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The Limits of Expertise Looks at an Expert's Perspective at the Causes of Pilot Error and Aviation Accidents.


DUBLIN, Ireland -- Research and Markets (http://www.researchandmarkets.com/reports/c46954) has announced the addition of The Limits of Expertise to their offering.

Why would highly skilled, well-trained pilots make errors that lead to accidents when they had safely completed many thousands of previous flights? The majority of all aviation accidents are attributed primarily to human error, but this is often misinterpreted as evidence of lack of skill, vigilance, or conscientiousness of the pilots.

The Limits of Expertise is a fresh look at the causes of pilot error and aviation accidents, arguing that accidents can be understood only in the context of how the overall aviation system operates. The authors analyzed in great depth the 19 major U.S. airline accidents from 1991-2000 in which the National Transportation Safety Board (NTSB NTSB
abbr.
National Transportation Safety Board
) found crew error to be a causal factor causal factor Medtalk A factor linked to the causation of a disease or health problem . Each accident is reviewed in a separate chapter that examines events and crew actions and explores the cognitive processes Cognitive processes
Thought processes (i.e., reasoning, perception, judgment, memory).

Mentioned in: Psychosocial Disorders
 in play at each step. The approach is guided by extensive evidence from cognitive psychology cognitive psychology, school of psychology that examines internal mental processes such as problem solving, memory, and language. It had its foundations in the Gestalt psychology of Max Wertheimer, Wolfgang Köhler, and Kurt Koffka, and in the work of Jean  that human skill and error are opposite sides of the same coin. The book examines the ways in which competing task demands, ambiguity and organizational pressures interact with cognitive processes to make all experts vulnerable to characteristic forms of error. The final chapter identifies themes cutting across the accidents, discusses the role of chance, criticizes simplistic sim·plism  
n.
The tendency to oversimplify an issue or a problem by ignoring complexities or complications.



[French simplisme, from simple, simple, from Old French; see simple
 concepts of causality of accidents, and suggests ways to reduce vulnerability to these catastrophes.

The author's complementary experience allowed a unique approach to the study: accident investigation with the NTSB, cognitive psychology research both in the lab and in the field, enormous first-hand experience of piloting, and application of aviation psychology in both civil and military operations This is a list of missions, operations, and projects. Missions in support of other missions are not listed independently. World War I
''See also List of military engagements of World War I
  • Albion (1917)
. This combination allowed the authors to examine and explain the domain-specific aspects of aviation operations and to extend advances in basic research in cognition to complex issues of human performance in the real world. Although The Limits of Expertise is directed to aviation operations, the implications are clear for understanding the decision processes, skilled performance and errors of professionals in many domains, including medicine.

Reviews

The Limits of Expertise challenges how we think about accidents and pilot error. From details of recent accidents, the authors argue that while pilot error is often concluded as cause, we should expect many operators similarly situated similarly situated adj. with the same problems and circumstances, referring to the people represented by a plaintiff in a "class action," brought for the benefit of the party filing the suit as well as all those "similarly situated.  to make comparable decisions and take equivalent actions. From that perspective, individual actions and errors are not the source of accidents but a result of systemic causes. This reframing reframing (rē·frāˑ·ming),
n the revisiting and reconstruction of a patient's view of an experience to imbue it with a different usually more positive meaning in the
 provides good news - managers and regulators can act at system levels to prevent many future accidents.

Tom Chidester, Manager of the Human Factors Research Branch, Federal Aviation Administration Federal Aviation Administration (FAA), component of the U.S. Department of Transportation that sets standards for the air-worthiness of all civilian aircraft, inspects and licenses them, and regulates civilian and military air traffic through its air traffic control , Civil Aerospace Medical Institute, USA

About the Author/Editor

Dr Dismukes is Chief Scientist for Human Factors in the Human Factors Research & Technology Division at NASA Ames Research Center NASA Ames Research Center (ARC) is a NASA facility located at Moffett Federal Airfield, which covers 43 acres at the borders of the cities of Mountain View and Sunnyvale in California. This research center is most commonly called NASA Ames. . His current research addresses cognitive issues involved in the skilled performance of pilots, their ability to manage challenging situations, and their vulnerability to error; prospective memory; and management of attention in concurrent task performance. Mr Berman is a senior research associate at San Jose State University/NASA Ames Research Center and flies the Boeing 737 for a major air carrier. He is the former Chief of Major Investigations of the U.S. National Transportation Board, where he previously led the Operational Factors Division, served as a member of the major accident go-team responsible for flight operations, and managed safety studies. Dr Loukopoulos is a Senior Research Associate at NASAs Human Factors Research and Technology Division. She currently resides in Athens, Greece where she serves as a human factors consultant to the Greek Air Accident Investigation and Safety Board on the Helios Airways 2005 accident. She also continues her collaboration with NASA NASA: see National Aeronautics and Space Administration.
NASA
 in full National Aeronautics and Space Administration

Independent U.S.
 through the San Jose State University Foundation.

Content Outline:

Foreword

Preface

Introduction

USAir 1016

windshear encounter

TWA TWA Time-weighted average, see there  843

the power of suggestion

American 1572

accumulation of small errors

American International 808

the strobe light that wasnt there

Southwest 1455

unstabilized approach at Burbank

FedEx 14

pilot-induced oscillations in the landing flare

Ryan 590

a minute amount of contamination

Tower 41

loss of control during a slippery runway takeoff

Continental 1943

gear-up landing in Houston

American 102

runway excursion after landing

Continental 795

high-speed takeoff decision with poor information

USAir 405

snowy night at LaGuardia

ValuJet 558

2 missing words and a hard landing short of the runway

Air Transport International 805

disorientation disorientation /dis·or·i·en·ta·tion/ (-or?e-en-ta´shun) the loss of proper bearings, or a state of mental confusion as to time, place, or identity. , loss of control and the need to intervene

American 903

loss of control at altitude

Simmons 3641

over the gates and into forbidden territory

American 1340

autopilot deviation just prior to landing

Delta 554

undershot undershot

the mandible is longer than the maxilla so that the lower incisors are forward of the upper incisors and there is no contact between them when the mouth is closed. A common abnormality in dogs and a normal feature in some breeds such as British bulldog.
 landing at LaGuardia

American 1420

pressing the approach

Flightcrew-related accident data: comparison of the 1978-1990 and 1991-2001 periods

Converging themes: the deep structure of accidents

Bibliography

Index

For more information visit http://www.researchandmarkets.com/reports/c46954
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Date:Dec 13, 2006
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