HUMAN
FACTOR
And i mp a
ct
What is
Human
factor?
And why?
TAKE HUMAN FACTORS INTO
ACCOUNT
FACTORS THAT AFFECT
HUMAN PERFORMANCE
THE PEAR MODEL
Environment Resources
Poeple Actions
THE PEAR MODEL
Poeple
THE PEAR MODEL
Environme
nt
THE PEAR MODEL
Actions
THE PEAR MODEL
Resources
Case
Studies
Co n s e q u e
nces
#1 Chernobyl
Incident
A reactor at the Chernobyl nuclear
power plant exploded due to human
error during a safety test.
- Causes -
The operators of the nuclear reactor did not
follow established safety procedures, which
led to a critical failure in the reactor core.
Human Error
Non-compliance with safety protocols,
Factors
Poor training, Lack of communication,
Design flaws
April, 1986 -
#2 Tenerife Airport
Disaster
Two planes collided on the runway due to
miscommunication between the air traffic
controllers and the pilots.
- Causes -
The air traffic controllers gave unclear
instructions to the pilots, and the pilots
misunderstood the instructions, which led
to the collision.
Human Error
Bad communication, Misunderstanding,
Factors
Pressure to take off, Language barrier
March, 1977 - Tenerife,
#3 Wrong Site
Surgery
A surgeon operates on the wrong part of the
patient's body , dude to a mix-up in Charts or
Medical Documents
- Causes -
Surgeons, nurses can make mistakes that
result in the wrong procedure being
performed on the wrong body part, leading
to serious
Human Error consequences for the patient.
Miscommunication, Incorrect patient
Factors
identification, Failure to follow standard
procedures, Time pressure
Healthcare And Medical
#4 The Global
Financial Crisis
a major economic downturn that started in
the United States and quickly spread to other
countries around the world.
- Causes -
Financial professionals made poor
decisions, underestimated risks, and failed
to adequately assess the impact of their
actions on
Human Errorthe wider economy.
Risky lending practices, Inadequate regulation,
Factors
Failure to accurately value complex financial
instruments, Overconfidence
2007 - 2008, WorldWide
Murphy's
Law
Wh a t ca n
go wrong
?
MURPHY'S LAW
"Anything that can go wrong will go
wrong"
Edward A. Murphy Jr.
DESCRIPTION
The law is often used to express the idea
that if there is a possibility for something
to go wrong, no matter how small, it will
likely happen eventually.
a popular way to describe situations in which things
don't go as planned or unexpected problems arise.
APPLICATIONS
- Aviation -
If there is a small possibility of a mechanical failure
occurring, it will happen at the worst possible time,
such as during takeoff or landing.
APPLICATIONS
- Technology -
If you accidentally delete an important file, you will only
realize the importance of the file after you have deleted
it, and it will not be recoverable.
APPLICATIONS
- Healthcare -
If a patient has a rare and difficult-to-diagnose medical
condition, it will often go undiagnosed or misdiagnosed
for a long time.
APPLICATIONS
- Construction -
If there is a chance of a construction project running
behind schedule, it will inevitably do so, causing delays
and cost overruns.
APPLICATIONS
- Finance -
If a stock is performing well, it will likely drop in value
as soon as you invest in it, resulting in a loss.
APPLICATIONS
- Personal Life -
If you are running late for an important appointment,
you will likely hit every red light and encounter
unexpected traffic.
CONCLUSION
- Problem -
Overall, Murphy's Law suggests that no matter how
carefully we plan and prepare, there is always a chance
that something unexpected or unwanted will occur.
- Solution-
Plan Ahead - Stay Organized - Be
Proactive Learn From Mistakes -
Redundancy
Any questions?
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