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Causation, levels of analysis and explanation in systems ergonomics – A closer look at the UK NHS Morecambe Bay investigation

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journal contribution
posted on 13.02.2020, 13:53 by Patrick Waterson
This paper extends an earlier examination of the concept of ‘mesoergonomics’ (Karsh et al., 2014) and its application to Human Factors/Ergonomics (HFE). Karsh et al. (2014) developed a framework for mesoergonomic inquiry based on a set of steps and questions, the purpose of which was to encourage researchers to cross system levels in the studies (e.g., organisation-group-individual levels of analysis) and to explore alternative causal mechanisms and relationships within their data. The present paper further develops the framework and draws on previous work across a diverse range of sources (safety science, systems theory, the sociology of disaster and ethology) which has examined the subject of accident causation, levels of analysis and explanatory factors contributing to system failure. The outcomes from this exercise are a revised framework which seeks to explore what we term ‘isomorphisms’ and includes questions covering: (a) how internal isomorphisms develop or evolve within the system; and, (b) how these isomorphisms are shaped by cultural, professional and other forms of external influence. The workings of the revised framework are illustrated through using the example of the UK NHS Morecambe Bay Investigation (Kirkup, 2015). The paper concludes with a summary of ways forward for the framework, as well as new directions for theory within systems ergonomics/human factors.

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Published in

Applied Ergonomics

Volume

84

Publisher

Elsevier

Version

AM (Accepted Manuscript)

Rights holder

© Elsevier Ltd.

Publisher statement

This paper was accepted for publication in the journal Applied Ergonomics and the definitive published version is available at https://doi.org/10.1016/j.apergo.2019.103011.

Acceptance date

22/11/2019

Publication date

2019-12-03

Copyright date

2019

ISSN

0003-6870

Language

en

Depositor

Dr Patrick Waterson. Deposit date: 12 February 2020

Article number

103011

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