12. AUTOMATIC VS. ANALYTIC
The centipede was happy—quite!
Until the toad in fun Said “Pray,
which leg comes after which?”
Which brought his mind to such a
pitch
He lay distracted in a ditch
Considering how to run.
13. Property Automatic Analytic
Reasoning style Intuitive, heuristic Conscious, deductive,
abstract
Working memory Not involved Involved
Awareness Low High
Automaticity High Low
Speed Fast Slow
Effort Minimal Considerable
Vulnerability to bias Yes Less so
Reliability Low, variable High, consistent
14. TWO BASIC THEMES
Teamwork and comms
Crew resource management
Systems redesign
Lean
Simple – shortest route
Kaizen – spirit of continuous improvement
16. HEURISTICS
Name of heuristic Characteristic
Availability Something that recently occurred comes
to mind quicker
Anchoiring Persist despite evidence to the contrary
Confirmation Actively seek evidence to support your
position
Representative Decisions based on what’s typical
Premature closing Stop before information verified
Sutton’s slip Going for the obvious without
considering alternative possibilities.
22. ANALYTIC COGNITION
Flexible
Doesn’t rely on short cuts
Don’t need to recognise patterns
Hard work
New tasks
Slow, single channel that requires all our concentration
FIXATION
26. LEADERSHIP
Bystander effect
Heard of it?
Take ownership
Individualise
Ringelman effect
1888 Tug of war
Managing big groups
Speak up
Say what you see……
27. OVER TO YOU
Design a system to make your working life safer.
What are the key elements?
How do you embed them?
Can you think of any examples?
28. HUMAN FACTORS
STOP 10 seconds for 10 minutes
Hierachy - FLAT
Concurrent hindsight
Pre test probability
Practice medicine in the light not the dark
SBAR