Book chapter
Designing System Reforms: Using a Systems Approach to Translate Incident Analyses into Prevention Strategies
Macrocognition: The Science and Engineering of Sociotechnical Work Systems, pp.6-22
Frontiers Media
2018
Appears in Thompson Institute Research Collection
Abstract
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.
Details
- Title
- Designing System Reforms: Using a Systems Approach to Translate Incident Analyses into Prevention Strategies
- Authors
- Natassia Goode (Author) - University of the Sunshine Coast - Faculty of Arts, Business and LawGemma J M Read (Author) - University of the Sunshine Coast - Faculty of Arts, Business and LawMichelle Van Mulken (Author) - University of the Sunshine Coast, Queensland, Faculty of Arts, Business and LawAmanda Clacy (Author) - University of the Sunshine Coast - Faculty of Arts, Business and LawPaul M Salmon (Author) - University of the Sunshine Coast - Faculty of Arts, Business and Law
- Contributors
- Paul Ward (Editor)Robert R Hoffman (Editor)Gareth E Conway (Editor)Jan Maarten Schraagen (Editor)David Peebles (Editor)Robert J B Hutton (Editor)
- Publication details
- Macrocognition: The Science and Engineering of Sociotechnical Work Systems, pp.6-22
- Publisher
- Frontiers Media
- Date published
- 2018
- DOI
- 10.3389/978-2-88945-418-1
- ISSN
- 1664-8714
- ISBN
- 9782889454181
- Copyright note
- Copyright © 2016 Goode, Read, van Mulken, Clacy and Salmon. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms
- Organisation Unit
- Centre for Human Factors and Systems Science; University of the Sunshine Coast, Queensland; Thompson Institute; School of Health - Psychology; School of Law and Society
- Language
- English
- Record Identifier
- 99450905802621
- Output Type
- Book chapter
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