Just Culture

Author: Sidney Dekker
Publisher: Ashgate Publishing, Ltd.
ISBN: 9781409440604
Release Date: 2012
Genre: Technology & Engineering

While many organizations see the value of creating a just culture they struggle when it comes to developing it. In this Second Edition, Dekker expands his views, additionally tackling the key issue of how justice is created inside organizations. Dekker also introduces new material on ethics and on caring for the' second victim' (the professional at the centre of the incident). Consequently, we have a natural evolution of the author's ideas.

Das DevOps Handbuch

Author: Patrick Debois
Publisher: O'Reilly
ISBN: 9783960101246
Release Date: 2017-08-09
Genre: Computers

Mehr denn je ist das effektive Management der IT entscheidend für die Wettbewerbsfähigkeit von Organisationen. Viele Manager in softwarebasierten Unternehmen ringen damit, eine Balance zwischen Agilität, Zuverlässigkeit und Sicherheit ihrer Systeme herzustellen. Auf der anderen Seite schaffen es High-Performer wie Google, Amazon, Facebook oder Netflix, routinemäßig und zuverlässig hundert- oder gar tausendmal pro Tag Code auszuliefern. Diese Unternehmen verbindet eins: Sie arbeiten nach DevOps-Prinzipien. Die Autoren dieses Handbuchs folgen den Spuren des Romans Projekt Phoenix und zeigen, wie die DevOps-Philosophie praktisch implementiert wird und Unternehmen dadurch umgestaltet werden können. Sie beschreiben konkrete Tools und Techniken, die Ihnen helfen, Software schneller und sicherer zu produzieren. Zudem stellen sie Ihnen Maßnahmen vor, die die Zusammenarbeit aller Abteilungen optimieren, die Arbeitskultur verbessern und die Profitabilität Ihres Unternehmens steigern können. Themen des Buchs sind: - Die Drei Wege: Die obersten Prinzipien, von denen alle DevOps-Maßnahmen abgeleitet werden. - Einen Ausgangspunkt finden: Eine Strategie für die DevOps-Transformation entwickeln, Wertketten und Veränderungsmuster kennenlernen, Teams schützen und fördern. - Flow beschleunigen: Den schnellen Fluss der Arbeit von Dev hin zu Ops ermöglichen durch eine optimale Deployment-Pipeline, automatisierte Tests, Continuous Integration und Continuous Delivery. - Feedback verstärken: Feedback-Schleifen verkürzen und vertiefen, Telemetriedaten erzeugen und Informationen unternehmensweit sichtbar machen. - Kontinuierliches Lernen ermöglichen: Eine Just Culture aufbauen und ausreichend Zeit reservieren, um das firmenweite Lernen zu fördern.

Implementing Safety Management Systems in Aviation

Author: Carl D. Halford
Publisher: Routledge
ISBN: 9781317118398
Release Date: 2016-05-13
Genre: Technology & Engineering

The International Civil Aviation Organization has mandated that all of its member states implement Safety Management Systems (SMS) in their aviation industries. Responding to that call, many countries are now in various stages of SMS development, implementation, and rulemaking. In their first book, Safety Management Systems in Aviation, Stolzer, Halford, and Goglia provided a strong theoretical framework for SMS, along with a brief discourse on SMS implementation. This follow-up book provides a very brief overview of SMS and offers significant guidance and best practices on implementing SMS programs. Very specific guidance is provided by industry experts from government, industry, academia, and consulting, who share their invaluable insights from first-hand experience of all aspects of effective SMS programs. The contributing authors come from all facets of aviation, including regulation and oversight, airline, general aviation, military, airport, maintenance, and industrial safety. Chapters address important topics such as how to develop a system description and perform task analyses, perspectives on data sharing, strategies for gaining management support, establishing a safety culture, approaches to auditing, integrating emergency planning and SMS, and more. Also included is a fictional narrative/story that can be used as a case study on SMS implementation. Implementing Safety Management Systems in Aviation is written for safety professionals and students alike.

Navigating Safety

Author: René Amalberti
Publisher: Springer Science & Business Media
ISBN: 9789400765498
Release Date: 2013-03-29
Genre: Technology & Engineering

Managing safety in a professional environment requires constant negotiation with other competitive dimensions of risk management (finances, market and political drivers, manpower and social crisis). This is obvious, although generally not said in safety manuals. The book provides a unique vision of how to best find these compromises, starting with lessons learnt from natural risk management by individuals, then applying them to the craftsman industry, complex industrial systems (civil aviation, nuclear energy) and public services (like transportation and medicine). It offers a unique, illustrated, easy to read and scientifically based set of original concepts and pragmatic methods to revisit safety management and adopt a successful system vision. As such, and with illustrations coming from many various fields (aviation, fishing, nuclear, oil, medicine), it potentially covers a broad readership.

Second Victim

Author: Sidney Dekker
Publisher: CRC Press
ISBN: 9781466583429
Release Date: 2013-03-26
Genre: Medical

How do people cope with having "caused" a terrible accident? How do they cope when they survive and have to live with the consequences ever after? We tend to blame and forget professionals who cause incidents and accidents, but they are victims too. They are second victims whose experiences of an incident or adverse event can be as traumatic as that of the first victims’. Yet information on second victimhood and its relationship to safety, about what is known and what organizations might need to do, is difficult to find. Thoroughly exploring an emerging topic with great relevance to safety culture, Second Victim: Error, Guilt, Trauma, and Resilience examines the lived experience of second victims. It goes through what we know about trauma, guilt, forgiveness, and injustice and how these might be felt by the second victim. The author discusses how to conduct investigations of incidents that do not alienate second victims or make them feel even worse. It explores the importance support and resilience and where the responsibilities for creating it may lie. Drawing on his unique background as psychologist, airline pilot, and safety specialist, and his own experiences with helping second victims from a variety of backgrounds, Sidney Dekker has written a powerful, moving account of the experience of the second victim. It forms compelling reading for practitioners, risk managers, human resources managers, safety experts, mental health workers, regulators, the judiciary, and many other professionals. Dekker provides a strong theoretical background to promote understanding of the situation of the second victim and solid practical advice about how to deal with trauma that continues after an event leading to preventable harm or even avoidable death of a patient, consumer, or colleague. Listen to Sidney Dekker speak about his book

Das Black Box Prinzip

Author: Matthew Syed
Publisher: Deutscher Taschenbuch Verlag
ISBN: 9783423430654
Release Date: 2016-11-11
Genre: Psychology

Analysieren statt vertuschen Menschen, die gezielt aus Fehlern lernen, anstatt sie zu vertuschen oder anderen in die Schuhe zu schieben, nennt Matthew Syed Black-Box-Denker. Dazu sind jedoch nur wenige in der Lage. Auch in vielen Unternehmen geht man mit Misserfolgen nicht offen und ohne Schuldzuweisungen um. Syed bietet aufschlussreiche Analysen für dieses Verhalten. Zu welchen Erfolgen hingegen ein offensiver Umgang mit Fehlern führen kann, zeigt Syed anhand konkreter Beispiele, aus der Welt des Sports oder von erfolgreichen Unternehmen wie Google, Pixar oder Dropbox.

Risk Based Thinking

Author: Tony Muschara
Publisher: Routledge
ISBN: 9781351400169
Release Date: 2017-11-13
Genre: Technology & Engineering

Society at large tends to misunderstand what safety is all about. It is not just the absence of harm. When nothing bad happens over a period of time, how do you know you are safe? In reality, safety is what you and your people do moment by moment, day by day to protect assets from harm and to control the hazards inherent in your operations. This is the purpose of risk-based thinking, the key element of the six building blocks of Human and Organizational Performance (H&OP). Generally, H&OP provides a risk-based approach to managing human performance in operations. But, specifically, risk-based thinking enables foresight and flexibility—even when surprised—to do what is necessary to protect assets from harm but also achieve mission success despite ongoing stresses or shocks to the operation. Although you cannot prepare for every adverse scenario, you can be ready for almost anything. When risk-based thinking is integrated into the DNA of an organization’s way of doing business, people will be ready for most unexpected situations. Eventually, safety becomes a core value, not a priority to be negotiated with others depending on circumstances. This book provides a coherent perspective on what executives and line managers within operational environments need to focus on to efficiently and effectively control, learn, and adapt.

Patient Safety

Author: Sidney Dekker
Publisher: CRC Press
ISBN: 9781439852262
Release Date: 2016-04-19
Genre: Technology & Engineering

Increased concern for patient safety has put the issue at the top of the agenda of practitioners, hospitals, and even governments. The risks to patients are many and diverse, and the complexity of the healthcare system that delivers them is huge. Yet the discourse is often oversimplified and underdeveloped. Written from a scientific, human factors perspective, Patient Safety: A Human Factors Approach delineates a method that can enlighten and clarify this discourse as well as put us on a better path to correcting the issues. People often think, understandably, that safety lies mainly in the hands through which care ultimately flows to the patient—those who are closest to the patient, whose decisions can mean the difference between life and death, between health and morbidity. The human factors approach refuses to lay the responsibility for safety and risk solely at the feet of people at the sharp end. That is where we should intervene to make things safer, to tighten practice, to focus attention, to remind people to be careful, to impose rules and guidelines. The book defines an approach that looks relentlessly for sources of safety and risk everywhere in the system—the designs of devices; the teamwork and coordination between different practitioners; their communication across hierarchical and gender boundaries; the cognitive processes of individuals; the organization that surrounds, constrains, and empowers them; the economic and human resources offered; the technology available; the political landscape; and even the culture of the place. The breadth of the human factors approach is itself testimony to the realization that there are no easy answers or silver bullets for resolving the issues in patient safety. A user-friendly introduction to the approach, this book takes the complexity of health care seriously and doesn’t over simplify the problem. It demonstrates what the approach does do, that is offer the substance and guidance to consider the issues in all their nuance and complexity.

The Design of Everyday Things

Author: Norman Don
Publisher: Vahlen
ISBN: 9783800648108
Release Date: 2016-01-11
Genre: Business & Economics

Apple, Audi, Braun oder Samsung machen es vor: Gutes Design ist heute eine kritische Voraussetzung für erfolgreiche Produkte. Dieser Klassiker beschreibt die fundamentalen Prinzipien, um Dinge des täglichen Gebrauchs umzuwandeln in unterhaltsame und zufriedenstellende Produkte. Don Norman fordert ein Zusammenspiel von Mensch und Technologie mit dem Ziel, dass Designer und Produktentwickler die Bedürfnisse, Fähigkeiten und Handlungsweisen der Nutzer in den Vordergrund stellen und Designs an diesen angepasst werden. The Design of Everyday Things ist eine informative und spannende Einführung für Designer, Marketer, Produktentwickler und für alle an gutem Design interessierten Menschen. Zum Autor Don Norman ist emeritierter Professor für Kognitionswissenschaften. Er lehrte an der University of California in San Diego und der Northwest University in Illinois. Mitte der Neunzigerjahre leitete Don Norman die Advanced Technology Group bei Apple. Dort prägte er den Begriff der User Experience, um über die reine Benutzbarkeit hinaus eine ganzheitliche Erfahrung der Anwender im Umgang mit Technik in den Vordergrund zu stellen. Norman ist Mitbegründer der Beratungsfirma Nielsen Norman Group und hat unter anderem Autohersteller von BMW bis Toyota beraten. „Keiner kommt an Don Norman vorbei, wenn es um Fragen zu einem Design geht, das sich am Menschen orientiert.“ Brand Eins 7/2013 „Design ist einer der wichtigsten Wettbewerbsvorteile. Dieses Buch macht Spaß zu lesen und ist von größter Bedeutung.” Tom Peters, Co-Autor von „Auf der Suche nach Spitzenleistungen“

Projekt Phoenix

Author: Gene Kim
Publisher: O'Reilly Germany
ISBN: 9783958751767
Release Date: 2015-08-22
Genre: Business & Economics

Bill Palmer wird überraschend zum Bereichsleiter der IT-Abteilung eines Autoteileherstellers befördert und muss nun eine Katastrophe nach der anderen bekämpfen. Gleichzeitig läuft ein wichtiges Softwareprojekt und die Wirtschaftsprüfer sind auch im Haus. Schnell wird klar, dass »mehr Arbeiten, mehr Prioritäten setzen, mehr Disziplin« nicht hilft. Das ganze System funktioniert einfach nicht, eine immer schneller werdende Abwärtsspirale führt dazu, dass das Unternehmen kurz vor dem Aus steht. Zusammen mit einem weitsichtigen Aufsichtsratsmitglied fängt Bill Palmer an, das System umzustellen. Er organisiert Kommunikation und Workflow zwischen Abteilungen neu, entdeckt und entschärft Flaschenhälse und stimmt sich mit dem Management besser ab. Er schafft es damit, das Ruder herumzureißen. Das Buch zeigt, wie neue Ideen und Strategien der DevOps-Bewegung konkret umgesetzt werden können und zum Erfolg führen - und liest sich dabei wie ein guter Wirtschaftskrimi!

Fehler und Fehlerkultur im Krankenhaus

Author: Nils Löber
Publisher: Springer-Verlag
ISBN: 9783834971067
Release Date: 2011-11-04
Genre: Medical

Behandlungsfehler stellen für jedes Krankenhaus ein ernstzunehmendes Problem dar. Die Mehrheit aller kritischen Zwischenfälle im Krankenhaus ist durch die komplexen systemischen Rahmenbedingungen erklärbar. Nils Löber präsentiert einen theoretisch fundierten Ansatz, der durch die Etablierung einer konstruktiven Fehlerkultur Behandlungsfehler im Krankenhaus verhindern soll und einen präventiven Beitrag zur Steigerung der Behandlungsqualität und Patientensicherheit in Krankenhäusern leisten kann. Im Ergebnis bietet der Autor einen praxistauglichen Implementierungsrahmen für eine konstruktive Fehlerkultur im Krankenhaus.

Patientensicherheitsmanagement

Author: Peter Gausmann
Publisher: Walter de Gruyter GmbH & Co KG
ISBN: 9783110382464
Release Date: 2015-10-16
Genre: Medical

Patient safety is a basic patient right as well as a duty for medical providers. Preventive measures in diagnostic, therapeutic, and nursing care are diverse and must be adapted to each situation. For the first time, the book presents an up-to-date and interdisciplinary view on patient safety and clinical risk management for ambulatory and inpatient care organized according to the WHO “Patient Safety Curriculum Guide.”

Humanizing Healthcare Reforms

Author: Gerald A. Arbuckle
Publisher: Jessica Kingsley Publishers
ISBN: 9781849053181
Release Date: 2012-10-01
Genre: Medical

This book looks at the current turmoil facing contemporary healthcare systems worldwide, which has resulted from relentless reorganization being imposed upon them, and argues for a return to a values-based approach to healthcare. Writing from the unique and fresh perspective of social anthropology, the author takes a highly logical approach to practice and emphasizes the importance of values such as compassion, solidarity and social justice. He stipulates that without being able to clearly identify the values and goals that unite its members, healthcare organizations are unlikely to be able to meet the demands of the constant and varied pressures they face, and explains how individuals at every level in healthcare can contribute to positive change within their organizations. This much-needed and highly accessible book will be essential reading for anyone interested in healthcare reform from clinicians and nurses, to managers and policy makers as well as the interested reader.