transport safety. He maintains academic collaborations through his adjunct role at MUARC, including the flagship Enhanced Crash Investigation Study.

Caroline F. Finch is the Deputy Vice-Chancellor (Research) at the Edith Cowan University in Perth, Australia. Prior to this current role, she held a Robert HT Smith Personal Chair in Sports Safety at Federation University Australia, in Ballarat where she was also supported by a National Health and Medical Research Council Principal Research Fellowship. Since 2010, she has been the Director of the Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), an IOC recognized centre focusing on research in injury prevention and the promotion of health in athletes. Professor Finch is a highly accomplished academic and world-renown researcher. She is the author of over 700 research-related publications, and has earned more than $22 million in research funding over the course of her career. She is known globally for her injury prevention, injury surveillance, and sports medicine research. She has previously been ranked as one of the 10 most highly published injury researchers of all time and is recognized as one of the most influential sports medicine researchers internationally. In 2015, she was awarded the American Public Health Association Distinguished International Career Award from the Injury Control and Emergency Health Services Section. In 2018, Professor Finch was appointed as an Officer of the Order of Australia (AO) for her distinguished service to sports medicine, particularly in the area of injury prevention as an educator, researcher, and author, and to the promotion of improved health in athletes and those who exercise.
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