booklinks | Human Reliability

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67. United States Department of The Navy, Navy Planning, Navy Warfare Publication NWP 5-01, December 2013, p. 1-10.

68. https://www.amazon.com/Learning-Action-Guide-Putting-Organization/dp/1591391903

69. https://www.nwcg.gov/wfldp/toolbox/aars

70. https://quoteinvestigator.com/2021/05/04/no-plan/

71. https://en.wikipedia.org/wiki/VUCA

72. https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper

73. https://en.wikipedia.org/wiki/Tacit_knowledge

74. https://www.turningdataintowisdom.com/the-data-addiction-why-your-organization-cant-stop-collecting-information-it-will-never-use/

75. https://hbr.org/2005/07/learning-in-the-thick-of-it

76. https://en.wikipedia.org/wiki/Chatham_House_Rule

77. https://www.researchgate.net/publication/228452347_Beyond_the_AAR_The_Action_Review_Cycle_ARC

78. https://hbr.org/2005/07/learning-in-the-thick-of-it

79. https://apps.dtic.mil/sti/tr/pdf/ADA252825.pdf

80. https://www.amazon.ca/Managing-Unexpected-Resilient-Performance-Uncertainty/dp/0787996491

81. https://journals.sagepub.com/doi/10.1177/0018720812448394

Chapter 4 – Transform Investigations

82. https://en.wikipedia.org/wiki/Titanic

83. https://www.amazon.ca/Safety-I-Safety-II-Future-Safety-Management/dp/1472423089

84. https://hfacs.com/hfacs-framework.html

85. https://www.amazon.com/dp/B019NRKFZU/

Chapter 5 – Apply Defenses

86. https://www.standards.doe.gov/files/doe-hdbk-1028-2009-human-performance-improvement-handbook-volume-2-human-performance-tools-for-individuals-work-teams-and-management

87. https://en.wikipedia.org/wiki/Eastern_Air_Lines_Flight_401

88. https://www.standards.doe.gov/files/doe-hdbk-1028-2009-human-performance-improvement-handbook-volume-2-human-performance-tools-for-individuals-work-teams-and-management

89. https://skybrary.aero/articles/situational-awareness-oghfa-bn

90. https://www.youtube.com/watch?v=vJG698U2Mvo

91. https://www.npr.org/2010/05/19/126977945/bet-you-didnt-notice-the-invisible-gorilla

92. https://www.fastcompany.com/944128/worker-interrupted-cost-task-switching

93. https://www.ishn.com/articles/92157-confined-space-attendants

94. https://www.researchgate.net/publication/210198492_Endsley_MR_Toward_a_Theory_of_Situation_Awareness_in_Dynamic_Systems_Human_Factors_Journal_371_32-64

95. https://maritimesafetyinnovationlab.org/wp-content/uploads/2021/08/Cooper-States-of-Awareness-Givens.pdf

96. https://en.wikipedia.org/wiki/OODA_loop

97. https://northamericannature.com/why-do-meerkats-stand-up/

98. https://www.bbc.com/news/science-environment-40568997

99. https://www.amazon.com/Master-His-Emissary-Divided-Western/dp/0300245920

100. https://vimeo.com/31780637

101. https://en.wikipedia.org/wiki/Eastern_Air_Lines_Flight_401

102. https://maritimesafetyinnovationlab.org/2021/11/01/sa-scan-and-focus-seeing-bad-things-coming/

103. https://www.reliableorg.com/product-page/hpi-handbook-for-leaders

104. https://aviation.stackexchange.com/questions/26823/why-did-the-first-boeing-b17-test-flight-crash-on-takeoff

105. https://www.obermair.info/latest-news/blog/do-checklists-work/

106. https://www.the-hospitalist.org/hospitalist/article/124305/checklists-not-enough-checklist-doctor-says

107. https://www.reliableorg.com/product-page/hpi-handbook-for-leaders

108. https://en.wikipedia.org/wiki/Peter_Pronovost

109. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61439-2/fulltext

110. https://en.wikipedia.org/wiki/Pointing_and_calling

111. https://www.japantimes.co.jp/news/2008/10/21/reference/jr-gestures/

112. https://www.atlasobscura.com/articles/pointing-and-calling-japan-trains

113. https://www.reliableorg.com/product-page/hpi-handbook-for-leaders

114. https://www.amazon.com/dp/B0DCGCFGNX

115. https://www.amazon.com/dp/B0DCGCFGNX

116. https://www.amazon.com/Critical-Steps-Tony-Muschara/dp/1032115076

117. https://www.psychologytoday.com/us/blog/seeing-what-others-dont/202101/the-pre-mortem-method?msockid=36fafe741d7566952bd2e84b1c36679b

118. https://www.amazon.com/dp/B0DCGCFGNX

119. https://www.reliableorg.com/product-page/hpi-handbook-for-leaders

120. https://insidelines.pjm.com/pjm-benefits-from-nerc-human-performance-conference/

121. https://www.amazon.com/Safety-Differently-Human-Factors-Second-ebook/dp/B00OD3XQAG?

Chapter 6 – Improve Processes

122. https://www.hfes.org/Portals/0/Documents/adolescence.pdf

123. https://www.amazon.com/Human-Factor-Revolutionizing-People-Technology/dp/0415978912

124. https://www.amazon.com/Human-Factor-Revolutionizing-People-Technology/dp/0415978912

125. https://pmc.ncbi.nlm.nih.gov/articles/PMC1119508/

126. https://www.amazon.com/dp/B0DCGCFGNX

127. https://erikhollnagel.com/ideas/safety-i%20and%20safety-ii.html

128. https://www.amazon.com/Design-Everyday-Things-Revised-Expanded-ebook/dp/B00E257T6C?

129. https://www.usertesting.com/blog/ux-testing-examples

130. https://www.amazon.com/dp/B0DCGCFGNX

131. https://www.amazon.com/Atomic-Habits-Proven-Build-Break/dp/0735211299

132. https://www.dropbox.com/scl/fo/a1gy7q0q3zplk8zkt54pq/AB2WPKp5Q2n8pRYpNoptFLg?rlkey=kkhhram5owjyzt9y2ctn7ksy9&dl=0

133. https://informationmapping.com/pages/information-mapping-methodology

134. https://www.cnn.com/2017/02/16/world/ups-trucks-no-left-turns/index.html

135. https://99percentinvisible.org/article/michigan-lefts-bowties-jughandles-eliminating-left-turns-

intersections/

136. https://www.brmrg.org/

137. https://nemsmbr.org/wp-content/uploads/2024/05/hannon.pdf

138. https://www.advisory.com/daily-briefing/2022/10/03/unnecessary-meetings

139. https://www.paulgraham.com/makersschedule.html

Chapter 7 – Build Resilience

140. https://www.amazon.com/Tribe-Homecoming-Belonging-Sebastian-Junger/dp/1455566381

141. https://www.businessinsider.com/former-navy-seal-rorke-denver-leadership-lesson-2017-2

142. https://www.amazon.ca/Managing-Unexpected-Resilient-Performance-Uncertainty/dp/0787996491

143. https://www.amazon.ca/Managing-Unexpected-Resilient-Performance-Uncertainty/dp/0787996491

144. https://www.cbsnews.com/news/green-berets-the-quiet-professionals/

145. https://en.wikipedia.org/wiki/Ground_truth

146. https://www.dropbox.com/scl/fo/x4gi1ibw2tsdl8rqdb2rh/AL6mBXG9xU3ogEs6Kx_Brnc?rlkey=klhvmgk2kfyf7q2qvk87uctqw&dl=0

147. https://fortune.com/2023/04/20/uber-starbucks-ceo-frontline-shifts-employee-satisfaction/

148. https://www.bbc.co.uk/news/articles/cjjjj85z0lno

149. https://apnews.com/article/boeing-earnings-results-profit-revenue-628c704b8642693f0ba5060eeede22d3

150. https://www.afr.com/companies/manufacturing/boeing-heard-all-the-warnings-it-just-wasn-t-listening-20240402-p5fgqt

151. https://asrs.arc.nasa.gov/

152. https://www.amazon.com/Human-Factor-Revolutionizing-People-Technology/dp/0415978912

153. https://www.amazon.com/Human-Factor-Revolutionizing-People-Technology/dp/0415978912

154. https://www.amazon.com/Atomic-Habits-Proven-Build-Break/dp/0735211299

155. https://nav.al/seek-wealth

156. https://www.dropbox.com/scl/fo/vtoxnhhphfuxnkr4vwn7r/AFXv1ij0Vm1urEdqEqRMrjs?rlkey=fphvudloyb0m1e2jormsor9w9&dl=0

157. https://www.amazon.com/Power-Intuition-Feelings-Better-Decisions/dp/0385502893/

158. https://en.wikipedia.org/wiki/Normal_Accidents

159. https://www.popularmechanics.com/science/energy/a44067133/how-does-the-power-grid-work/

160. https://en.wikipedia.org/wiki/Northeast_blackout_of_2003

161. https://www.scientificamerican.com/article/2003-blackout-five-years-later/

162. https://utiligize.com/blog/understanding-n-1-calculations-the-key-to-grid-resilience/\

163. https://en.wikipedia.org/wiki/Normal_Accidents

164. https://housegrail.com/table-saw-injury-statistics/

165. https://www.youtube.com/watch?v=6wtdUfZGfMg

166. https://www.standards.doe.gov/standards-documents/1000/1028-BHdbk-2009-v1/@@images/file

167. https://www.amazon.com/Sources-Power-People-Make-Decisions/dp/0262611465

168. https://www.amazon.com/Rule-Makers-Breakers-Tight-Cultures/dp/1501152939?

169. https://vimeo.com/1110743152/c2c55299b7?share=copy

Chapter 8 -- FAQ

170. https://www.amazon.com/Streetlights-Shadows-Searching-Adaptive-Decision/dp/0262516721

171. https://en.wikipedia.org/wiki/All_models_are_wrong

172. https://wiki.dbbs.co/view/graceful-extensibility

173. https://en.wikipedia.org/wiki/Confirmation_bias

174. https://www.amazon.com/Fall-Love-Problem-Solution-Entrepreneurs/dp/1637741987

+1 804-301-2063

Book Links & photos from "Seven Practical Steps"

Introduction

Chapter 1 – Take a Learning Based Approach

Chapter 2 – Build Psychological Safety

Chapter 3 – Lead After Action Reviews

Chapter 4 – Transform Investigations

Chapter 5 – Apply Defenses

Chapter 6 – Improve Processes

Chapter 7 – Build Resilience

Chapter 8 -- FAQ