Recurring themes in the legacy of Jens Rasmussen

Determining performance shaping factors to assess human error in the emergency response team in chemical process industries: a case study

Objectives. Human error (HE) plays a crucial role in the occurrence of accidents in chemical process industries (CPIs). Emergency response team (ERT) members are predisposed to HEs due to the nature of their work. The HE potential is influenced by the performance shaping factors (PSFs). Managing PSFs can diminish the human error probability (HEP) and consequently increase the emergency response success chance. This article aimed to determine the PSFs for ERT members in CPIs. Methods. First, an initial list of PSFs was searched and classified within human reliability analysis methods and studies. Then, an expert panel of the emergency management system was utilized to identify, classify and weight the initial PSFs. The fuzzy Delphi method and content analysis technique were applied to summarize and categorize the PSFs. Results. The results of the study showed that 11 PSFs had greater impacts on the ERT members' error potential. Findings revealed that stress and physiological stressors, competency, and team and organization were the three most important PSFs. Conclusion. The most important and relevant PSFs can be effectively used in accurate HE assessment of ERT members in CPIs.

Integration-In-Totality: The 7th System Safety Principle Based on Systems Thinking in Aerospace Safety

Safety is of paramount concern in aerospace and aviation. Safety has evolved over the years, from the technical era to the human-factors era and organizational era, and finally to the present era of systems-thinking. Building upon three foundational concepts of systems-thinking, a new safety concept called “integration-in-totality principle” is propounded in this article as part of a “seven-principles-framework of system safety”, to act as an integrated framework to visualize and model system safety. The integration-in-totality principle concept addresses the need to have a holistic ‘vertical and horizontal integration’, which is a key tenet of systems thinking. The integration-in-totality principle is illustrated and elucidated with the help of a simple “Rubik’s cube model of integration-in-totality principle” with three orthogonal axes, the ‘axis of perspective’ of vertical integration, and the two ‘axes of perception and performance’ of horizontal integration. Safety analysis along the three axes with a ‘bidirectional synthesis’ and ‘continuum approach’ is further elaborated with relevant case studies, one among them related to the Boeing 737 MAX aircraft twin disasters. Safety is directly linked to quality, reliability and risk, through a self-reinforcing reflexive paradigm, and airworthiness assurance is the process through which safety concepts are embedded in a multidisciplinary aviation environment where the system of systems is seamlessly operating. The article explains how the system safety principle of integration-in-totality is related to reliability and airworthiness of an aerospace system with the help of the ‘V-model of systems engineering’. The article also establishes the linkage between integration-in-totality principle and strategic quality management, thus bridging the gap between two parallel fields of knowledge.

Ecological Interface Design for Computer Network Defense

OBJECTIVE

A prototype ecological interface for computer network defense (CND) was developed.

BACKGROUND

Concerns about CND run high. Although there is a vast literature on CND, there is some indication that this research is not being translated into operational contexts. Part of the reason may be that CND has historically been treated as a strictly technical problem, rather than as a socio-technical problem.

METHODS

The cognitive systems engineering (CSE)/ecological interface design (EID) framework was used in the analysis and design of the prototype interface. A brief overview of CSE/EID is provided. EID principles of design (i.e., direct perception, direct manipulation and visual momentum) are described and illustrated through concrete examples from the ecological interface.

RESULTS

Key features of the ecological interface include (a) a wide variety of alternative visual displays, (b) controls that allow easy, dynamic reconfiguration of these displays, (c) visual highlighting of functionally related information across displays, (d) control mechanisms to selectively filter massive data sets, and (e) the capability for easy expansion. Cyber attacks from a well-known data set are illustrated through screen shots.

CONCLUSION

CND support needs to be developed with a triadic focus (i.e., humans interacting with technology to accomplish work) if it is to be effective. Iterative design and formal evaluation is also required. The discipline of human factors has a long tradition of success on both counts; it is time that HF became fully involved in CND.

APPLICATION

Direct application in supporting cyber analysts.