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TOWARDS A DEEPER LEVEL OF LEARNING FROM INCIDENTS: USE OF SCENARIOS

机译:从事事件的更深层次的学习:使用情景

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This paper describes a project that arose from a serious maritime incident. In such circumstances there is always a difficulty in ensuring that generic lessons are learned (which could apply to many operations and types of equipment) and not being distracted by the specifics of the incident (the specific type of operation or equipment). For example, van Wijk, Taylor and May (2009) reviewed ten major incidents from many industrial sectors, and identified eight common organisational and cultural failings, which were independent of the specific technology or sector.Once the immediate aftermath of this specific maritime incident had passed, business leaders posed the question "could something like that happen again?". The approach taken was to simulate "something like that" -namely an incident with similar generic characteristics. It is common to simulate incidents for people directly controlling technical systems (e.g. putting pilots or control room operators in high-fidelity simulators), and to develop incident commanders' emergency response competence (e.g. Flin, 1996).
机译:本文介绍了一个从严重的海事发生中出现的项目。在这种情况下,始终难以确保学习通用课程(这可能适用于许多操作和类型的设备),而不是由事件的具体细节分散(特定类型的操作或设备)。例如,Van Wijk,Taylor和5月(2009)审查了许多工业部门的十个主要事件,并确定了八个共同的组织和文化失败,这些失败与特定的技术或部门无关。这一特定海事发生的直接后果也是如此通过,商界领袖带来了这个问题“可能再次发生的事情?”采取的方法是模拟“类似”的“类似”的事件,具有相似的通用特征。常常模拟直接控制技术系统的人员(例如,将飞行员或控制室运营商放在高保真模拟器中),并制定事件指挥官的应急响应能力(例如FLIN,1996)。

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