Improving human performance in practice – lectures
Week 1: work and task analysis
Initial focus of ACP engineering and human factors/cognitive ergonomics in for example military and aviation.
Cognition:
Selective attention Vigilance Interference Capacity Identification Decision making
Current fields:
Knowledge work Creativity and sports Industry High tech and robotics Education Traffic Government Task analysis: looking at a non-optimal situation, find the cause and give advice
Drunk car crash advice: don’t drink and drive
However, other possible factors: distraction, fatigue, insufficient training, road design, fogged windshield interactions between causes.Resilience to imperfection: aim to ensure that imperfections in people and situations do not lead to disaster.Hindsight bias cannot prevent problems Towards a system analysis (team is more than the sum of its parts) 1 / 3
Task analysis (light) cognitive psychology allows you to already identify limiting factors in
a not too complicated job:
Situation awareness Attention/concentration Working memory load Knowledge Availability of information Week 2 – Safety Past to present Human error human performance variability Motivation training to not pass a red signal analysis of why a signal is being ignored Railway accidents high availability bias
The “Swiss cheese model”:
Between an accident and a cause are different barriers An accident occurs when the “holes” in barriers line up
Solution: decrease the size of the holes or add more barriers
The arrow represents the human factor: Why, What and when.
Very often, there is no malicious intent and things “happen”
Unintentional behavior:
Slips commission Lapses omission increasing problem
Intentional behavior:
Mistakes strong but wrong Violations breaking rules 2 / 3
SPAD signal passed at danger from minimal to grave passings Target was not realized, but there was a significant decrease in SPADS Variation exist and does not have to be entirely eliminated, however we could implement thresholds to avoid too high or too low result.Variation leaves to improvement and competition Utrecht central station: Opportunities for change: less crossings and more information processing how would this increase safety?Unfortunately can’t be just “tried” and has a high cost/high risk nature The outcome can only be explained after the experiment
How to reduce the risk of SPADS Risk is exposure X probability X effect:
Exposure: influence the number of signals/crossings flexibility lost
Probability (behavior): given that there is a red signal, influence the probability to
passing that signal:
-Using simulators (waiting for a SPAD is too time-consuming) -Proxy indicator max breaking capacity to SPAD
Effect: Reduce the consequences
Innovative way of improving safety:
There were no indications that negative mBtSPAD were caused by extraordinary factors Negative SPADS were extreme outcomes of the accepted way of working initially not safety related With a focus on optimizing the primary process, not only safety but also punctuality and energy consumption.To what extent is there unnecessary variation in the way organizations operate
Conclusions:
Two approaches that are complementary to each other:
-Eliminate causes of incidents -Eliminate variation. Change the normal way of operating in such a way that extreme outcomes are less frequent Positive surprises are as worrying as negative ones Safety is a control issue and implies predictability of performance in all aspects Look for sources for variation in human performance Week 3 – Education Predictors of school success 70% of variance depends on gender, SES and IQ 14 years of education to influence the other 30% What is the goal of school? Is school the optimal mean to achieve the goal applies also to company training.Thorndike transfer is only possible from the trained activity to identical elements.
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