“Research done on handovers, which is one coordinative device to avert the fragmentation of problem-solving (Patterson, Roth, Woods, Chow, and Gomez, 2004) has identified some of the potential costs of failing to be told, forgetting or misunderstanding information communicated. These costs, for the incoming crew, include: having an incomplete model of the system’s state; being unaware of significant data or events; being unprepared to deal with impacts from previous events; failing to anticipate future events; lacking knowledge that is necessary to perform tasks safely; dropping or reworking activities that are in progress or that the team has agreed to do; creating an unwarranted shift in goals, decisions, priorities or plans. Such”
―
Behind Human Error
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