Quantification of human error and common-mode failures in man-machine systems

1988 ◽  
Vol 3 (2) ◽  
pp. 292-299 ◽  
Author(s):  
J.J. Liboa
Author(s):  
Jacob D. Oury ◽  
Frank E. Ritter

AbstractThis chapter moves the discussion of how to design an operation center down a level towards implementation. We present user-centered design (UCD) as a distinct design philosophy to replace user experience (UX) when designing systems like the Water Detection System (WDS). Just like any other component (e.g., electrical system, communications networks), the operator has safe operating conditions, expected error rates, and predictable performance, albeit with a more variable range for the associated metrics. However, analyzing the operator’s capabilities, like any other component in a large system, helps developers create reliable, effective systems that mitigate risks of system failure due to human error in integrated human–machine systems (e.g., air traffic control). With UCD as a design philosophy, we argue that situation awareness (SA) is an effective framework for developing successful UCD systems. SA is an established framework that describes operator performance via their ability to create and maintain a mental model of the information necessary to achieve their task. SA describes performance as a function of the operator’s ability to perceive useful information, comprehend its significance, and predict future system states. Alongside detailed explanations of UCD and SA, this chapter presents further guidance and examples demonstrating how to implement these concepts in real systems.


1989 ◽  
Vol 33 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Earl L. Wiener

The last two decades have witnessed a rapid growth in the introduction of automatic devices into aircraft cockpits, and elsewhere in human-machine systems. This was motivated in part by the assumption that when human functioning is replaced by machine functioning, human error is eliminated. Experience to date shows that this is far from true, and that automation does not replace humans, but changes their role in the system, as well as the types and severity of the errors they make. This altered role may lead to fewer, but more critical errors. Intervention strategies to prevent these errors, or ameliorate their consequences include basic human factors engineering of the interface, enhanced warning and alerting systems, and more intelligent interfaces that understand the strategic intent of the crew and can detect and trap inconsistent or erroneous input before it affects the system.


1982 ◽  
Vol 26 (7) ◽  
pp. 674-675
Author(s):  
D. D. Woods ◽  
E. Hollnagel

Training simulators are an important but under-utilized resource to understand human behavior in man-machine systems. They provide a realistic model of the work environment, trained subjects of varying experience levels, and permit data collection on abnormal situations that arise infrequently in the real world. However, the methods available to tap this resource are limited because of requirements imposed by training program goals. The result is a test situation that more closely approximates naturalistic observation conditions than controlled experimental design. One type of solution has been to develop automated data collection systems. While these systems record the details of plant behavior and specific operator actions (what happened), they fail to capture the context behind these results (how or why it happened). For example, in order to make interface design improvements, it is not enough to note operator errors; the mechanisms that produced the error must also be understood. An alternative approach is the decision analysis framework for the observation and analysis of human performance in man-machine systems. The decision analysis methodology, as applied to training simulator studies, has been developed and refined through several recent investigations of operator performance in nuclear power plant control rooms. These studies include an analysis of operator decision making during multiple failures, analyses of the sources of operator malfunctions, and an evaluation of a new concept in operator aids. The decision analysis process consist of two major steps. First, a description of actual performance (i.e., timeline or protocol) is produced by using the knowledge of subject matter experts to create situation specific flowsheets. These flowsheets must be detailed enough so that the protocol can be produced during the training sessions without extra or specialized observers, but they also need to be flexible enough to track unexpected evolutions that result from novel or incorrect operator behavior. The flowsheet technique provides for on-line protocol generation. The second activity in the decision analysis framework is to use the knowledge of human behavior (operator models, diagnostic strategies, human error taxonomies) provided by human factors specialists to extract a description of prototypical performance. At this level, the analysis is no longer related to a specific situation and specific operators, but emphasizes what is characteristic of a number of related performances. For example, where the actual performance description notes independent errors by different operators in different events, the prototypical performance description may identify a group of examples of a single human error category (e.g., failures to obtain feedback on goal achievement following an action). Efficient production of prototypical performance descriptions is based on translating the conceptual framework provided by the human factors specialist into a form usable by training instructors. One benefit of the decision analysis method is that data is collected not only on operator actions but also on their context. This provides design basis data by identifying where and why operator failures occur and a mechanism to evaluate modifications to the operational system (e.g., new equipment or procedures). Second, decision analysis permits this type of data to be collected on student performance as a standard part of simulator exercises. The technique can also help reduce the high resource overhead of human performance studies. In addition, the conceptual framework employed in decision analysis permits results to be generalized across a variety of context specific factors. Finally, the quality of training may be improved through better feedback on student performance.


Author(s):  
David Meister

Four studies describing the development and application of a simple multiplicative probability model for human error prediction are reviewed and evaluated. The methodology is an elementaristic one that requires analysis of system operations to the task-element level. Estimates of human performance reliability are applied through the use of the Data Store, which is based on extrapolation of results from 164 experimental studies. The various possibilities of operator action are explored in detail through a “probability” tree; each branch of the tree represents an alternative contingency. Performance reliabilities for task elements are progressively combined through the use of the series product rule to yield reliability estimates for tasks, mission phases, and the overall system. The methodology has been applied in two contexts: the generation of reliability estimates through a computerized Monte Carlo program and by using experts' rating of operator performance.


Author(s):  
William F. Stubler ◽  
John M. O'Hara

Many types of products and systems that have traditionally featured physical control devices are now being designed with soft controls - input formats appearing on computer-based display devices and operated by a variety of input devices. A review of complex human-machine systems found that soft controls are particularly prone to some types of errors and may affect overall system performance and safety. This paper discusses the application of design approaches for reducing the likelihood of these errors and for enhancing usability, user satisfaction, and system performance and safety.


2012 ◽  
Vol 17 (1) ◽  
pp. 44-54 ◽  
Author(s):  
Guido Alessandri ◽  
Gian Vittorio Caprara ◽  
John Tisak

Literature documents that the judgments people hold about themselves, their life, and their future are important ingredients of their psychological functioning and well-being, and are commonly related to each other. In this paper, results from a large cross-sectional sample (N = 1,331, 48% males) are presented attesting to the hypothesis that evaluations about oneself, one’s life, and one’s future rest on a common mode of viewing experiences named “Positive Orientation.” These results corroborate the utility of the new construct as a critical component of individuals’ well functioning.


2020 ◽  
Vol 10 (2) ◽  
pp. 103-111
Author(s):  
Andrey K. Babin ◽  
Andrew R. Dattel ◽  
Margaret F. Klemm

Abstract. Twin-engine propeller aircraft accidents occur due to mechanical reasons as well as human error, such as misidentifying a failed engine. This paper proposes a visual indicator as an alternative method to the dead leg–dead engine procedure to identify a failed engine. In total, 50 pilots without a multi-engine rating were randomly assigned to a traditional (dead leg–dead engine) or an alternative (visual indicator) group. Participants performed three takeoffs in a flight simulator with a simulated engine failure after rotation. Participants in the alternative group identified the failed engine faster than the traditional group. A visual indicator may improve pilot accuracy and performance during engine-out emergencies and is recommended as a possible alternative for twin-engine propeller aircraft.


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