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人为失误与工业安全违规:系统文献回顾。

Human error and violation of rules in industrial safety: A systematic literature review.

机构信息

Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

Federal University of Ouro Preto, Ouro Preto, Brazil.

出版信息

Work. 2024;79(3):1237-1253. doi: 10.3233/WOR-230186.

Abstract

BACKGROUND

Human error and violation of rules are perceived as deviations from some desired behavior, appearing variably in literature as either similar or opposing concepts. Behavioral deviations may be linked to accidents or considered a protective factor against them.

OBJECTIVE

This article aims to explore definitions, characteristics, classifications, and management approaches for behavioral deviations, specifically human error and violation of rules.

METHODS

A systematic literature review was conducted.

RESULTS

The authors differ in defining and classifying error and violation, associating them with generation of accidents or their prevention. The management proposals for deviations highlighted by the authors were emphasized.

CONCLUSION

The findings of this article reinforce the prominence of authors Jens Rasmussen and James Reason in the field. They assert that deviations are a natural aspect of the work process and even serve as a preventive factor against accidents, although their frequent association with accidents remains common in organizations. This study contributes to theoretical understanding by systematizing prevalent perspectives on deviation, human error, and violation of rules. It proposes a taxonomy and emphasizing the need for managing deviations, rather than combating them, especially in an organizational context.

摘要

背景

人为错误和违反规则被视为偏离了某些期望行为,在文献中以相似或相反的概念出现。行为偏差可能与事故有关,也可能被视为预防事故的因素。

目的

本文旨在探讨行为偏差(特别是人为错误和违反规则)的定义、特征、分类和管理方法。

方法

进行了系统的文献回顾。

结果

作者在定义和分类错误和违规行为方面存在差异,将其与事故的发生或预防联系起来。作者强调了对偏差的管理建议。

结论

本文的研究结果强调了 Jens Rasmussen 和 James Reason 两位作者在该领域的重要地位。他们认为,偏差是工作过程中的自然现象,甚至可以作为预防事故的因素,尽管它们经常与事故联系在一起在组织中仍然很常见。本研究通过系统地总结关于偏差、人为错误和违反规则的普遍观点,为理论理解做出了贡献。它提出了一种分类法,并强调了在组织背景下管理偏差而不是与之对抗的必要性,尤其是在管理偏差而不是与之对抗的必要性,尤其是在组织背景下。

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