Human factors/ergonomics to support the design and testing of rapidly manufactured ventilators in the UK during the COVID-19 pandemic.

BACKGROUND: This paper describes a rapid response project from the Chartered Institute of Ergonomics & Human Factors (CIEHF) to support the design, development, usability testing and operation of new ventilators as part of the UK response during the COVID-19 pandemic. METHOD: A five-step approach was taken to (1) assess the COVID-19 situation and decide to formulate a response; (2) mobilise and coordinate Human Factors/Ergonomics (HFE) specialists; (3) ideate, with HFE specialists collaborating to identify, analyse the issues and opportunities, and develop strategies, plans and processes; (4) generate outputs and solutions; and (5) respond to the COVID-19 situation via targeted support and guidance. RESULTS: The response for the rapidly manufactured ventilator systems (RMVS) has been used to influence both strategy and practice to address concerns about changing safety standards and the detailed design procedure with RMVS manufacturers. CONCLUSION: The documents are part of a wider collection of HFE advice which is available on the CIEHF COVID-19 website (https://covid19.ergonomics.org.uk/).

'Remixing Rasmussen': The evolution of Accimaps within systemic accident analysis.

Throughout Jens Rasmussen's career there has been a continued emphasis on the development of methods, techniques and tools for accident analysis and investigation. In this paper we focus on the evolution and development of one specific example, namely Accimaps and their use for accident analysis. We describe the origins of Accimaps followed by a review of 27 studies which have applied and adapted Accimaps over the period 2000-2015 to a range of domains and types of accident. Aside from demonstrating the versatility and popularity of the method, part of the motivation for the review of the use of Accimaps is to address the question of what constitutes a sound, usable, valid and reliable approach to systemic accident analysis. The findings from the review demonstrate continuity with the work carried out by Rasmussen, as well as significant variation (e.g., changes to the Accimap, used of additional theoretical and practice-oriented perspectives on safety). We conclude the paper with some speculations regarding future extension and adaptation of the Accimap approach including the possibility of using hybrid models for accident analysis.

Designing a ticket to ride with the Cognitive Work Analysis Design Toolkit.

Cognitive work analysis has been applied in the design of numerous sociotechnical systems. The process used to translate analysis outputs into design concepts, however, is not always clear. Moreover, structured processes for translating the outputs of ergonomics methods into concrete designs are lacking. This paper introduces the Cognitive Work Analysis Design Toolkit (CWA-DT), a design approach which has been developed specifically to provide a structured means of incorporating cognitive work analysis outputs in design using design principles and values derived from sociotechnical systems theory. This paper outlines the CWA-DT and describes its application in a public transport ticketing design case study. Qualitative and quantitative evaluations of the process provide promising early evidence that the toolkit fulfils the evaluation criteria identified for its success, with opportunities for improvement also highlighted. PRACTITIONER SUMMARY: The Cognitive Work Analysis Design Toolkit has been developed to provide ergonomics practitioners with a structured approach for translating the outputs of cognitive work analysis into design solutions. This paper demonstrates an application of the toolkit and provides evaluation findings.

Combining network analysis with Cognitive Work Analysis: insights into social organisational and cooperation analysis.

Cognitive Work Analysis (CWA) allows complex, sociotechnical systems to be explored in terms of their potential configurations. However, CWA does not explicitly analyse the manner in which person-to-person communication is performed in these configurations. Consequently, the combination of CWA with Social Network Analysis provides a means by which CWA output can be analysed to consider communication structure. The approach is illustrated through a case study of a military planning team. The case study shows how actor-to-actor and actor-to-function mapping can be analysed, in terms of centrality, to produce metrics of system structure under different operating conditions. PRACTITIONER SUMMARY: In this paper, a technique for building social network diagrams from CWA is demonstrated.The approach allows analysts to appreciate the potential impact of organisational structure on a command system.

A practical approach to glare assessment for train cabs.

The assessment of glare is a key consideration in the design of a railway driver's cab. However, unlike assessment of other factors, such as forward visibility, there are no standardised approaches for performing assessments of glare. This paper describes an approach for assessing the impact of glare in a full size mock-up of a railway cab. While it is unrealistic to evaluate every possible lighting condition that may potentially occur in the vehicle cab in service, a pragmatic and practical approach is taken to provide a good level of indicative information about the cab design's likely glare performance. This involves assessing internal light sources, such as internal lights and illuminated controls, and simulating external light sources (e.g. the sun, other trains' headlights) by illuminating the cab mock up windscreen, side and door windows with a single light source manually located in a sequence of discrete positions and orientations and assessing the resulting glare impacts. The paper describes a structured process for assessing and recording the impact of glare and recommending mitigations.

Human performance under two different command and control paradigms.

The paradoxical behaviour of a new command and control concept called Network Enabled Capability (NEC) provides the motivation for this paper. In it, a traditional hierarchical command and control organisation was pitted against a network centric alternative on a common task, played thirty times, by two teams. Multiple regression was used to undertake a simple form of time series analysis. It revealed that whilst the NEC condition ended up being slightly slower than its hierarchical counterpart, it was able to balance and optimise all three of the performance variables measured (task time, enemies neutralised and attrition). From this it is argued that a useful conceptual response is not to consider NEC as an end product comprised of networked computers and standard operating procedures, nor to regard the human system interaction as inherently stable, but rather to view it as a set of initial conditions from which the most adaptable component of all can be harnessed: the human.

What could they have been thinking? How sociotechnical system design influences cognition: a case study of the Stockwell shooting.

Understanding why an individual acted in a certain way is of fundamental importance to the human factors community, especially when the choice of action results in an undesirable outcome. This challenge is typically tackled by applying retrospective interview techniques to generate models of what happened, recording deviations from a 'correct procedure'. While such approaches may have great utility in tightly constrained procedural environments, they are less applicable in complex sociotechnical systems that require individuals to modify procedures in real time to respond to a changing environment. For complex sociotechnical systems, a formative approach is required that maps the information available to the individual and considers its impact on performance and action. A context-specific, activity-independent, constraint-based model forms the basis of this approach. To illustrate, an example of the Stockwell shooting is used, where an innocent man, mistaken for a suicide bomber, was shot dead. Transferable findings are then presented. STATEMENT OF RELEVANCE: This paper presents a new approach that can be applied proactively to consider how sociotechnical system design, and the information available to an individual, can affect their performance. The approach is proposed to be complementary to the existing tools in the mental models phase of the cognitive work analysis framework.

A formative approach to developing synthetic environment fidelity requirements for decision-making training.

This paper describes a new approach for developing design specifications for synthetic environments that support decisions making training. The approach starts by modelling the constraints governing decision-making activity in the real world. A focus is placed on what could happen in the decision-making process, rather than what does or what should. Importantly, the developed model is independent of specific actors and events, providing a robust description of the domain that remains applicable in almost all perceivable situations. By modelling the relationship between information elements, and the way decision-makers develop an understanding of their environment, the approach identifies the information that may be pertinent to the decision-maker. It is contended that the approach has utility in the design of first-of-a-kind synthetic environments, as well as the evaluation of existing simulators for the specific role of decision-making training.

Translating concepts of complexity to the field of ergonomics.

Since 1958 more than 80 journal papers from the mainstream ergonomics literature have used either the words 'complex' or 'complexity' in their titles. Of those, more than 90% have been published in only the past 20 years. This observation communicates something interesting about the way in which contemporary ergonomics problems are being understood. The study of complexity itself derives from non-linear mathematics but many of its core concepts have found analogies in numerous non-mathematical domains. Set against this cross-disciplinary background, the current paper aims to provide a similar initial mapping to the field of ergonomics. In it, the ergonomics problem space, complexity metrics and powerful concepts such as emergence raise complexity to the status of an important contingency factor in achieving a match between ergonomics problems and ergonomics methods. The concept of relative predictive efficiency is used to illustrate how this match could be achieved in practice. What is clear overall is that a major source of, and solution to, complexity are the humans in systems. Understanding complexity on its own terms offers the potential to leverage disproportionate effects from ergonomics interventions and to tighten up the often loose usage of the term in the titles of ergonomics papers. STATEMENT OF RELEVANCE: This paper reviews and discusses concepts from the study of complexity and maps them to ergonomics problems and methods. It concludes that humans are a major source of and solution to complexity in systems and that complexity is a powerful contingency factor, which should be considered to ensure that ergonomics approaches match the true nature of ergonomics problems.

A new approach for designing cognitive artefacts to support disaster management.

The public display of information is not a new phenomenon; whiteboards (and blackboards before them) have commonly been used to share information. Once annotated, these collaborative information sources have clear benefits for cognition, reducing the burden on short-term memory and supporting parallel processing. This paper introduces a structured approach for considering the design and development of these cognitive artefacts with the aim of enhancing system performance. To illustrate this approach, a case study of military support to large-scale civilian emergencies is used. Using the introduced process, a number of displays are developed supporting individual and shared understanding of the domain, enhancing the crisis planning and management process. The case study demonstrates how the proposed structured approach can inform the designer and lead to domain specific designs. A clear trail can be plotted between the analysis of the domain and the development of the cognitive artefacts. STATEMENT OF RELEVANCE: This paper presents a generic approach for the design of cognitive artefacts to enhance system performance. Illustrated by a case study, it is contended that the approach, and adaptations of it, are applicable to supporting the design of information aids for a wide range of complex domains.

A systemic approach to accident analysis: a case study of the Stockwell shooting.

This paper uses a systemic approach to accident investigation, based upon AcciMaps, to model the events leading up to the shooting of Jean Charles de Menezes at Stockwell Underground station in July 2005. The model captures many of the findings of the Independent Police Complaints Commission's report in a single representation, modelling their interdependencies and the causal flow. Furthermore, by taking a systemic approach, the analysis identifies further considerations related to the suitability of the Metropolitan Police Service's organisational structure to support rapid-paced operations, where reliable identification of a suspect is not possible. Based upon the analysis, the paper questions the division of functions between teams and the suitability of an organisational structure that relies upon the complex flow of information between separate teams for surveillance and for controlling the suspect. A dynamic organisational structure is proposed that changes in response to operation type and unfolding events. STATEMENT OF RELEVANCE: This paper provides much needed and called for validation for a systemic approach to accident analysis. A widely reported case study is used to illustrate the process. The paper shows how such an approach can consolidate the key findings of much larger reports as well as draw out additional recommendations.

From telephones to iPhones: applying systems thinking to networked, interoperable products.

An expanding array of consumer products have the facility to have things added in and plugged on, their firmware upgraded, and as yet un-thought of future capability supported. In short, more and more products can be connected to something and/or someone, and in doing so are slowly adapting to the current day state of modernity that is called 'the information age'. Inevitably, this brings with it changes in the way that products should be thought about and designed. The purpose of this paper is to try and help product designers and Ergonomists to get a grip on all the complexity and non-linearity that the information age brings with it, and help make themselves and their increasingly networked and interoperable products at home in it. Our case study, Apple's new iPhone, serves as a pertinent example.

Does advanced driver training improve situational awareness?

Over 70 years of experiential evidence suggests that a specific form of advanced driver training, one based on an explicit system of car control, improves driver situation awareness (SA). Five experimental hypotheses are developed. They propose that advanced driving should increase the number of information elements in the driver's working memory, increase the interconnection between those elements, increase the amount of 'new' information in memory as well as the prominence of existing information, and that finally, it should stimulate behaviours that help drivers evolve better situations to be aware of. An approach to SA based on Neisser's perceptual cycle theory is anchored to a network based methodology. This is applied within the context of a longitudinal on-road study involving three groups of 25 drivers, all of whom were measured pre- and post-intervention. One experimental group was subject to advanced driver training and two further groups provided control for time and for being accompanied whilst driving. Empirical support is found for all five hypotheses. Advanced driving does improve driver SA but not necessarily in the way that existing situation focused, closed loop models of the concept might predict.

Crash dieting: the effects of eating and drinking on driving performance.

Previous research suggests that compared to mobile phone use, eating and drinking while driving is more common and is seen as lower risk by drivers. Nevertheless, snacking at the wheel can affect vehicle control to a similar extent as using a hands-free phone, and is actually a causal factor in more crashes. So far, though, there has not been a controlled empirical study of this problem. In an effort to fill this gap in the literature, we used the Brunel University Driving Simulator to test participants on a typical urban scenario. At designated points on the drive, which coincided with instructions to eat or drink, a critical incident was simulated by programming a pedestrian to walk in front of the car. Whilst the driving performance variables measured were relatively unaffected by eating and drinking, perceived driver workload was significantly higher and there were more crashes in the critical incident when compared to driving normally. Despite some methodological limitations of the study, when taken together with previous research, the evidence suggests that the physical demands of eating and drinking while driving can increase the risk of a crash.