美世大学误差削减策略与实践解析.pptVIP

Chapter17:ErrorReductionERROR:Aneventwhenanactionotherthandesiredtakesplace.Sequence:Consideraccidentstobepredictableandpreventable.i.e.,breakthesequenceNormality?error?accident?minorloss?majorloss?catastrophe第1页ISE311-171

Errorreduction?cognitiveergonomics.Justificationsofergonomicscenteraround…ReductionofphysicalstressReductionoferrors(waste)BenefitsofreducingerrorsImprovessafetyImprovesqualityImprovesproductivity第2页ISE311-172

CausesoferrorsPoordesignofequipmentPoormanagementofequipmentPoorproceduresPoortrainingOtherfac