Risk-Based Thinking: Managing the Uncertainty of Human Error in Operations

Author:   Tony Muschara (Muschara Error Management Consulting, LLC, USA)
Publisher:   Taylor & Francis Ltd
ISBN:  

9781138302471


Pages:   288
Publication Date:   17 November 2017
Format:   Hardback
Availability:   In Print   Availability explained
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Risk-Based Thinking: Managing the Uncertainty of Human Error in Operations


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Overview

Society at large tends to misunderstand what safety is all about. It is not just the absence of harm. When nothing bad happens over a period of time, how do you know you are safe? In reality, safety is what you and your people do moment by moment, day by day to protect assets from harm and to control the hazards inherent in your operations. This is the purpose of risk-based thinking, the key element of the six building blocks of Human and Organizational Performance (H&OP). Generally, H&OP provides a risk-based approach to managing human performance in operations. But, specifically, risk-based thinking enables foresight and flexibility—even when surprised—to do what is necessary to protect assets from harm but also achieve mission success despite ongoing stresses or shocks to the operation. Although you cannot prepare for every adverse scenario, you can be ready for almost anything. When risk-based thinking is integrated into the DNA of an organization’s way of doing business, people will be ready for most unexpected situations. Eventually, safety becomes a core value, not a priority to be negotiated with others depending on circumstances. This book provides a coherent perspective on what executives and line managers within operational environments need to focus on to efficiently and effectively control, learn, and adapt.

Full Product Details

Author:   Tony Muschara (Muschara Error Management Consulting, LLC, USA)
Publisher:   Taylor & Francis Ltd
Imprint:   Routledge
Weight:   0.453kg
ISBN:  

9781138302471


ISBN 10:   1138302473
Pages:   288
Publication Date:   17 November 2017
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   In Print   Availability explained
This item will be ordered in for you from one of our suppliers. Upon receipt, we will promptly dispatch it out to you. For in store availability, please contact us.

Table of Contents

Contents List of Figures List of Tables List of Experiences Special Thanks Introduction What This Book Is About Hu and H&OP Principles – Core Beliefs Espoused in this Book Why Read This Book Who This Book Is Written For As You Read the Book Chapter 1 A Nuclear Professional Chapter 2 A Strategic Approach Work and the Workplace The Hu Risk Hu Risk Management Model The Building Blocks of H&OP Things You Can Do Tomorrow Chapter 3 Fundamentals of Human and Organizational Performance The Notion of Human Error The Basics About Behavior, Error, and Violations The Basics About Work Context – Local Factors The Basics About Organization and Management Defenses – Controls, Barriers, and Safeguards The Severity Pyramid – Misunderstood Resilience – Adaptive Capacity of Front-Line Workers Things You Can Do Tomorrow Chapter 4 Risk-Based Thinking and Chronic Uneasiness Nothing Is Always as it Seems Risk-Based Thinking – Four Cornerstone Habits of Thought Chronic Uneasiness The Front-Line Worker – Hazard or Hero? Technical Expertise – The Bedrock of Risk-Based Thinking Conservative Decision-Making Safety Is a Core Value Things You Can Do Tomorrow Chapter 5 Critical Steps A Risk-Based, Yet Efficient Approach Recognizing a Critical Step Origins of the Critical Step Concept Risk-Important Actions (RIAs) Managing Critical Steps Is 99 Percent Good Enough? Things You Can Do Tomorrow Chapter 6 Systems Thinking for H&OP System Basics Systems Thinking – Blunt End and Sharp End The Work Execution Process Systems Thinking – The Flow of Influence Things You Can Do Tomorrow Chapter 7 Systems Learning What is Systems Learning? Drift and Accumulation Learning Methods Event Analysis Corrective Action / Preventive Action Process Learn from Success as Well as Failure Things You Can Do Tomorrow Chapter 8 Managing Human Performance The Basic Management Cycle Plan – Form Expectations Do – Communicate and Train Check – Observe and Inspect Adjust – Give and Receive Feedback Human Performance Tools Accountability and Just Culture You Can Engineer Performance Things You Can Do Tomorrow Chapter 9 Integrating and Executing H&OP and Risk-Based Thinking Remember the Seven Principles of Managing H&OP Build a Business Case A Playbook Integration – Enabling Risk-Based Thinking Execution – Deploying H&OP Promoting Risk-Based Thinking and Chronic Uneasiness Things You Can Do Tomorrow Epilogue: Live Long and Prosper Appendix 1: Glossary of Terms Appendix 2: Generic Local Factors Appendix 3: Common Error Traps Appendix 4: Fundamental Human Performance Tools Appendix 5: Candidate Indicators for H&OP Appendix 6: The Building Blocks of H&OP – Self-Assessment Criteria Appendix 7: Suggested Reading Index

Reviews

'This book provides sound principles for managing hazardous operations that would otherwise take years to understand through trial and error. The real-world application of Muschara's material has produced immediate results.' - Lee Reynolds, SI Group, Inc. 'The Must-Read book on reducing risks from human error; Tony' s passion is for people who do hazardous work, keeping them safe, helping them succeed. Tony is one of the best, an exemplar practitioner of resilient, reliable operations.' - W.E. Carnes, U.S. Department of Energy (ret.), former Senior Advisor for Human Performance & High Reliability Tony's book brings together much of the new thinking about Human Error and Safety in a practical guide to those who manage any organization, whether it be safety-critical or simply an economic enterprise. Very helpful and easy to follow.' - John Wreathall, Independent consultant in organizational safety for nuclear power, health care and transportation 'Tony Muschara begins to build a much needed bridge from a traditional view of human performance to the new view , moving toward increasing resilience and reliability with an understanding that work is variable thus adaptability is key to success.' - Elizabeth Lay, founder and principal, Applied Resilience, LLC, Houston Texas 'Tony has managed to create a meaningful reference book for practitioners while laying out a guide to culture change for leaders!' - Mike Blevins, Luminant COO (retired)


'This book provides sound principles for managing hazardous operations that would otherwise take years to understand through trial and error. The real-world application of Muschara's material has produced immediate results.' - Lee Reynolds, SI Group, Inc. 'The Must-Read book on reducing risks from human error; Tony' s passion is for people who do hazardous work, keeping them safe, helping them succeed. Tony is one of the best, an exemplar practitioner of resilient, reliable operations.' - W.E. Carnes, U.S. Department of Energy (ret.), former Senior Advisor for Human Performance & High Reliability Tony's book brings together much of the new thinking about Human Error and Safety in a practical guide to those who manage any organization, whether it be safety-critical or simply an economic enterprise. Very helpful and easy to follow.' - John Wreathall, Independent consultant in organizational safety for nuclear power, health care and transportation 'Tony Muschara begins to build a much needed bridge from a traditional view of human performance to the new view , moving toward increasing resilience and reliability with an understanding that work is variable thus adaptability is key to success.' - Elizabeth Lay, founder and principal, Applied Resilience, LLC, Houston Texas 'Tony has managed to create a meaningful reference book for practitioners while laying out a guide to culture change for leaders!' - Mike Blevins, Luminant COO (retired)


'This book provides sound principles for managing hazardous operations that would otherwise take years to understand through trial and error. The real-world application of Muschara's material has produced immediate results.' - Lee Reynolds, SI Group, Inc. 'The Must-Read book on reducing risks from human error; Tony' s passion is for people who do hazardous work, keeping them safe, helping them succeed. Tony is one of the best, an exemplar practitioner of resilient, reliable operations.' - W.E. Carnes, U.S. Department of Energy (ret.), former Senior Advisor for Human Performance & High Reliability Tony's book brings together much of the new thinking about Human Error and Safety in a practical guide to those who manage any organization, whether it be safety-critical or simply an economic enterprise. Very helpful and easy to follow.' - John Wreathall, Independent consultant in organizational safety for nuclear power, health care and transportation 'Tony Muschara begins to build a much needed bridge from a traditional view of human performance to the new view , moving toward increasing resilience and reliability with an understanding that work is variable thus adaptability is key to success.' - Elizabeth Lay, founder and principal, Applied Resilience, LLC, Houston Texas 'Tony has managed to create a meaningful reference book for practitioners while laying out a guide to culture change for leaders!' - Mike Blevins, Luminant COO (retired)


Author Information

Tony Muschara is the Principal Consultant at Muschara Error Management Consulting, LLC, specializing in human error risk management in high-hazard, industrialized environments, and is a Certified Performance Technologist (CPT), awarded by the International Society for Performance Improvement (ISPI). Tony became a nuclear plant simulator instructor at Farley Nuclear Plant (1983–1985) and then joined the Institute of Nuclear Power Operations (1985–2007) where he authored several human performance guidelines for the nuclear industry. Many of his documents were adopted by the U.S. DOE and the World Association of Nuclear Operators. Tony received a BS degree in general (mechanical) engineering from the U.S. Naval Academy, served in the U.S. Submarine Service (1975–1982), Qualified in Submarines, qualified as Engineer of Naval Nuclear Propulsion Systems, retired as Captain, USNR. Tony also received an MBA from Kennesaw State University, USA.

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