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<\/p>\n[et_pb_section fb_built=”1″ admin_label=”Main Section” _builder_version=”4.9.4″ _module_preset=”7a49d0ca-87b7-4c77-a03e-d56492d097e5″ background_color=”#ffffff” custom_margin=”0px||0px||false|false” custom_padding=”0px||||false|false”][et_pb_row column_structure=”2_3,1_3″ use_custom_gutter=”on” gutter_width=”4″ _builder_version=”4.9.4″ _module_preset=”9b751c31-4556-4699-bf3b-15d08fcf3bd9″ width=”100%” custom_padding=”0px||0px||false|false”][et_pb_column type=”2_3″ module_class=”et-show-more-container ” admin_label=”Post Content” _builder_version=”4.9.4″ _module_preset=”default”][et_pb_text admin_label=”Headline Grundlagen” module_class=”has-headline size-2″ _builder_version=”4.9.4″ _module_preset=”f27d57d5-2206-4fa2-bb4e-1883933a92a9″ text_font=”||||||||” header_font=”||||||||” header_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font=”|600|||||||” header_2_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font_size=”36px” header_2_line_height=”1.25em” custom_margin=”0px||28px||false|false” custom_margin_tablet=”” custom_margin_phone=”||14px||false|false” custom_margin_last_edited=”on|phone” global_colors_info=”{%22gcid-7017af99-804f-4997-adc0-e93f5909dcff%22:%91%22header_text_color%22,%22header_2_text_color%22%93}”]<\/p>\n
[\/et_pb_text][et_pb_text module_class=”introtext” _builder_version=”4.9.4″ _module_preset=”87cc2148-c6f4-4f1b-8609-d757a882564c” text_font_size=”18px” text_line_height=”32px” custom_margin=”||0px||false|false” custom_padding=”||||false|false”]Aviation comes into the public eye a few times a year because of its safety measures. That is, when another Airbus or Boeing jet has crashed. Headlines in the newspapers and special broadcasts then follow.[\/et_pb_text][et_pb_divider show_divider=”off” module_class=”divider-38″ _builder_version=”4.9.4″ _module_preset=”e1fbf107-ca39-4ee4-b671-ebf4d2633462″ background_color=”#ff00e2″ height=”38px”][\/et_pb_divider][et_pb_text _builder_version=”4.9.9″ _module_preset=”7c0ad95c-dcf2-4930-9631-952e4eeba957″ text_line_height=”28px” custom_margin=”0px||0px||false|false” custom_margin_tablet=”0px||||false|false” custom_margin_phone=”0px||||false|false” custom_margin_last_edited=”on|desktop” custom_padding=”0px||0px||false|false”]<\/p>\n
Anders sieht es in der Medizin aus. Hier passieren \u201eBruchlandungen\u201c zwar viel h\u00e4ufiger. Dennoch wird Prozessschw\u00e4chen und Behandlungsfehlern intern und medial meist wenig Aufmerksamkeit geschenkt. Sie sind in der Medizin schwerer in der Regel weniger spektakul\u00e4r \u2013 und sie lassen sich leichter identifizieren und ehrlicherweise auch einfacher kaschieren. Teuer sind sie f\u00fcr Patienten und bisweilen auch f\u00fcr \u00c4rzte bzw. Krankenh\u00e4user dennoch.<\/p>\n
Ob Medizin oder Luftfahrt, wichtig ist es, dass die Ursachen von Fehlern tiefgreifend untersucht werden. In der Luftfahrt ist dies Standard – und das nicht nur bei schweren Vorkommnissen, sondern auch bei teuren und systematischen oder potenziell systematischen Fehlern.<\/p>\n
Diese Seite gibt einen Einblick in die Entstehung einiger schwerer Flugzeugabst\u00fcrze, bei denen schwerwiegende menschliche Faktoren eine Rolle spielten. Das letzte Beispiel zeigt beispielhaft die typische Untersuchung eines kleineren Fehlers nach der 5-Why Methode in einem kleinen Industriebetrieb bei der Herstellung von Luftfahrzeug-Bauteilen.<\/p>\n
[\/et_pb_text][et_pb_divider show_divider=”off” module_class=”divider-38″ _builder_version=”4.9.4″ _module_preset=”e1fbf107-ca39-4ee4-b671-ebf4d2633462″ background_color=”#ff00e2″ height=”38px”][\/et_pb_divider][et_pb_cta title=”Do you know our Human Factors E-Learning yet?” button_url=”https:\/\/www.medicalimpulse.de\/en\/human-factors-medicine-online-training\/” url_new_window=”on” button_text=”more” _builder_version=”4.9.4″ _module_preset=”0a1a6453-1c15-41ba-aead-d6f1bdff5799″ background_color=”gcid-7a51ffdd-b0a8-4abf-af4c-b9c78783aa28″ button_text_color=”gcid-ea5d051f-5fd6-4d93-bea0-d1ce824db653″ button_bg_color=”gcid-d13c4f27-0247-47eb-85a2-be11a3722de0″ button_border_color=”gcid-d13c4f27-0247-47eb-85a2-be11a3722de0″ global_colors_info=”{%22gcid-a4d4b690-c5d0-4305-acd7-d33639818f8a%22:%91%22button_bg_color__hover%22%93,%22gcid-7017af99-804f-4997-adc0-e93f5909dcff%22:%91%93,%22gcid-7a51ffdd-b0a8-4abf-af4c-b9c78783aa28%22:%91%22background_color%22,%22colorStart%22%93,%22gcid-22d5cf4e-69e4-4fff-a472-856850512630%22:%91%22colorEnd%22%93,%22gcid-ea5d051f-5fd6-4d93-bea0-d1ce824db653%22:%91%22button_text_color%22,%22button_border_color__hover%22%93,%22gcid-d13c4f27-0247-47eb-85a2-be11a3722de0%22:%91%22button_text_color__hover%22,%22button_bg_color%22,%22button_border_color%22%93}” button_bg_color__hover=”gcid-a4d4b690-c5d0-4305-acd7-d33639818f8a” button_border_color__hover=”gcid-ea5d051f-5fd6-4d93-bea0-d1ce824db653″ button_text_color__hover=”gcid-d13c4f27-0247-47eb-85a2-be11a3722de0″ colorStart=”gcid-7a51ffdd-b0a8-4abf-af4c-b9c78783aa28″ colorEnd=”gcid-22d5cf4e-69e4-4fff-a472-856850512630″]<\/p>\n
[\/et_pb_cta][et_pb_divider show_divider=”off” module_class=”divider-38″ _builder_version=”4.9.4″ _module_preset=”e1fbf107-ca39-4ee4-b671-ebf4d2633462″ background_color=”#ff00e2″ height=”38px”][\/et_pb_divider][et_pb_text admin_label=”Headline Bauvorschriften” module_class=”has-headline size-2″ _builder_version=”4.9.4″ _module_preset=”f27d57d5-2206-4fa2-bb4e-1883933a92a9″ text_font=”||||||||” header_font=”||||||||” header_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font=”|600|||||||” header_2_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font_size=”36px” header_2_line_height=”1.25em” custom_margin=”0px||28px||false|false” custom_margin_tablet=”” custom_margin_phone=”||14px||false|false” custom_margin_last_edited=”on|phone” global_colors_info=”{%22gcid-7017af99-804f-4997-adc0-e93f5909dcff%22:%91%22header_text_color%22,%22header_2_text_color%22%93}”]<\/p>\n
[\/et_pb_text][et_pb_text admin_label=”Text” _builder_version=”4.9.4″ _module_preset=”7c0ad95c-dcf2-4930-9631-952e4eeba957″ text_line_height=”28px” background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_margin=”0px||0px||false|false” custom_margin_tablet=”0px||||false|false” custom_margin_phone=”0px||||false|false” custom_margin_last_edited=”on|desktop” custom_padding=”0px||0px|4px|false|false”]On July 06, 2013 a serious accident occurred during the landing of Asiana Airlines Flight 214 from Seoul to San Francisco (SFO), resulting in three deaths and 181 injuries.<\/p>\n
The accident occurred because the Boeing B-777 touched down too early and grazed the waterside runway edge. The aircraft was clearly too low and too slow on landing. This was caused by human error on the part of the cockpit crew, with a maintenance-related failure of the instrument landing system (ILS) at SFO Airport contributing to the misconduct.<\/p>\n
Although Captain Lee Kang Kuk had a lot of experience with a B-747, it was his first approach to SFO with a B-777. The captain had very little experience on this pattern. He was confronted with the challenge of performing the SFO approach, which was considered demanding, on sight rather than using ILS. Lee told the investigating committee after the accident that he had felt unsure of himself before landing and had expressed this to his training captain during flight preparation. Another pilot Lee had flown with a few days earlier was also critical of his performance.<\/p>\n
However, not only the captain is at fault. After all, his B-777 training captain assisted him with the landing. Also the co-pilot was in the cockpit. Both testified that they had assessed the situation as critical shortly before the accident. Yet they did not respond appropriately. In this respect, all three in the cockpit recognized the critical altitude and speed. However, they assumed that the aircraft would regulate this itself via the automatic thrust control. But they did not notice that the system was switched off.<\/p>\n
The work enviroment in the cockpit was described by experts as focused but uncommunicative. They should have communicated more during the landing phase and coordinated the approach course with each other as is generally done. This situation was impacted by the fact that the training captain was also working in this capacity for the first time. While he had more experience on the B-777 than the captain, his overall flying experience was less. Therefore, the training captain assumed that his trainee would act correctly at the last moment.<\/p>\n
Source: Hinsch, et al. (2016): \u201eErfolgsfaktoren Effizienz und Sicherheit \u2013 Was die Medizin von der Luftfahrt lernen kann\u201c.<\/em>[\/et_pb_text][et_pb_divider show_divider=”off” module_class=”divider-38″ _builder_version=”4.9.4″ _module_preset=”e1fbf107-ca39-4ee4-b671-ebf4d2633462″ background_color=”#ff00e2″ height=”38px”][\/et_pb_divider][et_pb_blurb title=”More helpful information about Human Factors!” use_icon=”on” font_icon=”%%79%%” icon_color=”gcid-2a0c80e5-f620-4287-bcc6-ae661ef8abd6″ _builder_version=”4.9.4″ _module_preset=”1a175db8-d249-440c-bee0-17acb6d9144d” global_colors_info=”{%22gcid-2a0c80e5-f620-4287-bcc6-ae661ef8abd6%22:%91%22icon_color%22%93}”]Are you looking for basic information on Human Factors, Human Error \/ Dirty Dozen as well as causes of Human Factors accidents? Further helpful knowledge:<\/p>\n [\/et_pb_blurb][et_pb_divider show_divider=”off” module_class=”divider-38″ _builder_version=”4.9.4″ _module_preset=”e1fbf107-ca39-4ee4-b671-ebf4d2633462″ background_color=”#ff00e2″ height=”38px”][\/et_pb_divider][et_pb_text admin_label=”Headline Auswahl Nachweismethode” module_class=”has-headline size-2″ _builder_version=”4.9.4″ _module_preset=”f27d57d5-2206-4fa2-bb4e-1883933a92a9″ text_font=”||||||||” header_font=”||||||||” header_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font=”|600|||||||” header_2_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font_size=”36px” header_2_line_height=”1.25em” custom_margin=”0px||28px||false|false” custom_margin_tablet=”” custom_margin_phone=”||14px||false|false” custom_margin_last_edited=”on|phone” global_colors_info=”{%22gcid-7017af99-804f-4997-adc0-e93f5909dcff%22:%91%22header_text_color%22,%22header_2_text_color%22%93}”]<\/p>\n [\/et_pb_text][et_pb_text admin_label=”Text” _builder_version=”4.9.4″ _module_preset=”7c0ad95c-dcf2-4930-9631-952e4eeba957″ text_line_height=”28px” background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_margin=”0px||0px||false|false” custom_margin_tablet=”0px||||false|false” custom_margin_phone=”0px||||false|false” custom_margin_last_edited=”on|desktop” custom_padding=”0px||0px|4px|false|false”]On March 27, 1977, at Tenerife Airport, a KLM Boeing 747 taking off collided with a Pan Am jumbo still on the runway. This accident, which killed 583 people, is the most serious in aviation history to date. In the crash, exogenous, technical and Human Factors caused the accident. However, the decisive factor was ultimately the misconduct of the KLM captain.<\/p>\n A few seconds later, the KLM crew identified the Pan Am jumbo’s position lights in the fog. The desperate attempt to lift the aircraft ended on the upper deck of the Pan Am.<\/p>\n <\/p>\n Source: Hinsch, et al. (2016): \u201eErfolgsfaktoren Effizienz und Sicherheit \u2013 Was die Medizin von der Luftfahrt lernen kann\u201c.<\/em>[\/et_pb_text][et_pb_divider show_divider=”off” module_class=”divider-38″ _builder_version=”4.9.4″ _module_preset=”e1fbf107-ca39-4ee4-b671-ebf4d2633462″ background_color=”#ff00e2″ height=”38px”][\/et_pb_divider][et_pb_divider show_divider=”off” module_class=”divider-38″ _builder_version=”4.9.4″ _module_preset=”e1fbf107-ca39-4ee4-b671-ebf4d2633462″ background_color=”#ff00e2″ height=”38px”][\/et_pb_divider][et_pb_text admin_label=”Headline Auswahl Nachweismethode” module_class=”has-headline size-2″ _builder_version=”4.9.4″ _module_preset=”f27d57d5-2206-4fa2-bb4e-1883933a92a9″ text_font=”||||||||” header_font=”||||||||” header_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font=”|600|||||||” header_2_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font_size=”36px” header_2_line_height=”1.25em” custom_margin=”0px||28px||false|false” custom_margin_tablet=”” custom_margin_phone=”||14px||false|false” custom_margin_last_edited=”on|phone” global_colors_info=”{%22gcid-7017af99-804f-4997-adc0-e93f5909dcff%22:%91%22header_text_color%22,%22header_2_text_color%22%93}”]<\/p>\n [\/et_pb_text][et_pb_image src=”https:\/\/www.medicalimpulse.de\/wp-content\/uploads\/2022\/09\/5-why-example-human-factors-medicine-accidents-aviation.jpg” alt=”Root cause analysis according to the 5 Why methode (Human Factors accidents aviation)” title_text=”Root cause analysis according to the 5 Why methode (Human Factors accidents aviation)” show_in_lightbox=”on” _builder_version=”4.9.4″ _module_preset=”e7359998-575d-4bf9-89ab-021a31908f3a”][\/et_pb_image][et_pb_cta title=”You need support with Error Management” button_url=”https:\/\/www.medicalimpulse.de\/en\/contact\/” button_text=”Contact us” module_class=”cta-blue-gradient-center” _builder_version=”4.9.9″ _module_preset=”371eded3-932f-4015-a174-dd1dc18fbdd5″ header_font_size=”26px” header_line_height=”1.25em” body_line_height=”1.4em” background_color=”#155538″ background_enable_color=”on” background_color_gradient_start=”#155538″ background_color_gradient_end=”#1fd072″ background_color_gradient_direction=”135deg” background_color_gradient_start_position=”35%” button_text_color=”gcid-a4d4b690-c5d0-4305-acd7-d33639818f8a” button_bg_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” button_border_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” custom_margin=”0px||0px||false|false” custom_padding=”||||false|false” hover_enabled=”0″ custom_css_promo_description=”display:flex; ||min-height: 180px; ||flex-direction: column; ||justify-content: space-around;||” global_colors_info=”{%22gcid-ed505a0d-5f5f-4f07-a7bb-add2f9dde625%22:%91%93,%22gcid-22d5cf4e-69e4-4fff-a472-856850512630%22:%91%93}” button_text_color__hover_enabled=”on|desktop” button_bg_color__hover_enabled=”on|hover” button_bg_color__hover=”gcid-a4d4b690-c5d0-4305-acd7-d33639818f8a” button_border_color__hover_enabled=”on|desktop” button_border_color__hover=”gcid-a4d4b690-c5d0-4305-acd7-d33639818f8a” button_text_color__hover=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” button_bg_enable_color__hover=”on” sticky_enabled=”0″]<\/p>\n We support you in setting up a systematic Error Management! [\/et_pb_cta][et_pb_divider show_divider=”off” module_class=”divider-38″ _builder_version=”4.9.4″ _module_preset=”e1fbf107-ca39-4ee4-b671-ebf4d2633462″ background_color=”#ff00e2″ height=”38px”][\/et_pb_divider][\/et_pb_column][et_pb_column type=”1_3″ admin_label=”Post Sidebar” _builder_version=”4.9.4″ _module_preset=”default”][et_pb_sidebar orientation=”right” area=”et_pb_widget_area_1″ show_border=”off” module_id=”post-sidebar” module_class=”sidebar” _builder_version=”4.9.9″ _module_preset=”default” background_color=”RGBA(0,0,0,0)” sticky_position=”top” sticky_offset_top=”50px” sticky_limit_top=”body” sticky_limit_bottom=”section” transform_styles__sticky_enabled=”off|desktop” transform_scale__sticky_enabled=”off|desktop” transform_translate__sticky_enabled=”off|desktop” transform_rotate__sticky_enabled=”off|desktop” transform_skew__sticky_enabled=”off|desktop” transform_origin__sticky_enabled=”off|desktop” background__sticky_enabled=”off|sticky” background_color__sticky=”#8CA5F0″ background_enable_color__sticky=”on”][\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" [et_pb_section fb_built=”1″ admin_label=”Main Section” _builder_version=”4.9.4″ _module_preset=”7a49d0ca-87b7-4c77-a03e-d56492d097e5″ background_color=”#ffffff” custom_margin=”0px||0px||false|false” custom_padding=”0px||||false|false”][et_pb_row column_structure=”2_3,1_3″ use_custom_gutter=”on” gutter_width=”4″ _builder_version=”4.9.4″ _module_preset=”9b751c31-4556-4699-bf3b-15d08fcf3bd9″ width=”100%” custom_padding=”0px||0px||false|false”][et_pb_column type=”2_3″ module_class=”et-show-more-container ” admin_label=”Post Content” _builder_version=”4.9.4″ _module_preset=”default”][et_pb_text admin_label=”Headline Grundlagen” module_class=”has-headline size-2″ _builder_version=”4.9.4″ _module_preset=”f27d57d5-2206-4fa2-bb4e-1883933a92a9″ text_font=”||||||||” header_font=”||||||||” header_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font=”|600|||||||” header_2_text_color=”gcid-7017af99-804f-4997-adc0-e93f5909dcff” header_2_font_size=”36px” header_2_line_height=”1.25em” custom_margin=”0px||28px||false|false” custom_margin_tablet=”” custom_margin_phone=”||14px||false|false” custom_margin_last_edited=”on|phone” global_colors_info=”{%22gcid-7017af99-804f-4997-adc0-e93f5909dcff%22:%91%22header_text_color%22,%22header_2_text_color%22%93}”] Human Factors Accidents in Aviation [\/et_pb_text][et_pb_text module_class=”introtext” _builder_version=”4.9.4″ _module_preset=”87cc2148-c6f4-4f1b-8609-d757a882564c” text_font_size=”18px” text_line_height=”32px” custom_margin=”||0px||false|false” custom_padding=”||||false|false”]Aviation comes […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[25],"tags":[],"_links":{"self":[{"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/posts\/240331"}],"collection":[{"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/comments?post=240331"}],"version-history":[{"count":16,"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/posts\/240331\/revisions"}],"predecessor-version":[{"id":240471,"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/posts\/240331\/revisions\/240471"}],"wp:attachment":[{"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/media?parent=240331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/categories?post=240331"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.medicalimpulse.de\/en\/wp-json\/wp\/v2\/tags?post=240331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
Tenerife disaster with 2 jumbo jets<\/strong><\/h2>\n
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Root cause analysis according to 5-Why-Method
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