'Reimagining Systems Engineering and Management'
Hosted by the University of Alabama in Huntsville
October 18th – 21st, 2017
Marriott Hotel - Huntsville, Alabama, USA
Sponsored by ASEM - IISE/SEMS - CAE- ABEPRO
Presenter
Jan Brommundt
Error Management - Empowerment as a Tool for Error Management in Medicine
This talk illustrates that any error-management system, its techniques, and its structures need to be embedded in a broader error-management culture. Non-innovative and overly hierarchical structures are incompatible with such a culture, and the empowerment of personnel traditionally in the lower echelons of hierarchical systems (nurses, air hostesses) is a necessary, efficient, and cost-effective precondition and cornerstone for such a system.
In accordance with the author’s background, most examples and experiences described are from the medical field.
Presenter Biography
Dr. Brommundt leads the cardiac anesthesia team at Groningen University Hospital and teaches medicine and public health in humanitarian action at the Rijks Universiteit Groningen. He has worked in conflict zones with doctors-without-borders and médecins-du-monde since 2004 and holds a degree in health economy. Jan serves as the Medical Director of MELONET, an international repatriation organization. For the last years Jan has focused on non-technical skills, error management, communication and multidisciplinary crew resource management to increase the performance of his teams.
Webinar Series
What happens if someone makes a mistake or takes the wrong decision? The issue here is not intentional misconduct, fraudulent behaviour, gross negligence or large-scale mismanagement, but the little mistakes, errors and poor decisions that occur every single day. Mostly, errors are the result of momentary blackouts, a temporary short circuit in the brain, false impressions, deceptive memories, dots wrongly joined, fragments of conversation that we interpret incorrectly, prejudices, momentary feelings of mental imbalance, disorientation, stress and other disturbances.
What does this mean for larger organizations? From research we know that speaking-up when spotting errors is not the norm in organizations. Mistakes are still associated with shame and embarrassment. Yet factual error management can work and be successful as can be seen by studying high reliability organizations such as aviation, medicine, and the nuclear industry.
In the webinar series on error management we will look into the practices and learnings from these high reliability organizations. Apart from the specifics of the different industries we will reflect on what is necessary to establish an effective open error culture. This includes psychological safety to enable communication across hierarchical levels, a system of error reporting, a leadership culture, where people are empowered to speak up, and how humans interact in complex systems.
The speakers are either researchers or practitioners and provide insights into lessons learned from their field. The series will explore how these learnings may be applied in other organizations.
The webinar series is scheduled as follows. Please note that EACH webinar has its own URL for registration.
Nicolas Dechy
Error Management - Management Practices of Learning From Errors in High Risk Industries
Accidents are caused by multiple causes, influence factors, conditions that occur at a variety of sociotechnical levels (equipment failure, staffing inadequacy, deficient management, lack of regulatory oversight) along a timeline that can last for years. Indeed, latent failures, weak signals, precursors, near-misses, alerts, are not treated accordingly. Lessons from industrial accidents show that failures to learn are one of the recurring root and systemic causes of accidents. Starting from these lessons, the stakes, challenges and requirements are identified and can be adapted. They are discussed with regards to some good practices and recent changes in some high-risk industries.
Nicolas Dechy is currently employed at the French National Institute of Nuclear Safety and Radiation Protection (IRSN) that provides expertise to the regulator. He conducts organizational and human factors assessment of safety and radiation protection management of maintenance activities, subcontracting, and emergency response in the aftermath of Fukushima. As an engineer, he has expert experience in the field of accident investigation (Toulouse disaster), chemical risk assessment, emergency response and crisis management in process safety (Seveso). He has conducted several assessments, studies, engineering and researches on learning from experience especially on failures and barriers to learn with European Safety and Reliability Data Association and Institut pour la maîtrise des risques association.
The American Society for Engineering Management (ASEM) awards a $500 undergraduate scholarship and $500 graduate scholarship each academic year.
Scholarship Requirements: To be eligible, at the time the application is submitted, applicants must be current members of ASEM, must be enrolled full-time in an undergraduate or graduate program (minimum of 12 hours for undergraduate students or 9 hours for graduate students), must have a graduation date at least a year into the future, and must have a cumulative GPA of 3.0 for undergraduate students or 3.5 for graduate students.
Please visit http://asem.org/ASEM-Scholarships for more information, including application link, etc.
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