My thoughts on human factors, work psychology and safety topics

Human factors and Homer Simpson

Human Factors 101 - Making it easy for Homer to do the right thing.

What is human factors? Do you have difficulty explaining the topic to others? And what value does human factors add? This case study examines the factors that might influence a control room operator's behaviour (Homer Simpson) and how we might improve his performance. These 'Performance Influencing Factors' are key to understanding and optimising human performance. The article provides a definition of human factors: "making it easy for Homer to do the right thing".

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“People can forget to be afraid”

Devastation at BP Texas City, 23 March 2005

On 23 March 2005, a massive explosion and fires killed 15 people and injured another 180 at the BP Texas City Refinery, Texas. This disaster led to many investigation reports. It has been said that BP failed to learn from numerous warning signs that could have prevented the disaster. Many years later, I question how much wider industry has learnt - and provide a reflection toolkit based on 12 quotes from the investigations.

Mental health: Where to start?

Mental health - Where to start?

There is growing recognition of the need to manage psychological health in the workplace, as well as physical health and safety - which is arguably a more mature topic. It's clear though, that many organisations are unsure about where to start when addressing mental health and well-being in the workplace. It’s easy to focus on those interventions that are quick to implement. However, many of these interventions will not have a real impact.

Learning from adverse events

Learning from adverse events

There are nine key principles that organisations can apply to capture the human contribution to adverse events. These principles will help you to apply human factors in the investigation process. They also demonstrate how organisations learn (and fail to learn) from adverse events.

Suicide safety plan

Beyond Now app - humanfactors101.com

The design of work and workplaces can have a significant impact on our lives, including contributing to the causes of suicide. Employers have a duty to manage work-related factors that can impact on suicide-related thoughts. "Beyond Now" is an app created by Beyond Blue to support people through these feelings.

Is human error a crime?

Crime scene do not cross - humanfactors101.com

Following a medication error that led to the death of a patient, the nurse who administered the medication was sacked. Following an investigation by the Department of Health, no action was taken against the nurse or the hospital. However, following an anonymous complaint, another investigation found deficiencies in hospital systems and also led to the nurse being charged with criminal homicide. No disciplinary action was taken against the hospital, but the nurse was found guilty of criminally negligent homicide. This article examines the series of events and comments on the impact of this case on the health profession and patient safety.

Nimrod XV230: 15 years on

organisational change- humanfactors101.com

Five years ago, I launched this website with a series of articles about the Nimrod XV230 disaster. Today, on the 15th anniversary of this tragedy, I'd like to reflect on the key recommendations. From the subtitle of the independent Review - "A failure of leadership, culture and priorities" - it's obvious that there may be lessons for us all. The question is, have we learned these lessons?

Should you focus on behaviours?

Hierarchy of Controls - humanfactors101.com

A focus on individual behaviours is not the most effective approach to address workplace health and safety, unless all other necessary measures have been taken. Addressing behaviours should not be used to compensate for poorly-designed work or workplaces. This article outlines the importance of the Hierarchy of Controls to determine the most effective measures to address workplace health and safety, and considers the position of individual behaviours within this hierarchy.

humanfactors101 wins award

Outstanding Communications Award

I'm really pleased to announce that this website is the joint winner of the Outstanding Communications Award 2021 from the UK Chartered Institute of Ergonomics and Human Factors. Writing content and maintaining the site takes considerable effort, but recognition like this keeps me motivated to continue producing materials. Thank You !!

COVID-19: Lockdown and Sleep

Sleep - humanfactors101.com

The COVID-19 pandemic has caused stress, anxiety, worry and depression for millions of people around the world as they confront illness, bereavement, unemployment and uncertainty. However, the coronavirus may be causing another global crisis - inadequate sleep. This article addresses the impact of lockdowns, home-working and quarantine on our sleep - and provides some practical solutions.

Stockmarket psychology

Stockmarket psychology - humanfactors101.com

Making money on the stockmarket should be easy. Simply buy stocks, shares or managed funds when prices are low and sell them when prices are higher. This is basic mathematics! However, several studies have shown that the typical private investor buys when stocks are high and sells them when they are low. The principles of human factors can help ordinary retail investors to make money (or not lose money) on the global stockmarkets. Many people lose money when trading or investing on the stockmarket simply because we are human. We act on our emotions or instincts, and we are subject to cognitive biases (errors of thinking). These human factors can lead us to make poor decisions and lose money.

COVID-19: Mental wellbeing in the workplace

Psychological safety in the workplace - humanfactors101.com

Frequent and rapid changes in workplaces around the world to control the coronavirus pandemic have the potential to harm the mental wellbeing of millions of people. Prior to the pandemic, mental health was a significant workplace issue and there will be significant increases in mental health issues due to the coronavirus pandemic. However, there are steps that employers can take to promote mental wellbeing in the workplace and this article outlines what organisations can do to create a mentally healthy workplace, particularly during the coronavirus pandemic.

COVID-19 and mental wellbeing

Governments and the media have provided information on how to stay physically safe during the pandemic, but guidance on looking after our mental wellbeing has been less visible. Unfortunately, the actions taken to stay physically safe, such as isolation and physical distancing, may be having a harmful effect on our mental health. Research on previous disasters shows that they create a long shadow of mental health issues, trailing the disaster by months or years. Although vaccines are available for the coronavirus, there is no vaccine to support mental wellbeing. In addition to the effects on individuals, mental health issues can have a significant impact on human reliability in the workplace. This article provides eight tips to maintain or improve your mental wellbeing during the COVID-19 pandemic.

COVID-19: Safe to fly again?

COVID19 - safe to fly again? humanfactors101.com

During the COVID-19 pandemic, up to 64% of the global aircraft fleet was in storage (around 17000 aircraft) and tens of thousands of pilots were also grounded for many months. The human factors implications are significant. This article explores, through the lens of selected human factors topics, some of the challenges airlines face as they resume commercial flights. To illustrate these challenges, I explore recent incidents. The approach taken in this article may be helpful for organisations restarting activities, or making changes to activities, following the COVID-19 pandemic.

COVID-19 and High Reliability Organisations

coronavirus - humanfactors101.com

High Reliability Organisations (HROs) operate in complex, high-risk environments where accidents might be expected to occur frequently, but they actually have fewer than might be expected. However, recent thinking suggests that what defines a HRO is not safety or reliability performance, but how it thinks and acts. The key is that HROs anticipate the unexpected AND contain the unexpected when it occurs. The current COVID-19 pandemic has highlighted the importance of the best practices of the HRO approach. This article outlines the five key characteristics of HROs in order to help organisations respond to the COVID-19 pandemic and other future unexpected events.

Remembering Trevor Kletz

Trevor Kletz with his books and articles - humanfactors101.com

Trevor Kletz was a safety hero. Over a career spanning nearly 70 years, his thoughts on human factors, human error and accident investigation helped to move the industry from a focus on individual behaviour to organisational and system failures. His proposal that we should shift from blame to learning is the basis of current safety thinking.

The Ironies of Automation

Tesla - Autopilot - humanfactors101.com

The 'ironies of automation' refers to a set of unintended consequences as a result of automation, that could detrimentally affect human performance on critical tasks. Automation might increase human performance issues, rather than eliminate them.

Measuring workload: There’s an App for that

NASA Task Load Index (NASA-TLX) - App Store - humanfactors101.com

Measuring the workload that people experience is important, because subjective workload has an impact on human performance. A high workload eats into our limited mental resources and can lead to errors, near-misses and incidents. Workload is often measured by the resources available (such as nurse-to-patient staffing ratios), but workload is experienced differently by different people. For example, two nurses assigned to the same number of patients in the same Intensive Care Unit may experience workload differently due to the stability and complexity of their patients. Therefore, a subjective measure of workload can provide helpful insights beyond traditional measures such as staffing ratios. One of the most common measures of subjective workload developed by the NASA Human Performance Group is now available as an App and can be applied in any industry.

Smartphone addiction: Why do we love them so much?

distracted driver - humanfactors101.com

Each year, thousands of people are killed in road accidents due to drivers being distracted by their mobile phone. Despite awareness campaigns, people continue to use their smartphones whilst driving. This article outlines some of the reasons why smartphones can be addictive and provides some practical tips to help manage the relationship we have with our devices.

Chernobyl: The drama

Chernobyl - human error - safety culture - design

This article was prompted by the 2019 television drama series 'Chernobyl', and focuses on human error, safety culture and designing for safety. It provides some discussion points to engage with your key stakeholders and to facilitate safety moments.

Leadership: Delivering the impossible

Leadership in today's NHS: Delivering the impossible

The UK NHS (National Health Service), like healthcare in other countries, is a complex system. It is one of the largest employers in the world - some NHS Trusts employ around 20,000 staff and have a turnover of more than £1 billion. The NHS is not a single organisation - there are many parts that make up the NHS. However, these components do not operate as separate entities, they are interconnected and work together as a system. This creates challenges for those that lead these organisations. A recent report on leadership by The King's Fund: "Leadership in today's NHS: Delivering the impossible" questions whether senior leadership roles in the NHS are still "do-able".

Death by design

Christine - humanfactors101.com

Could you be killed by a car tonight? You're perhaps thinking that I'm referring to a road traffic accident - as an occupant in a vehicle, or maybe as a pedestrian or cyclist. But there's another way that you could be killed by a car tonight - YOUR car in fact.  And this isn't a reference to the Stephen King novel "Christine", about a car apparently possessed by supernatural forces. This article examines how a technological change has led to tragedy. Please share this "safety moment" with family, friends and colleagues.

Working memory: A user’s guide

Memory - human factors

How do we "think"? And what's the role of Working Memory in thinking?

Little has been written about Working Memory in relation to human performance in the workplace - and so in this article I introduce the concept of working memory, discuss why it's important and provide some advice on managing it's limitations.

8 myths about sleep and fatigue

Sleep and fatigue - human factors

This article highlights some common misconceptions about fatigue and sleep. Fatigue can lead to poor performance on tasks which require attention, decision-making or high levels of skill.

Your mobile phone could kill you

park the phone - human-factors-101

A significant proportion of road accidents involve driver distraction. Many drivers admit to making calls, reading or writing messages, and checking social media whilst driving. Using mobile phones can cause drivers to take their eyes off the road, their hands off the steering wheel, and their minds off the road and the surrounding situation. This article outlines how using a mobile can affect driving behaviours, and increase crash risk (even if using a hands-free device).

Human error, human performance and investigations

Human error, human performance and investigations

Human error is a central concept in ergonomics and human factors. But what is 'human error'? Is it helping us to improve safety? The language we use may be preventing us from learning or improving. In this article, I discuss a better way of thinking about human error.

Ten facts about human failure

Ten facts about human failure

I find these ten facts about human failure a great way to engage delegates on human factors training courses. This post also discusses Performance Influencing Factors, the things that make human failures more or less likely.

Ten questions on organisational failures

The Hon. Mr Justice Haddon-Cave - The Nimrod Review

Nimrod XV230 was due to a catalogue of organisational failures and the lessons are relevant to any high-hazard or complex organisation. In this article I provide ten questions to help stimulate discussion and reflection on leadership, culture and priorities.

Keep it simple

Keep it simple

Discusses the relationship between complexity and system failures. The author of The Nimrod Review, The Hon. Mr Justice Haddon-Cave, states that simplicity is your friend and complexity is your enemy.

Change is the only constant

Organisational change and disaster

Organisational change is inevitable, but does it have to lead to disaster? Whatever it is that defines 'safety' for your organisation, whether that is keeping chemicals in the pipes, keeping trains on the tracks, airplanes in the sky, or not harming patients; it is essential that any significant organisational changes are assessed for their impact on safety. This will include assessing changes to: roles and responsibilities, organisational structures, reporting relationships, staffing levels, staff location, outsourcing, use of contractors, delayering, downsizing and centralisation of functions. This article discusses two aspects of any change that need to be assessed and managed.

Normalisation of deviance

Normalisation of deviance

"Normalisation of deviance" is when deviations from agreed standards or working practices become incorporated into the routine. Small changes, slight deviations from the norm, gradually become the norm.

Here's some guidance on identifying and managing such deviations before they become the new 'normal'.

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