Operator-centred local error management in air traffic control

Ternov, Sven; Tegenrot, Göran; Akselsson, Roland

doi:10.1016/j.ssci.2004.07.001

Cited by 8 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The learning can be presented in different ways, such as in journals that highlight interesting accidents as case reports, or as aggregated and analysed results. However, in many cases, the effectiveness of organisational learning from incident and accident reports vary (Ternov et al 2004;Jacobsson et al 2012). The events reported can also be uncommon and consequently the reporting and learning does not capture the entire functioning of safety processes or the true state of a changing organisation.…”

Section: Proactive Improvement Of the Chemotherapy Processmentioning

confidence: 99%

From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure types

Fyhr

Ternov²,

2015

Eur J Cancer Care

View full text Add to dashboard Cite

A better understanding of why medication errors (MEs) occur will mean that we can work proactively to minimise them. This study developed a proactive tool to identify general failure types (GFTs) in the process of managing cytotoxic drugs in healthcare. The tool is based on Reason's Tripod Delta tool. The GFTs and active failures were identified in 60 cases of MEs reported to the Swedish national authorities. The most frequently encountered GFTs were defences, procedures, organisation and design. Working conditions were often the common denominator underlying the MEs. Among the active failures identified, a majority were classified as slips, one‐third as mistakes, and for a few no active failure or error could be determined. It was found that the tool facilitated the qualitative understanding of how the organisational weaknesses and local characteristics influence the risks. It is recommended that the tool be used regularly. We propose further development of the GFT tool. We also propose a tool to be further developed into a proactive self‐evaluation tool that would work as a complement to already incident reporting and event and risk analyses.

show abstract

Section: Proactive Improvement Of the Chemotherapy Processmentioning

confidence: 99%

From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure types

Fyhr

Ternov²,

2015

Eur J Cancer Care

View full text Add to dashboard Cite

show abstract

“…These injuries create costs for organizations by means of insurance premiums, paid absences, wage costs from work stoppage, extra administrative costs, and employee training and replacement. Because these costs are preventable, human error has been studied in various domains of the research literature (Boyer, McPherson, Deshpande, & Smith, 2009; Brodbeck, Zapf, Prumper, & Frese, 1993; Cannon & Edmondson, 2001; Edmondson, 1996; Shorrock, 2007; Ternov, Tegenrot, & Akselsson, 2004). Although workplace injury is an important result of human error, large-scale tracking of less serious workplace errors is relatively rare or nonexistent.…”

mentioning

confidence: 99%

Working with the stress of errors: Error management strategies as coping.

King¹,

Beehr²

2017

International Journal of Stress Management

View full text Add to dashboard Cite

Workplace error management research has focused on performance, especially in training settings. The connection of error management strategies to employees’ well-being has not been examined despite the fact that errors can include making mistakes that are threatening to one’s sense of self-worth. The present study connects the number of errors committed to employees’ psychological strain through interpretations of errors, or error management. The transactional theory of stress provides a framework for the study. Sampling from various organizations and Mechanical Turk, 356 cases were analyzed. Positive error management (PEM) did not appear to reduce strains, but negative error management (NEM) increased them. NEM mediated the relationship between errors and error strain, and error strain mediated the relationship between NEM and emotional exhaustion. Future research on error management could focus on individual and organizational differences that may affect employees’ interpretations and management of errors, and on the examination of errors and error management strategies cross-culturally.

show abstract