Analysis of interrelationships of human errors using linguistic decision-making trial and evaluation laboratory with consensus reaching process

Abstract

Analyzing human errors' interrelationships is one of the most important assignments for human reliability improvement in sociotechnical systems. Human factor analysis and classification system (HFACS) is effective in human error analysis due to its taxonomy and systematical perspective. It reveals interrelationships among human errors emerging in a multi-hierarchy of systems. However, the conventional HFACS method is incapable of quantifying their interrelationship. Especially, due to the nature of human errors, their objective data is limited. Experts' opinions are important resources to facilitate human error analysis. However, limited improved HFACS considers experts' consensus on interrelationships analysis results, especially in linguistic environments. Accordingly, this paper aims to address HFACS-based interrelationships analysis problems utilizing linguistic decision-making trial and evaluation laboratory (DEMATEL) with consensus reaching process (CRP). First, probabilistic linguistic terms are utilized to represent experts' opinions on human errors' interrelationships. Second, CRP is introduced to derive consensual opinions on human errors' interrelationships, shifting the focus to identifying human errors with low consensus levels rather than experts. Then, a hybrid weighting method is introduced to determine the weight of experts' opinions in the information fusion phase, which reflects inherent uncertainty and inter-recognition of experts’ opinions. Furthermore, DEMATEL is introduced to model direct and indirect interrelationships among human errors. Finally, a case study of a drug administration process is conducted to validate the efficiency of the proposed method. The case study indicates that neglect of safety culture development and limited financial and human resources are the top two human errors, with importance degree 0.148 and 0.107.