This book provides a valuable reference tool for technical and management personnel who lead or are a part of incident investigation teams. This second edition focuses on investigating process-related incidents with real or potential catastrophic consequences. It presents on-the-job information, techniques, and examples that support successful investigations. The methodologies, tools, and techniques described in this book can also be applied when investigating other types of events such as reliability, quality, occupational health, and safety incidents. The accompanying CD-ROM contains the text of the book for portability as well as additional supporting tools for on-site reference and trouble shooting. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.

Americans should be able to count on receiving health care that is safe. To achieve this, a new health care delivery system is needed â€" a system that both prevents errors from occurring, and learns from them when they do occur. The development of such a system requires a commitment by all stakeholders to a culture of safety and to the development of improved information systems for the delivery of health care. This national health information infrastructure is needed to provide immediate access to complete patient information and decision-support tools for clinicians and their patients. In addition, this infrastructure must capture patient safety information as a by-product of care and use this information to design even safer delivery systems. Health data standards are both a critical and time-sensitive building block of the national health information infrastructure. Building on the Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Patient Safety puts forward a road map for the development and adoption of key health care data standards to support both information exchange and the reporting and analysis of patient safety data.

Measuring Safety Management Performance lists and explains the difference between lagging and leading measures of safety management performance. It informs the reader how to use both proactive and reactive safety performance indicators and explains that consequence measurement is not an accurate reflection of the organization’s safety effort. It suggests managements’ Safety Performance Indicators (SPI) should be changed to proactive, positive measures of action and activities which can be controlled and accurately measured. A roadmap of a holistic system for measurement is offered that covers health and safety performance. It shows how management is traditionally informed about where they have been by information provided relating to injury data, rather than proactive, measurable, and controllable data on accident prevention efforts provided by the health and safety management system (SMS), which indicate where they are going. This highly practical book features examples of safety performance indicators, provides positive guidelines for accurate safety performance measurement, and is based on actual workplace experiences. It explains the strengths and weaknesses of proactive and reactive measurement metrics and gives examples of leading and lagging safety performance indicators. This book will be an ideal read for professionals and graduate students in the fields of occupational health and safety, ergonomics, and human factors engineering. It will have resonance with managers and professionals engaged in health and safety provisions at their place of work.

Dr. Cătălin Bărboianu, a recognized authority in gaming mathematics, philosopher of science, and problem-gambling researcher, proposes in this practical guide for both problem and non-problem gamblers a new pragmatic, conceptual approach of gambling mathematics. The primary aim of this guide is the adequate understanding of the essence and complexity of gambling through its mathematical dimension. The author starts from the premise that formal gambling mathematics, which is hardly even digestible for the non-math-inclined gamblers, is ineffective alone in correcting the specific cognitive distortions associated with gambling. By applying the latest research results in this field, the author blends the gambling-mathematics concepts with the epistemology of applied mathematics and cognitive psychology for providing gamblers the knowledge required for rational and safe gambling. It is not a standard book of gambling mathematics. The essential mathematical concepts are explained in a conceptual mode for the non-math reader, limited to their context of application and including their precise relationship with the real world of gambling. The entire mathematical dimension of gambling is reduced to seven general principles, explained at large in the seven main chapters, each generating a set of general recommendations applicable in general or in particular situations. These recommendations cover both the technical play, including objective and optimal strategies, and responsible, safe gambling. The guide has entire sections dedicated to roulette, blackjack, slots, poker, and sport betting; however, the principles and the associated advice are applicable in general to all games of chance. A major focus of the work is on explaining, making aware of, demounting, and correcting the classical gambling cognitive distortions (misconceptions, subjective estimations of probabilities, the Monte Carlo fallacy, conjunction and disjunction fallacies, the near-miss effect, illusion of control, and the misunderstanding of gambling language). The guide provides the required cognitive tools for correcting these distortions with the help of the mathematical concepts and addresses not only gamblers, but also gambling experts, including counselors.