Flashcards in Chapter 19: crew resource management and leading change Deck (19):
behavioral approach to reducing human error in high risk/high consequences activities?
crew resource management
crm was developed in response to?
1978 united airlines flight 173 from denver to portland that killed 10 due to crew relying on burntout lightbulb
where and when was crm developed?
resistance to crm continued until?
1989 united airline flight 232 that landed in sioux city, iowa
aviation industry accounts ___% reduction in accident due to crm?
steps to create safe culture?
honest sharing of safety info/adopt non punitive policy towards errors/take action to reduce errors/train ff's in error avoidance/train fire officers
who authored "controlling pilot error: cultural, environment and crm"
colonel tory kern
canadian gordon dupont developed "dirty dozen" list of reason and ways humans make mistakes?
lack of communication/complacency/distraction/lack of teamwork/fatigue/lack of resources/pressure/lack of assertiveness/stress/lack of awareness/norms
dr james reason published a article in 2000's british medical journal that?
faulted system approach
dr james reason pointed out each layer of defense is like?
layer of swiss cheese
2 reasons dr reasons explains why holes appear in defense?
active failures/latent conditions
unsafe acts committed by people in direct contact with situation/system?
inevitable "resident pathogens" within system?
3 activities of crm? (ATM)
6 areas of fire service crm?
communication/teamwork/task allocation/critical decision making/situational awareness/debriefing
components of leadership triangle?
trust and respect/leadership skills/effective leadership
fire officer and military combat officers rely on this when developing plans of action?
2 decision making models gary kleins study?
recognition primed decision making/naturalistic decision making