The Field Guide to Understanding Human Error, 2nd Edition

List of Figures and Tables

Figures

3.1 Hindsight changes how we look at past decision making. It turns real, convoluted complexity into a simple, linear story; a binary decision to err or not to err. Idea for image by Richard Cook.

3.2 Different perspectives on a sequence of events: Looking from the outside and hindsight you have knowledge of the outcome and dangers involved. From the inside, you may have neither.

4.1 Micromatching can mean that you take performance fragments from the stream of events and hold them up against rules or procedures that you deem applicable in hindsight. You don’t explain anything by doing this.

4.2 Cherry-picking means taking fragments from all over the record and constructing a story with them that exists only ...