How Could This Happen? 1st Edition Jan U. Hagen

How Could This Happen? – Ebook Instant Download/Delivery ISBN(s): 9783319764023,9783319764030,3319764020,3319764039

Product details:

• ISBN-10 ‏ : ‎ 3319764020
• ISBN-13 ‏ : ‎ 978-3319764023
• Author(s): Jan U. Hagen

The first comprehensive reference work on error management, blending the latest thinking with state of the art industry practice on how organizations can learn from mistakes.

Even today the reality of error management in some organizations is simple: “Don’t make mistakes. And if you do, you’re on your own unless you can blame someone else.” In most, it has moved on but it is still often centered around quality control, with Six Sigma Black Belts seeking to eradicate errors with an unattainable goal of zero.

But the best organizations have gone further. They understand that mistakes happen, be they systemic or human. They have realized that rather than being stigmatized, errors have to be openly discussed, analyzed, and used as a source for learning.

In How Could This Happen? Jan Hagen collects insights from the leading academics in this field – covering the prerequisites for error reporting, such as psychological safety, organizational learning and innovation,safety management systems, and the influence of senior leadership behavior on the reporting climate.

Table contents:

1. Fast, Slow, and Pause: Understanding Error Management via a Temporal Lens
2. Errors and Learning for Safety: Creating Uncertainty As an Underlying Mechanism
3. When Silence Is Not Golden
4. Executive Perspectives on Strategic Error Management
5. The Strategic Imperative of Psychological Safety and Organizational Error Management
6. Learning Failures As the Ultimate Root Causes of Accidents
7. Understanding Safety Management Through Strategic Design, Political, and Cultural Approaches
8. Errors and Error Management in Biomedical Research
9. Empowerment
10. Open Error Communication in a High-Consequence Industry
11. Confidence and Humility
12. Just Culture
13. Error Management in the German Armed Forces’ Military Aviation
14. Crew Resource Management Revisited
15. Error Reporting and Crew Resource Management in the Israeli Air Force
16. Lessons from a Nuclear Submarine Mishap
17. The War on Error: A New and Different Approach to Human Performance

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