「人为错误」理解指南

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• wpietri · 2022 年

  建议你读读《理解“人为错误”现场指南》（The Field Guide to Understanding 'Human Error'）。你会学到很多东西。https://www.amazon.com/Field-Guide-Understanding-Human-Error... 在我看来，指望人类不再犯错，远不如去修复那些会放大错误的系统有效……

  I suggest you read "The Field Guide to Understanding 'Human Error'". You'd learn a lot. https://www.amazon.com/Field-Guide-Understanding-Human-Error... My view is that expecting humans to stop making mistakes is much less effective than fixing the systems that amplify…

• wpietri · 2021 年

  ……优越感，这两种感觉我以前也挺乐在其中的。但拿这种心态去分析安全问题从根本上就是错的。对于真想深入研究这个话题的人，我强烈推荐德克（Dekker）的《理解“人为错误”现场指南》（A Field Guide to Understanding 'Human Error'）：https://www.amazon.com/gp/product/B00Q8XCSFI/ref=dbs_a_def_r... 表面上看它是关于空难调查的。但他非常详细地拆解了为什么默认的分析模型完全不合时宜……

  …superior, two feelings I have been known to enjoy. But it's a fundamentally bad way to approach analyzing safety issues. For those who really want to dig in on the topic, I strongly recommend Dekker's "A Field Guide to Understanding 'Human Error'": https://www.amazon.com/gp/product/B00Q8XCSFI/ref=dbs_a_def_r... It's nominally about examining airplane crashes. But he breaks down into great detail why the default analytical model is entirely inappropriate…

• quartz · 2021 年

  ……我强烈推荐：- 基础实践方面：Google SRE 关于 incident 管理的章节 [2] - 至于为什么要为事故做准备以及如何有效从中吸取教训的历史演进：西德尼·德克（Sidney Dekker）的《理解人为错误现场指南》（Field Guide to Understanding Human Error）[3] [1] https://kintaba.com [2] https://sre.google/sre-book/managing-incidents/ [3] https://www.amazon.com/Field-Guide-Understanding-Human-Error...

  …I highly recommend: - For basic practices: Google's SRE chapters on incident management [2] - For the history of why we prepare for incidents and how we learn from them effectively: Sidney Dekker's Field Guide to Understanding Human Error [3] [1] https://kintaba.com [2] https://sre.google/sre-book/managing-incidents/ [3] https://www.amazon.com/Field-Guide-Understanding-Human-Error...

• wpietri · 2015 年

  我快把《理解人为错误现场指南》（The Field Guide to Understanding Human Error）读完了：http://www.amazon.com/Field-Guide-Understanding-Human-Error/... 这本书棒极了，作者是西德尼·德克（Sidney Dekker），一位“人因工程与飞行安全教授”。核心观点就是默认的……

  I'm almost done with The Field Guide to Understanding Human Error: http://www.amazon.com/Field-Guide-Understanding-Human-Error/... It's a brilliant book written by Sidney Dekker, a "Professor of Human Factors and Flight Safety". The basic point is that the default…

• wpietri · 2018 年

  ……不过控制和甩锅对创造性工作来说简直是灾难。而且一旦安全水平超过了某个相当低的门槛，再靠管控和责怪就根本起不到提升作用了。（感兴趣的朋友，我强烈推荐西德尼·德克的《理解人为错误现场指南》[1]，这是一本神书，讲怎么调查飞机事故，以及以追责为核心的方法如何严重损害真正的安全保障。）所以很高兴看到 Slack 找到了规模化扩张却没丢掉核心……

  …Controlling and blaming are terrible for creative work, though. And they're also terrible for increasing safety beyond a certain pretty low level. (For those interested, I strongly recommend Sidney Dekker's "Field Guide to Understanding Human Error" [1], a great book on how to investigate airplane accidents, and how blame-focused approaches deeply harm real safety efforts.) So it's great to see Slack finding a way to scale up without losing something…

• benihana · 2015 年

  不追责的复盘（Blameless postmortems）在 Etsy 这种风险相对较低的环境里效果好得惊人（在读了西德尼·德克的《理解人为错误现场指南》[强烈推荐] 之后，我想说 blameless post-mortem 在高风险环境下其实更重要）。只不过“失败”这个词用得并不恰当——书里论证了这些其实是系统运行中很自然的产物……

  Blameless postmortems work phenomenally at Etsy which is a pretty low risk setting (after reading Sidney Dekker's book The Field Guide to Understanding Human Error [highly recommended] I would say that blameless post-mortems are even more important in a high-risk setting). Except failure isn't the correct word - the book makes the case that these are natural artefacts…

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