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June 4, 2020
8:15-9:15AM

Human Factors and Mistake Proofing

David Wilbur, CEO, Vegergy Group

Floral B

Attendees will be introduced to human error as a tool for improving organizational safety and environmental protection. We find that, as a rule, people do not set out to cause failure; rather, they aim to contribute to the larger success of their organization. Nevertheless, as part of a multi-dimensional operating framework, individuals are sometimes shepherded by complex events into making decisions that instead contribute to failures. We view organizations as complex systems with emergent behavior, unforeseen from a reductionist view of individuals’ behaviors. Instead of blaming individuals for error, we ask why the system responded the way it did. Human error is inevitable and serves as a symptom of systemic failure. As with all symptoms, it becomes a signal spurring systemic change. The idea is to welcome human error as an indication that leadership should investigate the dark, murky, uncomfortable cultural issues that made the error seem like a good idea at the time.  

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2020-06-04 08:15:00 2020-06-04 09:15:00 America/Detroit Human Factors and Mistake Proofing Attendees will be introduced to human error as a tool for improving organizational safety and environmental protection. We find that, as a rule, people do not set out to cause failure; rather, they aim to contribute to the larger success of their organization. Nevertheless, as part of a multi-dimensional operating framework, individuals are sometimes shepherded by complex events into making decisions that instead contribute to failures. We view organizations as complex systems with emergent behavior, unforeseen from a reductionist view of individuals’ behaviors. Instead of blaming individuals for error, we ask why the system responded the way it did. Human error is inevitable and serves as a symptom of systemic failure. As with all symptoms, it becomes a signal spurring systemic change. The idea is to welcome human error as an indication that leadership should investigate the dark, murky, uncomfortable cultural issues that made the error seem like a good idea at the time.   Floral B