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演示文稿演讲PPT学习教学课件医学文件教学培训课件
FocusSimplicityFollow-upDiscipline Focus on doing the simple things (follow the formulas). Follow up after you do them. Have the discipline to do them without fail. Thank Youwww.SaferP Self-explanatory. Inevitable…we know more (have more knowledge), technology is better, etc., but the human brain which processes the knowledge and uses the technology is unchanged. Just because of the way we are “wired”, we have limitations and are prone to certain kinds of errors. The key to better safety is managing the inevitable error. We manage the error by training the team to use specific behaviors and implementing systems that require the use of those behaviors to detect and trap error before they become fatal mistakes. Error is inevitable. An effective, proven way to manage error is through training specific team behaviors. In aviation, the behaviors (software) and the systems (hardware, e.g. processes, procedures, checklists, guidelines, etc.) is what we call CRM. The most important point is the key to safety is managing the inevitable error through team training. Aviation’s solution to its accident rate contained three main components. Technology… is important, but not the complete answer. TCAS Terminal Collision Avoidance Systems Black boxes in the airplanes talk to each other and generate guidance to the pilot on what to do to avoid a collision EGPWS A black box that uses an internal GPS system to tell the airplane where it is in relation to all terrain and obstacles around the world and warns when it is too close. GPS Global Position system for precise navigation AFS Automatic Flight Systems….computers that control flight path of the airplane Teamwork Skills Team training…training to reduce errors generated by small group dynamics (how do the humans interface with one another?) Systems Checklists, guidelines, processes, procedures (healthcare calls these protocols) to minimize over reliance on memory and create system that requires the use of effective team
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