Diagramming and error classification-feedback

Diagramming and error classification-feedback

This paper focuses on 2020 OHS 323 Diagramming and error classification-feedback. This is a feedback assignment designed to give you an incentive to practice and acquire skills and give you feedback before you use those skills in the large assignment and the midterm.

2020 OHS 323 Diagramming and error classification-feedback

This is a feedback assignment design to give you an incentive to practice and acquire skills and give you feedback before you use those skills in the large assignment and the midterm. It is not a summative assessment of a learning module. Also, You will learn BY doing the assignment.

I do NOT encourage let alone insist that investigators find “THE” CAUSE. Just producing a clear description of an event can lead them to a set of information that will meet the quality criteria: comprehensive, unbiased, reliable, and useful – enable them to develop interventions. Factors can be causally relevant without being “the” cause or even possible to prevent. Factors can be actions or characteristics of people that contributed without being errors. Diagramming is a valuable method to document the information you have and organize it so that you can see the relationships among contributing factors and find potential paths to prevention.

This assignment:

Firstly, Identify a personal story that happened to you or someone close to you that you know pretty much

Secondly, Everything about. It may have resulted in personal injury to you, them, or others, or property damage or other loss.

Thirdly, It will include one or more errors. Multiple errors may have been independent of each other, or an error may have been a failed reaction to the result of a previous error.

Fourthly, You will diagram all the contributing factors – events and conditions – and their relationship to each other and the outcome(s).

Further, You will identify the error(s), and identify the type of error. You should use the error typology in the notes and explain why that is the best match for the type.

Also, You must be correct for slip, mistake, and lapse. You should try to be close in the sub-types. If you cannot classify sub-types, it may tell you that your diagram lacks the context that would enable you to select a sub-classification.

Lastly, Diagram the flow of events primarily horizontally, with the outcome at the LEFT margin. With antecedents to the right of the effects. Antecedents of effects include exceptional conditions and events and unexceptional conditions (i.e., design features and procedures) and events that contributed to or enabled the injury-producing collision.

Note that a cause-consequence tree diagram needs to include implied requirements when documenting a contributing deviation. (E.g., suppose you consider “the cloth was wet” to be a contributing deviation.  Also document “the cloth is required to be dry”) otherwise it is unclear why the factor is relevant. Likewise, an action (or non-action) is only an error if a different action (or non-action) was require.