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

“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.

Webinar Recording

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



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