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2015-2016 Webinar Series

A Brief Introduction to the Facilitated Learning Analysis

Thursday, January 21, 2016 at 2 PM Eastern (1 PM Central)

Persephone Whelan
Huron-Manistee National Forest
Huron Shores District
pdwhelan@fs.fed.us

“Any safety system depends crucially on the willing participation of the workforce, the people in direct contact with the hazards. To achieve this, it is necessary to engineer a reporting culture – an organizational climate in which people are prepared to report their errors… An effective reporting culture depends, in turn, on how the organization handles blame and punishment… What is needed is a just culture” -- James Reason

This webinar will be a brief glance into an organization’s grass roots adoption of the principles behind the Facilitated Learning Analysis (FLA), the learning curve, and a hopeful look into the future.

MP4 Video

Some recommended references and reading material for FLA:

Just Culture

Dekker, Sidney.  Just Culture: Balancing Safety and Accountability.  Aldershot, England: Ashgate, 2007.
Dekker, Sidney.  Just Culture: Who gets to draw the line? Cogn Tech Work. 2007 Available at http://www.humanfactors.lth.se/fileadmin/lusa/Sidney_Dekker/articles/2008/JustCultureCTW.pdf
Marx, David.  Patient Safety and the “Just Culture”: A Primer for Health Care Executives.  New York: Trustees of Columbia University, 2001.  Available at: http://www.unmc.edu/rural/patient-safety/tools/Marx%20Patient%20Safety%20and%20Just%20Culture.pdf
Sharpe, Virginia. Promoting patient safety: an ethical basis for policy deliberation. Hastings Center Report Special Suppl 33(5):S1–S20  2003. Available at: http://www.thehastingscenter.org/uploadedFiles/Publications/Special_Reports/patient_safety.pdf

Accident, Safety and Human Performance

Dekker, Sidney.  The Field Guide to Understanding Human Error.  3rd Edition. Aldershot, England: Ashgate, 2014.
Hollnagel, Erik.  The ETTO Principle Efficiency-Thoroughness Trade-Off: Why Things That Go Right Sometimes Go Wrong.  Farnham, England: Ashgate, 2009. 
Kahneman, Daniel.  Thinking Fast and Slow.  New York, NY: Farrar, Straus and Giroux, 2011
Neal J.  Roese and  Kathleen D.  Vohs, “Hindsight Bias,” Perspectives on Psychological Science 7 no.  5 (September 2012), 411-426.  Available at http://pps.sagepub.com/content/7/5/411.abstract
Reason, J.  T.  Managing the Risks of Organizational Accidents.  Aldershot, England: Ashgate, 1997.
Reason, J.  T.  The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries.  Farnham, England: Ashgate, 2008.
Tavris, Carol, and Elliot Aronson.  Mistakes Were Made (but not by me): Why We Justify Foolish Beliefs, Bad Decisions, and Hurtful Acts.  Orlando, FL: Harcourt, 2007.
Woods, D.D.  and R.I.  Cook.  “Nine Steps to Move Forward from Error.” Cognition, Technology, & Work 4, no.  2 (2002): 137-144.  Available at: http://www.ctlab.org/documents/NineSteps.pdf

Organizational Learning and Learning Culture

Jonathan Gottschall, The Storytelling Animal; How Stories Make Us Human, NY, New York, Mariner Books, 2012.
Isaacs, William.  Dialogue and the Art of Thinking Together: A Pioneering Approach to Communicating in Business and in Life.  New York: Currency/Doubleday, 1999.

Risk Management

Adams, John.  Risk. 5th edition, London, England: Routledge, 2001
Taleb, Nassim.  The Black Swan: the impact of the highly improbable.  2nd edition, New York, NY: Random House, 2010

Non-Fire FLAs for people
Retardant Avoidance FLA
Bear Meadows Stop Work FLA
Intermountain Regional FLA: Controversial Issues Management FLA