Abstract
This paper highlights the positive role that human operators often play in preventing small failures and errors from developing into an actual system breakdown. The resulting ‘near misses’ may provide an insight into a powerful alternative to human error prevention, namely: human recovery promotion. Theoretical approaches to modelling error recovery are discussed and translated into empirical research questions. These are partly answered by a number of pilot studies. The main conclusions are that error recovery is much more than simple luck or coincidence, that its root causes can be identified, and that these should have design implications for the technical and organisational context of the human operator’s task.
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References
Frese, M. (1991). Error management or error prevention: Two strategies to deal with errors in software design. In H.J. Bullinger (Ed.), Human aspects in computing: Design and use of interacive systems and work with terminals (pp. 776–782). Amsterdam: Elsevier Science Publishers.
Frese, M., van der Schaaf, T.W., & Heimbeck, D. (1996). Error Management and Recovery in Technical System Design. In: Proceedings of the’ 96 Multiconference, Symposium on Robotics and Cybernetics, July 1996, Lille, France, pp. 161–164.
Kanse, L., & Embrey, D. (1998). Recovery from failure. In: Proceedings of 4th World Conference on Injury Prevention and Control, May 17–20, Amsterdam, the Netherlands, p 1020.
Vuuren, W. van (1998). Organisational failure: An exploratory study in the steel industry and the medical domain. PhD thesis, Eindhoven University of Technology.
Svenson, O. (1991). The Accident Evolution and Barrier function (AEB) model applied to incident analysis in the processing industries. Risk Analysis, 11, 499–507.
Schaaf, T.W. van der (1991). Development of a near miss management system at a chemical process plant. In: Near miss reporting as a safety tool (Schaaf, T.W. van der, D.A. Lucas & A.R. Hale (Eds.)). Butterworth Heinemann, Oxford.
Schaaf, T.W. van der (1992). Near miss reporting in the chemical process industry. PhD thesis, Eindhoven University of Technology.
Rasmussen, J. (1986). Information processing and human-machine interaction. Amsterdam: Elsevier Science Publishing.
Reason, J.T. (1990). Human Error. Cambridge: Cambridge University Press.
Schaaf, T.W. van der (1988). Critical incidents and human recovery. In L.H.J. Goossens (Ed.): Human recovery: Proceedings of the COST A1 Seminar on Risk Analysis and Human Error. Delft: Delft University of Technology.
Zapf, D., & Reason, J.T. (1994). Introduction: Human errors and error handling. Applied Psychology: An International Review, 43(4), 427–432.
Kontogiannis, T. (1999). User strategies in recovering from errors in man-machine systems. Safety Science, 32, 49–68.
Sellen, A.J. (1994). Detection of Everyday Errors. Applied Psychology: An International Review, 43(4), 475–498.
Bagnara, S., Ferrante, D., Rizzo, A., & Stablum, F. (1988). Causal analysis in error detection and recovery: when does it occur? Paper presented at the international conference on joint design of technology, organization and people growth, Venice, October 12–14, 1988.
Brinkman, J.A. (1990). The analysis of fault diagnosis tasks: Do verbal reports speak for themselves? PhD thesis, Eindhoven University of Technology.
Embrey, D.E., & Lucas, D.A. (1988). The nature of recovery from error. In L.H.J. Goossens (Ed.), Human recovery: Proceedings of the COST A1 Seminar on Risk Analysis and Human Error. Delft: Delft University of Technology.
Perrow, C. (1984). Normal accidents: living with high-risk technologies. New York: Basic Books.
Mulder, A.M. (1994). Progress report 1993 of the SAFER project. Report Hoogovens steel industry (in Dutch). I Jmuiden: Hoogovens.
Hoeff, N.W.S. van der (1995). Risk management in a surgical ward (in Dutch). MSc thesis, Eindhoven University of Technology.
Zuijderwijk, M. (1995). Near miss reporting in reliability management. MSc thesis, Eindhoven University of Technology.
Flanagan, J.C. (1954). The critical incident technique. Psychological Bulletin, 51, 327–358.
Schaaf, T.W. van der (1996). Human recovery of errors in man-machine systems. In: CCPS’ 96, International conference and workshop on process safety management and inherently safer processes, October 8–11, Florida, USA. New York: American Institute of Chemical Engineers.
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van der Schaaf, T.W., Kanse, L. (2000). Errors and error recovery. In: Elzer, P.F., Kluwe, R.H., Boussoffara, B. (eds) Human error and system design and management. Lecture Notes in Control and Information Sciences, vol 253. Springer, London. https://doi.org/10.1007/BFb0110452
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DOI: https://doi.org/10.1007/BFb0110452
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