Human Factors Competency Development: Instructional Use of Error in Simulation-Based Training
Human Error remains a significant causal factor in the majority of aviation incidents and accidents. In response to the ubiquity of human error, it has been suggested that a key to maintaining safety in high-risk industries lies in the development of specific error management training programs. However, significantly more detail is required if we are to adequately understand the processes for error management during normal flight operations. This paper presents the results of a study examining the observation, assessment and debrief of error in the recurrent simulation-based training programme of a commercial airline. The study adopted an observational design, and utilised trained expert observers for the observation and analysis of the training sessions. Of the 656 exercises analysed during the 40 simulator-based training sessions observed in this study, a total of 277 errors were observed and coded. The study found that the instructional use of error by experienced instructors focuses on error prevention, rather than the generic non-technical skills that underpin effective performance. It was frequently observed during the training sessions that instructors would brief and debrief with respect to the technical and procedural management of a particular exercise, and include little or no focus on non-technical skills or specific error management strategies. Only on rare occasions were important aspects of crew performance such as monitoring and support calls, problem diagnosis, decision-making and situation awareness discussed. This study has highlighted areas for further improvement of simulation-based training programs to better focus on Human Factors competency development - development of the non-technical skills involved in effective error management.
Matthew J W Thomas
Human Factors Group – University of South Australia
国际会议
17th World Congress on Ergonomics(第十七届国际人类工效学大会)
北京
英文
1-4
2009-08-09（万方平台首次上网日期，不代表论文的发表时间）