• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>other >Designing System Reforms: Using a Systems Approach to Translate Incident Analyses into Prevention Strategies
【2h】

Designing System Reforms: Using a Systems Approach to Translate Incident Analyses into Prevention Strategies

机译：设计系统改革：使用系统方法将事件分析转化为预防策略

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Advocates of systems thinking approaches argue that accident prevention strategies should focus on reforming the system rather than on fixing the “broken components.” However, little guidance exists on how organizations can translate incident data into prevention strategies that address the systemic causes of accidents. This article describes and evaluates a series of systems thinking prevention strategies that were designed in response to the analysis of multiple incidents. The study was undertaken in the led outdoor activity (LOA) sector in Australia, which delivers supervised or instructed outdoor activities such as canyoning, sea kayaking, rock climbing and camping. The design process involved workshops with practitioners, and focussed on incident data analyzed using Rasmussen's AcciMap technique. A series of reflection points based on the systemic causes of accidents was used to guide the design process, and the AcciMap technique was used to represent the prevention strategies and the relationships between them, leading to the creation of PreventiMaps. An evaluation of the PreventiMaps revealed that all of them incorporated the core principles of the systems thinking approach and many proposed prevention strategies for improving vertical integration across the LOA system. However, the majority failed to address the migration of work practices and the erosion of risk controls. Overall, the findings suggest that the design process was partially successful in helping practitioners to translate incident data into prevention strategies that addressed the systemic causes of accidents; refinement of the design process is required to focus practitioners more on designing monitoring and feedback mechanisms to support decisions at the higher levels of the system.
机译：系统思维方法的拥护者认为，事故预防策略应着重于改革系统，而不是解决“损坏的组件”。但是，关于组织如何将事件数据转换为针对事故系统性原因的预防策略的指导很少。本文介绍并评估了一系列针对多种事件分析而设计的系统思维预防策略。这项研究是在澳大利亚的带头户外活动（LOA）部门进行的，该部门提供有指导或指导的户外活动，例如溪降，海上皮划艇，攀岩和露营。设计过程包括与从业人员举行的研讨会，重点是使用Rasmussen的AcciMap技术分析事件数据。使用一系列基于系统事故原因的反射点来指导设计过程，并使用AcciMap技术来表示预防策略及其之间的关系，从而创建了PreventiMaps。对PreventiMaps的评估显示，它们都结合了系统思考方法的核心原理和许多提议的预防策略，以改善整个LOA系统的垂直集成。但是，大多数人未能解决工作习惯的迁移和风险控制受到侵蚀的问题。总体而言，调查结果表明设计过程在帮助从业人员将事故数据转化为针对事故系统性原因的预防策略方面取得了部分成功；需要对设计过程进行优化，以使从业人员更加专注于设计监视和反馈机制，以支持更高系统级别的决策。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号