Lecture 18: Human Error (Part II) Flashcards
When following a procedure, whatβre two reasons why an error may occur?
- Missing a procedural step
- LAX controller βforgotβ commuter was on runway when clearing aircraft to land
- Thereβs a flaw in the procedure
Wherever tasks require a procedure to be followed, _____ and _____ are sure to follow.
- Slips
- Lapses
Distraction and Interruption example:
- Queenstown: 2003
- Pilot fails to clip tourist to hang glider
- Two previous launches aborted
Flaw in procedure example:
- ATM
- People took their cash and forgot card and receipt
- Now remove cash step is last
ATM new procedure is less error prone because:
- All the actions are accomplished before the goal
- Seeing and touching card is a strong cue to next step (remove cash)
When an interruption occurs in a procedure, three things can occur:
- Pick up where you left off
- Pick up one step before (fine, just means repetition)
- Skip a step
Slips can arise due to:
- Faulty intention (mode error)
- Faulty activation (capture error)
- Faulty triggering (blends)
What is mode error / faulty intention?
- Intention inappropriate for current situation
Mode errors are becoming very common in ____ ____ with many functions but few _____.
- Complex systems
- Displays
What is a capture error? Give an example
- When a familiar habit substitutes itself for the intended actions
- Put money into the coffee machine but actually wanted cigarettes
- Go into your room to change out of school uniform end up putting on pyjamas because itβs a strong habit
- One action sequence is hijacked, the other has been taken over, you find yourself carrying out a different familiar action
What are βblendsβ? Give an example
- Two schemas triggered simultaneously
- Throwing earrings to dog, trying to put dog biscuits on ear
What are lapses (loss of activation)?
- Actions continue even though intention is lost
Slips and Lapses naturally happen with ____ _____. Slips take _____ forms. Analysis of slips give us insight into..
- Skilled actions
- Predictable
- How skills are organised and developed
Stressors willβ¦
- Be appraised as stressful
- Produce physiological changes
- Affect performance
Stressors canβ¦
- Improve performance
- Impair performance