SH141: We cannot improve if we don't learn. We can't learn if we don't understand.

Counter-Errorism in Diving: Applying Human Factors to Diving

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محتوای ارائه شده توسط Gareth Lock at The Human Diver. تمام محتوای پادکست شامل قسمت‌ها، گرافیک‌ها و توضیحات پادکست مستقیماً توسط Gareth Lock at The Human Diver یا شریک پلتفرم پادکست آن‌ها آپلود و ارائه می‌شوند. اگر فکر می‌کنید شخصی بدون اجازه شما از اثر دارای حق نسخه‌برداری شما استفاده می‌کند، می‌توانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal

<div class="span index">1</div> <span><a class="" data-remote="true" data-type="html" href="/series/squid-game-the-official-podcast">Squid Game: The Official Podcast</a></span>

1
Squid Game: The Official Podcast

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۶ روز پیش۶d ago

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The final season is here—and Squid Game: The Official Podcast is your ultimate companion to the end of the Game. Hosts Phil Yu and Kiera Please return once more to break down every shocking twist and betrayal, and the choices that will determine who, if anyone, makes it out alive. Will Player 456 and the cast of characters we’ve grown to love finally be able to dismantle the games for good? Or will the cycle continue? Alongside creators, cultural critics, and viral internet voices, Phil and Kiera provide their own theories for how the season ends, and what ⁠Squid Game⁠ ultimately reveals about power, sacrifice, and the systems that shape us. The biggest question isn’t who wins—it’s what it means to be human. Squid Game: The Official Podcast returns Friday, June 27th.

حدود یک سال پیش 11:18

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When discussing diving incidents, it’s vital to shift away from blame and hindsight bias and instead foster a culture of open dialogue to understand why decisions made sense at the time. Often, divers are doing their best with the resources, training, and information available, but situational awareness and decision-making are shaped by incomplete data, personal experience, and environmental factors. Criticism without context or constructive feedback doesn’t improve safety or learning; instead, it deters people from sharing critical insights. By embracing a "just culture," the diving community can better explore the underlying factors behind incidents, address systemic issues, and create meaningful opportunities for growth and safety improvement.

Original blog: https://www.thehumandiver.com/blog/cannot-improve-do-not-understand

Links: Report of the death of CCR diver: https://cognitasresearch.files.wordpress.com/2015/05/dillon-2015-findings-in-the-inquest-into-the-death-of-philip-gray.pdf

Tags: English, Gareth Lock, Just Culture

190 قسمت

#Sports #Society #Podcasting Education #Gareth Lock at The Human Diver

SH141: We cannot improve if we don't learn. We can't learn if we don't understand.

Counter-Errorism in Diving: Applying Human Factors to Diving

published حدود یک سال پیش

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MP3•خانه قسمت

Original blog: https://www.thehumandiver.com/blog/cannot-improve-do-not-understand

Links: Report of the death of CCR diver: https://cognitasresearch.files.wordpress.com/2015/05/dillon-2015-findings-in-the-inquest-into-the-death-of-philip-gray.pdf

Tags: English, Gareth Lock, Just Culture

190 قسمت

#Sports #Society #Podcasting Education #Gareth Lock at The Human Diver

همه قسمت ها

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH190: You can't learn from adverse events if you are going to blame 12:54

۳ روز پیش12:54

12:54

In this episode, we explore the role of punishment in learning and accident investigations, challenging the idea that punishment fosters accountability or safety. Drawing from research by Heraghty, Dekker, and Rae, we discuss how punishment often stifles honesty, trust, and meaningful learning by creating a culture of fear. Using real-world examples, like a tragic drysuit diving accident and the grounding of a liveaboard vessel, we examine systemic issues that contribute to failures and how biases like hindsight and severity affect our responses. Instead of focusing on blame, we advocate for systemic, science-based approaches to foster psychological safety, support accountability, and promote learning to prevent future incidents. Original blog: https://www.thehumandiver.com/blog/blame-or-learn Links: Modifying an accident process and its justice system: https://www.sciencedirect.com/science/article/abs/pii/S092575352100093X?via%3Dihub Punishment doesn’t change behaviours associated with errant behaviours: https://www.simplypsychology.org/operant-conditioning.html Managing accidents using retributive justice mechanisms: https://www.sciencedirect.com/science/article/abs/pii/S0925753520300746?via%3Dihub Linnea Mills case: https://divernet.com/scuba-news/12m-lawsuit-follows-suit-squeeze-death/ Mission Improbable: Using Fantasy Documents to Tame Disaster: https://www.jstor.org/stable/3791858?seq=1 The likelihood of drift: https://www.thehumandiver.com/blog/being-a-deviant-is-normal Modifying an accident process and its justice system: https://www.sciencedirect.com/science/article/abs/pii/S092575352100093X?via%3Dihub CIEHF Guide to Learning from Adverse Events: https://ergonomics.org.uk/resource/learning-from-adverse-events.html Socorro Vortex grounding: https://www.deeperblue.com/socorro-vortex-liveaboard-runs-aground/ Report from the Danish MAritime Accident Investigation Board: https://dmaib.com/reports/2021/beaumaiden-grounding-on-18-october-2021/ Cognitive biases that limit learning: https://gue.com/blog/drift-is-normal-being-a-deviant-is-normal-heres-why/ Identifying error prone or error producing conditions: https://www.thehumandiver.com/blog/human-error-in-diving-is-it-really-that-simple Stoney Cove “Safety Stop” case: https://divernet.com/scuba-diving/diving-instructor-cleared-in-safety-stop-death-case/ Sidney Dekker’s Restorative Just Culture Checklist: https://drive.google.com/file/d/1Vkg0o4Fc8XWsAul-mkXNqD5lwokQ0ntP/view?usp=sharing Tags: English, Gareth Lock, Incident Analysis, Incident Investigation, Incident Reporting, Just Culture, Leadership, Psychological Safety…

Counter-Errorism in Diving: Applying Human Factors to Diving

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SH189: ‘Pilot error’. Don't 'fix' the Pilot. ‘Diver error’. 'Fix' the diver. 13:05

۶ روز پیش13:05

13:05

In this episode, we explore how systems, not just individuals, shape safety outcomes in aviation, diving, and daily life. We discuss historical lessons, such as redesigning cockpit controls in WWII B-17 bombers to prevent pilot errors, and modern examples like changes to ATM processes to reduce card loss. Diving safety is also examined, highlighting the recurring nature of incidents and the limitations of focusing solely on human error without addressing systemic issues. Drawing on insights from safety science and Professor James Reason's work, we emphasize the importance of creating conditions that support human performance rather than blaming individuals for predictable mistakes. Tune in to learn how understanding and improving systems can lead to safer, more effective outcomes. Original blog: https://www.thehumandiver.com/blog/fix-the-diver Links: ‘Bad Apples’ blog: https://gue.com/blog/do-bad-apples-actually-exist/ Study from Denoble et al: https://www.researchgate.net/publication/23955484_Common_causes_of_open-circuit_recreational_diving_fatalities BSAC annual diving incident report: https://www.bsac.com/safety/diving-incidents/annual-diving-incident-report/ Forcing functions to reduce catastrophic failures: https://psnet.ahrq.gov/primer/human-factors-engineering Types of error: https://www.thehumandiver.com/blog/mistakes-errors-words-have-meaning Perception of risk paper: https://www.researchgate.net/publication/271767726_Perception_of_Risk Tags: English, Decision-Making, Gareth Lock, Non-Technical Skills…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH188: The Status Quo Bias. We don’t like to change 5:16

10 روز پیش5:16

5:16

Status Quo Bias is the tendency to stick with familiar choices, even when better options exist, and it impacts decisions in many areas, including diving. From Coca-Cola's "New Coke" failure to nitrox's initial resistance in the diving world, this bias highlights our preference for the familiar and reluctance to embrace change. It shows up in dive site routes we repeat, equipment setups we hesitate to adjust, and training paths we follow without exploring alternatives. Being aware of this bias can help us question our habits, seek new perspectives, and make more informed decisions in diving and beyond. Original blog: https://www.thehumandiver.com/blog/status-quo Links: Maintaining the Status Quo: https://www.academia.edu/8285384/The_Psychology_of_Preferences ? …If there is choice overload: https://econweb.umd.edu/~masatlioglu/DKM.pdf …if there are costs to consider: https://philarchive.org/archive/NEBSQB Tags: English, Cognitive Biases, Decision-Making, Leadership, Mike Mason…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH187: The risks we take. The decisions we make. The lessons we MIGHT learn. 15:47

13 روز پیش15:47

15:47

This episode dives into the complexities of risk, decision-making, and resilience, blending personal experience with critical lessons for divers and beyond. Host Gareth Lock recounts his journey from peak physical fitness to surviving a near-fatal cardiac event, emphasizing the importance of recognizing weak signals, confronting cognitive biases, and understanding that safety isn’t just about training or equipment but also mindset and preparedness. Gareth challenges us to think critically about risk, share vulnerabilities, and prioritize health and safety—not just for ourselves, but for those around us. This episode is a powerful reminder that resilience and change start with awareness and action. Original blog: https://www.thehumandiver.com/blog/risks-decisions-lessons Links: Fitness for Rescues video: https://www.youtube.com/watch?v=dOiHkpvp2NU Willful blindness: https://www.ted.com/talks/margaret_heffernan_the_dangers_of_willful_blindness?language=en UK-DMC Post COVID score: https://www.ukdmc.org/wp-content/uploads/2022/02/UKDMC_COVID-19_diver_scorecard_Rev_1_20220209.pdf Tags: English, Cognitive Biases, Decision-Making, Gareth Lock…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH186: Being Efficient? Being Thorough? Which One Did You Choose? 6:34

17 روز پیش6:34

6:34

This episode explores the Efficiency Thoroughness Trade-Off (ETTO), a concept by Erik Hollnagel that explains how we balance being thorough and efficient in everyday tasks, including diving. Using relatable examples like incomplete checks and forgotten tasks, we discuss how time pressures and biases often lead us to prioritize productivity over safety—usually with successful outcomes, but occasionally with costly mistakes. We examine how ETTO influences individual and organizational decisions, highlighting strategies like checklists and clear communication to counteract its risks. By understanding these trade-offs, we can learn from past incidents and create safer, more effective systems in diving and beyond. Original blog: https://www.thehumandiver.com/blog/ETTO Links: If Only documentary: https://www.thehumandiver.com/ifonly Behavioural economics: https://www.thehumandiver.com/blog/the-bend-is-uninteresting-the-related-decisions-are-much-more-so ETTO paper: https://erikhollnagel.com/onewebmedia/ETTO.pdf System 1 to System 2 thinking: https://www.youtube.com/watch?v=Cfd8z3l3TYk Tags: English, Decision Making, Gareth Lock, Incident Analysis, Non-technical Skills…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH185: “Whenever there is any doubt, there is no doubt.” 9:34

20 روز پیش9:34

9:34

This episode dives into a powerful, real-life story of a cave diving incident that highlights the importance of psychological safety, trust, and clear communication in high-stakes environments. The narrative explores how a seemingly small misunderstanding about gas pressure spiraled into a stressful situation, showcasing the impact of doubt and unspoken concerns within a team. Lessons learned include the value of speaking up, taking responsibility, and building a culture of questioning and trust. The story serves as a reminder that even experienced divers can learn from mistakes, reinforcing the idea that addressing doubts early can prevent cascading problems and improve team dynamics. Original blog: https://www.thehumandiver.com/blog/whenever-there-is-any-doubt-there-is-no-doubt Tags: English, Decision Making, Gareth Lock, Leadership Psychological Safety, Teamwork…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH184: Why change is hard in diving 4:19

24 روز پیش4:19

4:19

Why do we do things the way we do? This question is at the heart of a story about a family’s tradition of cutting the ends off meat before cooking—a habit traced back to a Great Grandmother’s small tray. The tale highlights how unexamined habits can persist long after their original purpose is gone. In diving, the same applies to the debate over teaching students on their knees versus neutrally buoyant. While the former method made sense in the past, equipment advancements and new techniques now show better results with neutral buoyancy. Change, though, is hard—habits, convenience, and social norms all play a role. But by questioning the status quo, we open doors to improvements, whether it’s in teaching techniques, post-dive debriefs, or even gas analysis. Change may require effort, but the rewards can make it worthwhile. So, ask yourself: why have we always done it that way? Original blog: https://www.thehumandiver.com/blog/why-change-is-hard-in-diving Tags: English, Decision Making, Jenny Lord, Leadership…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH182: Joining Dots is Easy, Especially If You Know the Outcome 10:38

27 روز پیش10:38

10:38

In this episode, we discuss the complexities of learning from mistakes and adverse events in diving and beyond. Using real-world examples, including a technical diving error and a high-profile medical case, we explore how systemic pressures, biases like hindsight and confirmation bias, and the gap between "work as imagined" and "work as done" influence decisions. We highlight the importance of Just Culture in fostering open discussions and meaningful learning, emphasizing that improving safety means addressing systemic issues, not just individual actions. Join us to rethink how we approach errors and build resilience in high-pressure environments. Original blog: https://www.thehumandiver.com/blog/joining-dots-is-easy-if-you-know-the-outcome Links: Last week’s blog: https://www.thehumandiver.com/blog/my-biggest-mistake HFiD Facebook group: https://www.facebook.com/groups/184882365201810 Some cognitive biases: https://www.thehumandiver.com/blog/from_blaming_to_learning RaDonda Vaught verdict: https://www.npr.org/sections/health-shots/2022/03/25/1088902487/former-nurse-found-guilty-in-accidental-injection-death-of-75-year-old-patient Learning from RaDonda Vaught case: https://www.linkedin.com/pulse/reckless-homicide-vanderbilt-just-culture-analysis-david-marx/ The learning line (page 7, section 6): http://sunnyday.mit.edu/16.863/rasmussen-safetyscience.pdf Learning organisation: https://gue.com/blog/improvement-requires-learning-learning-happens-at-the-organizational-level-too/ Tags: English, Decision Making, Gareth Lock, Hindsight Bias, Just Culture, Psychological Safety…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH182: My Biggest Mistake: Context Driving Behaviour 6:22

۴ weeks پیش6:22

6:22

In this episode, we explore how context drives behavior and how mistakes can happen even to experienced professionals. Sharing a personal story about a diving oversight, we examine how time pressures, language barriers, and assumptions led to a dangerous error—and the lessons learned from it. Highlighting the importance of psychological safety and robust pre-dive checks, we discuss why understanding "how it made sense at the time" is key to improving safety and preventing future mistakes. Tune in to rethink how we approach errors and learn from unintended outcomes. Original blog: https://www.thehumandiver.com/blog/my-biggest-mistake Links: Gareth’s blog: https://www.thehumandiver.com/blog/from_blaming_to_learning Tags: English, Cognitive Biases, Communications, Decision Making, Jenny Lord, Just Culture, Psychological Safety…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH181: “Blame is the enemy of safety” - moving from blaming to learning 11:40

۵ weeks پیش11:40

11:40

Mistakes, slips, and lapses are a natural part of human performance, influenced by factors like training, time pressures, and equipment design. While rule-breaking may seem deliberate, it's often shaped by context, social pressures, and the perceived benefits of deviation. Biases like hindsight, outcome, and severity distort how we interpret incidents, leading to blame rather than understanding. Effective learning requires exploring why decisions made sense at the time and avoiding counterfactual judgments like "should have" or "could have." By shifting from blame to understanding and investigating systemic factors, we can improve safety and performance in diving and beyond. Original blog: https://www.thehumandiver.com/blog/from_blaming_to_learning Links: Research about anaesthetists: https://pubmed.ncbi.nlm.nih.gov/18941971/ Bad apples: https://gue.com/blog/do-bad-apples-actually-exist/ Attribution of agency: https://gue.com/blog/the-role-of-agency-when-discussing-diving-incidents-an-adverse-event-occurs-an-instructor-makes-a-mistake/ Further reading: To blame is human. To fix is to engineer. https://www.academia.edu/527985/People_or_Systems_To_blame_is_human_The_fix_is_to_engineer The Field Guide to Understanding Human Error . S. Dekker. Chartered Institute of Ergonomics and Human Factors: Learning from Adverse Events https://ergonomics.org.uk/resource/learning-from-adverse-events.html US Forest Service - Learning Review Guide. https://www.fs.usda.gov/rmrs/coordinated-response-protocol-learning-review "Blame is the Enemy of Safety" from Engineering a Safer World by Nancy Leveson. Tags: English, Gareth Lock, Incident Analysis, Incident Investigation, Incident Reporting, Just Culture…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH180: Challenger Safety: As an Instructor, don't I lose control? 16:37

۵ weeks پیش16:37

16:37

In this episode, we explore how instructors can balance leadership with fostering psychological safety in diving education. Psychological safety, defined as a "rewarded vulnerability," is crucial for creating environments where mistakes, questions, and challenges to the status quo are welcomed without fear of ridicule or blame. By understanding and implementing the four stages of psychological safety—Inclusion, Learner, Contributor, and Challenger safety—diving leaders can create teams that thrive on collaboration, trust, and continuous learning. We discuss practical strategies, like sharing mistakes, setting ground rules, and encouraging constructive feedback, to nurture this safety and improve outcomes for both instructors and students. Original blog: https://www.thehumandiver.com/blog/challenger-safety-control Tags: English, Gareth Lock, Just Culture, Leadership, Psychological Safety…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH179: How and Why Checklists Work 7:48

۶ weeks پیش7:48

7:48

In this episode, we explore the importance of checklists in diving, inspired by lessons from aviation and medicine. After a tragic 1935 plane crash, pilots introduced simple checklists to reduce human error—an approach now standard in high-risk industries. Checklists help compensate for our natural forgetfulness and distractions by providing quick prompts for essential tasks. For divers, effective checklists should be simple, fit for the environment, and backed by proper training. Teams benefit from shared checklists, improving safety through collaboration and consistency. Adopting checklists as a cultural norm, much like in surgery, can make diving safer and more efficient for everyone. Original blog: https://www.thehumandiver.com/blog/why-checklists-work Links: Atul Gawande’s Reith Lecture: https://www.bbc.co.uk/programmes/articles/6F2X8TpsxrJpnsq82hggHW/dr-atul-gawande-2014-reith-lectures Reduction in mortality due to checklists: https://www.nejm.org/doi/full/10.1056/nejmsa0810119 How a checklist can be the difference between living and dying: https://www.thehumandiver.com/ifonly Tags: English, Checklists, Decision-Making, Mike Mason…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH178: The Importance of Experience: Expertise is different to Experience 8:24

۶ weeks پیش8:24

8:24

Experience and practice are crucial for making better decisions, especially in uncertain situations, but they aren’t the same. Perfect practice builds expertise, while varied experiences across different environments enhance decision-making by expanding mental patterns. Decision-making relies on situational awareness, which involves sensing, understanding, and projecting future outcomes, all influenced by our training, memories, and expectations. Models like Gary Klein’s recognition-primed decision-making show how we use cues and past experiences to act efficiently, even under pressure. Feedback loops and a culture of learning are key to refining our actions. By diversifying your practice and learning, you can build the mental models needed to think and act like an expert. Original blog: https://www.thehumandiver.com/blog/the-importance-of-experience Links: DEBRIEF model: https://www.thehumandiver.com/debrief Tags: English, Decision Making, Gareth Lock, Situation Awareness…

Counter-Errorism in Diving: Applying Human Factors to Diving

1
SH177: We see what we think we’re looking for 14:35

۷ weeks پیش14:35

14:35

In this episode, we explore how human perception and assumptions can lead to critical errors, using real-world examples like the tragic 1994 friendly fire incident where two US helicopters were mistaken for enemy aircraft. These events highlight the dangers of "believing is seeing" and how expectations can shape our decisions under pressure. We connect these lessons to diving, where incomplete information and mental shortcuts can result in serious incidents. Learn how to reduce errors by validating assumptions, improving communication, and fostering shared mental models, helping to enhance safety and teamwork in high-risk environments. Original blog: https://www.thehumandiver.com/blog/believing-is-seeing Links: What You Look For Is What You Find paper: https://www.sciencedirect.com/science/article/abs/pii/S0925753509000137 Language can shape expectations: https://gue.com/blog/the-role-of-agency-when-discussing-diving-incidents-an-adverse-event-occurs-an-instructor-makes-a-mistake/ Tags: English, Cave Diving, Decision-Making, Gareth Lock, Rebreather, Situation Awareness…

Counter-Errorism in Diving: Applying Human Factors to Diving

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SH176: How to Integrate Human Factors Education into a New Diving Class: A Real World Example 5:16

۷ weeks پیش5:16

5:16

In this episode, we discuss integrating Human Factors training into technical diving courses, inspired by a new program blending eLearning, hands-on skills, and real-world exploration. The program emphasized teamwork, leadership, and psychological safety, with the DEBRIEF model becoming a standout tool for improving feedback and team efficiency. Students embraced these concepts, leading to more effective learning and collaboration. Lessons learned included refining teaching methods, incorporating Human Factors into all course modules, and fostering a just culture. The result? Better divers, better teammates, and a better instructor. Tune in for insights on enhancing diver education through Human Factors. Original blog: https://www.thehumandiver.com/blog/HF_Into_Archaeology Links: Underwater Archaeology Society of British Columbia: http://www.uasbc.com/ DEBRIEF model: https://www.thehumandiver.com/debrief The Essentials class: https://www.thehumandiver.com/HFiD-Essentials Guy Shockey: guy.shockey@thehumandiver.com Tags: English, Debrief, Decision-Making, Guy Shockey, Leadership, Teamwork…

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SH141: We cannot improve if we don't learn. We can't learn if we don't understand.