Vol 5, No 1, 2006 pp. 131-144
UDC 331.468
FRAMEWORK FOR HUMAN ERROR
QUANTIFICATION
Miroljub Grozdanović, Evica Stojiljković
Faculty of Occupational Safety, Niš
mirko@ni.ac.yu
Any Human Reliability Assessment (HRA) carried out without an adequate
Human Error Quantification and Identification (HECI) process will
probably
be inaccurate. For accurate complex systems risk assessment, it is
critically
important that the assessor understands the multifaceted nature of
human
errors in complex systems and is thus aware of all the different types
of human - error contributions which can ultimately make an impact upon
a system's risk level. It is also necessary that the assessor be
suitably
well - armed with a battery of tools with which to identify such error
contributions both reliably and comprehensively. This requires a
consideration
of some of the most adequate taxonomies or classifications of human
error.
A new generalised HECI framework will then be described in this paper
which
deals with many different forms of human error at different levels of
analysis.
This framework and its tools rest heavily upon already existing
techniques
and ideas, never attempting to put these into a more comprehensive and
coherent framework.
Key words: human error, human
reliability, performance shaping factors.
OKVIR ZA KVANTIFIKACIJU LJUDSKE GREŠKE
Svaka procena ljudske pouzdanosti obavljena bez adekvatnih procesa
kvantifikacije
i identifikacije ljudskih grešaka će verovatno biti netačna. U cilju
precizne
procene rizika kompleksnih sistema od velikog je značaja da procenjivač
razume višestruku prirodu ljudske greške u kompleksnim sistemima i da
je
svestan svih uzroka koji doprinose ljudskim greškama koje utiču na nivo
rizika sistema. Ovo zahteva razmatranje najadekvatnijih sistematizacija
i klasifikacija ljudskih grešaka. Novi generalizovani okvir
kvantifikacije
i identifikacije ljudske greške bice opisan u ovom radu, a čine ga
različiti
oblici ljudskih grešaka na različitim nivoima analiza. Ovaj okvir i
njegovi
alati se oslanjaju na već postojeće tehnike i ideje, uz pokušaje da se
stave u razgranatiji i koherentniji okvir.
Ključne reči: ljudska greška,
ljudska pouzdanost, faktori oblikovanja učinka