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The art of measuring nothing: The paradox of measuring safety in a changing civil aviation industry using traditional safety metrics

机译:一无所有的艺术:使用传统的安全指标在不断变化的民航业中测量安全性的悖论

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摘要

Measuring safety as an outcome variable within the ultra-safe civil aviation industry during periods of deliberate organizational change is a difficult, and often fruitless, task. Anticipating eroding safety processes, based on measuring nothing happening over time, does not adequately capture the true state of an evolving safe system, and this is particularly relevant for leaders and managers in a civil aviation industry responsible for maintaining and improving ultra-safe performance while simultaneously managing demanding strategic business goals. In this paper, I will look at the difficulties of measuring safety as an outcome measure in high reliability organizations (HROs) using the traditional measures of incident and accident reporting during periods of deliberate organizational change inspired by the results from a 3 year longitudinal case study of the Norwegian Air Navigation Services provider - Avinor. I will first review the current safety literature relating to safety management systems (SMSs) used in the civil aviation industry. I will then propose a more holistic model that shifts the focus from the traditional safety monitoring mechanisms of risk analysis and trial and error learning, to the natural interactivity within socio-technical systems as found in high reliability organizations. And finally, I will present a summary of the empirical results of an alternate methodology for measuring perceived changes in safety at the operational level as leading indicators of evolving safety at the organizational level.
机译:在有意进行组织变革期间,将安全性作为超安全民用航空业的结果变量进行测量是一项艰巨的任务,而且通常是徒劳的。基于测量随时间推移未发生的事情而预期到的侵蚀安全过程并不能充分捕捉到不断发展的安全系统的真实状态,这尤其与负责维护和改善超安全性能的民航业领导者和管理人员特别相关。同时管理苛刻的战略业务目标。在本文中,我将探讨为期3年的纵向案例研究得出的结果,在有意进行组织变革期间,使用传统的事件和事故报告度量方法,将高可靠性组织(HRO)中的安全度量作为结果度量的难点航空导航服务提供商Avinor的成员。我将首先回顾与民航业中使用的安全管理系统(SMS)有关的当前安全文献。然后,我将提出一个更全面的模型,该模型将重点从风险分析和试错学习的传统安全监视机制转移到高可靠性组织中发现的社会技术系统内的自然交互性。最后,我将总结一种替代方法的实证结果,该替代方法用于衡量在运营级别上感知到的安全性变化,作为组织级别上不断发展的安全性的主要指标。

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