The key theme of this book is organizational learning and its consequences for the field of air safety. Air safety rates have been improving for a long time, demonstrating the effects of a good learning model at work. However, the pace of improvement has almost come to a standstill. Improving Air Safety through Organizational Learning explains this situation as being the consequence of a development model supported chiefly by information technology being introduced as an alternative to human operators, and offers a new development model, one that makes strong use of technology but at the same time questions every step and suggests possible ways to recover the lost learning capacity.
Author(s): JosA© SA?nchez-Alarcos Ballesteros
Year: 2007
Language: English
Pages: 180
Contents......Page 6
Preface......Page 8
1 Commercial Aviation: A High-Risk Activity......Page 10
Air safety as a model of successful learning......Page 12
Limitations to success in organizational learning......Page 13
Reductions in the rate of improvements in safety levels......Page 19
The reduction in the rate of learning as consequence of a model......Page 21
Potential and uses of event analysis......Page 24
Life cycle of information on events......Page 29
Limitations of event-based learning......Page 38
3 Safety in Commercial Aviation: Risk Factors......Page 44
Classification of risk factors......Page 45
Analysis of risk factors......Page 47
Summary of the treatment of risk factors......Page 98
Systems that learn from errors and systems that avoid errors......Page 100
Barriers to organizational learning......Page 103
Organizational paradigms and their role in learning......Page 117
Paradigms and modes of action......Page 119
Adjustment of the different organizational paradigms to the needs of learning in air safety......Page 121
Difficulties for the change in organizational paradigm......Page 126
Change of organizational paradigm......Page 132
Meaning and its role in organizational learning......Page 138
Role of trust in organizational learning......Page 150
Criteria for the definition of an organizational learning model......Page 154
Determinant factors of learning ability......Page 156
Alternative learning model......Page 158
Limitations of the current learning model......Page 168
Changes in the relationships between variables within the system......Page 169
Future lines of development......Page 171
Final conclusions......Page 172
References......Page 176
C......Page 186
M......Page 187
T......Page 188
W......Page 189
