Human errors and disasters

J. Wreathall, J. Reason
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引用次数: 9

Abstract

Human error has been identified as a leading contributor to accidents in many fields, including nuclear power operations. In the past, evaluations of accidents in terms of human contributions have most often focused on the immediate proximate human actions that were the final steps in the chain. These analyses now often include evaluation of the human factors elements surrounding those final actions, including procedures, training, and the man-machine interface. There has been an increasing awareness of organizational factors as a source of 'common-mode' influences on these human factors elements. However, these influences and factors do not present an adequate description of the ingredients for a disaster. The context in which the actions take place is a key element that is now only being considered in evaluating human errors and disasters.<>
人为的错误和灾难
在包括核电运营在内的许多领域,人为失误被认为是导致事故的主要原因。在过去,从人为因素的角度对事故的评估通常集中在最直接、最接近的人类行为上,即事故链条的最后一步。这些分析现在通常包括对围绕这些最终行动的人为因素的评估,包括程序、培训和人机界面。人们越来越认识到,组织因素是对这些人为因素的"共模"影响的来源。然而,这些影响和因素并没有充分描述造成灾难的因素。行动发生的背景是一个关键因素,现在只有在评估人为错误和灾难时才考虑到这一点
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