Chapter 19: crew resource management and leading change

Question 1

behavioral approach to reducing human error in high risk/high consequences activities?

Answer 1

crew resource management

Question 2

crm was developed in response to?

Answer 2

1978 united airlines flight 173 from denver to portland that killed 10 due to crew relying on burntout lightbulb

Question 3

where and when was crm developed?

Answer 3

1979/nasa

Question 4

resistance to crm continued until?

Answer 4

1989 united airline flight 232 that landed in sioux city, iowa

Question 5

aviation industry accounts ___% reduction in accident due to crm?

Answer 5

80%

Question 6

steps to create safe culture?

Answer 6

honest sharing of safety info/adopt non punitive policy towards errors/take action to reduce errors/train ff’s in error avoidance/train fire officers

Question 7

who authored “controlling pilot error: cultural, environment and crm”

Answer 7

colonel tory kern

Question 8

canadian gordon dupont developed “dirty dozen” list of reason and ways humans make mistakes?

Answer 8

lack of communication/complacency/distraction/lack of teamwork/fatigue/lack of resources/pressure/lack of assertiveness/stress/lack of awareness/norms

Question 9

dr james reason published a article in 2000’s british medical journal that?

Answer 9

faulted system approach

Question 10

dr james reason pointed out each layer of defense is like?

Answer 10

layer of swiss cheese

Question 11

2 reasons dr reasons explains why holes appear in defense?

Answer 11

active failures/latent conditions

Question 12

unsafe acts committed by people in direct contact with situation/system?

Answer 12

active failures

Question 13

inevitable “resident pathogens” within system?

Answer 13

latent conditions

Question 14

3 activities of crm? (ATM)

Answer 14

avoidance/trap/mitigate

Question 15

6 areas of fire service crm?

Answer 15

communication/teamwork/task allocation/critical decision making/situational awareness/debriefing

Question 16

components of leadership triangle?

Answer 16

trust and respect/leadership skills/effective leadership

Question 17

fire officer and military combat officers rely on this when developing plans of action?

Answer 17

past experiences

Question 18

2 decision making models gary kleins study?

Answer 18

recognition primed decision making/naturalistic decision making

Question 19

accurate perception of whats going on around you?

Answer 19

situational awereness