Abstract

Human error is one of the primary reasons for accidents in complex industries like aviation, nuclear power plant management, and health care. Physical and cognitive workload, flawed information processing, and poor decision making are some of the reasons that make humans vulnerable to error and lead to failures and accidents. In many accidents and failures, oftentimes, vulnerabilities that are embedded in the system, in the form of design deficiencies and poor human factors, lead to latent or catastrophic failures, but the last link is a human operator who gets blamed or worse, injured. This paper introduces an early design human performance assessment framework to identify what type of digital prototyping methodologies are appropriate to detect the deviation of the operator's performance due to an emergency condition. Fire in a civilian aircraft cockpit was introduced as a performance shaping factor (PSF). Ergonomics performance was evaluated using two prototyping strategies: (1) a computational prototyping framework includes digital human modeling (DHM) and computer-aided design; and (2) a novel mixed prototyping framework includes motion capture, DHM, and virtual reality. Results showed that the mixed prototyping framework can simulate emergency scenarios with increased realism and also has the potential to incorporate subjective aspects of ergonomics outcomes, overcoming the underlying lack of design knowledge in conventional early design methodologies.

References

1.
Park
,
J.
,
Jung
,
W.
,
Kim
,
J.
,
Ha
,
J.
, and
Shin
,
Y.
,
2001
, “
The Step Complexity Measure for Emergency Operating Procedures Comparing With Simulation Data
,”
Reliab. Eng. Syst. Saf.
,
74
(
1
), pp.
63
74
.10.1016/S0951-8320(01)00063-1
2.
Högberg
,
L.
,
2013
, “
Root Causes and Impacts of Severe Accidents at Large Nuclear Power Plants
,”
Ambio
,
42
(
3
), pp.
267
284
.10.1007/s13280-013-0382-x
3.
Makary
,
M. A.
, and
Daniel
,
M.
,
2016
, “
Medical Errorthe Third Leading Cause of Death in the us
,”
BMJ
,
353
, p.
i2139
.10.1136/bmj.i2139
4.
Reason
,
J.
,
1990
, “
The Contribution of Latent Human Failures to the Breakdown of Complex Systems
,” Philos. Trans. R. Soc., B, 327(1241), pp.
475
484
.
5.
WHO,
2012
, “Improving Medication Safety,” World Health Organization, Geneva, Switzerland,
Report
.https://www.who.int/patientsafety/education/curriculum/course11_handout.pdf
6.
Reason
,
J.
,
1990
, “
The Contribution of Latent Human Failures to the Breakdown of Complex Systems
,”
Phil. Trans. R. Soc. Lond. B
,
327
(
1241
), pp.
475
484
.10.1098/rstb.1990.0090
7.
Shappell
,
S. A.
, and
Wiegmann
,
D. A.
,
1996
, “
US Naval Aviation Mishaps, 1977–92: Differences Between Single-and Dual-Piloted Aircraft
,”
Aviation, Space, Environ. Med.
,
67
(
1
), pp.
65
69
.https://europepmc.org/abstract/med/892920
8.
Li
,
G.
,
Baker
,
S. P.
,
Grabowski
,
J. G.
, and
Rebok
,
G. W.
,
2001
, “
Factors Associated With Pilot Error in Aviation Crashes
,”
Aviation, Space, Environ. Med
.
,
72
(
1
), pp.
52
58
.https://www.researchgate.net/profile/Guohua_Li3/publication/12136068_Factors_associated_with_pilot_error_in_aviation_crashes/links/5407268b0cf2c48563b29739.pdf
9.
Helmreich
,
R. L.
,
2000
, “
On Error Management: Lessons From Aviation
,”
BMJ
,
320
(
7237
), pp.
781
785
.10.1136/bmj.320.7237.781
10.
Salmon
,
P. M.
,
Lenné
,
M. G.
,
Stanton
,
N. A.
,
Jenkins
,
D. P.
, and
Walker
,
G. H.
,
2010
, “
Managing Error on the Open Road: The Contribution of Human Error Models and Methods
,”
Saf. Sci.
,
48
(
10
), pp.
1225
1235
.10.1016/j.ssci.2010.04.004
11.
Reason
,
J.
,
1990
,
Human Error
,
Cambridge University Press,
Cambridge, UK.
12.
Reason
,
J.
,
2000
, “
Human Error: Models and Management
,”
BMJ
,
320
(
7237
), pp.
768
770
.10.1136/bmj.320.7237.768
13.
Amalberti
,
R.
,
1996
,
La Conduite de Systèmes à Risques: Le Travail à L'hôpital
,
Presses Universitaires de France
, Paris, France.
14.
Helmreich
,
R. L.
, and
Merritt
,
A. C.
,
1998
, “
Culture at Work in Aviation and Medicine
,”
National, Organizational and Professional Influences
,
Ashgate
,
Hampshire, UK
.
15.
Norman
,
D.
,
2013
,
The Design of Everyday Things: Revised and Expanded Edition
,
Constellation
, New York.
16.
Xu
,
S.
,
Song
,
F.
,
Li
,
Z.
,
Zhao
,
Q.
,
Luo
,
W.
,
He
,
X.
, and
Salvendy
,
G.
,
2008
, “
An Ergonomics Study of Computerized Emergency Operating Procedures: Presentation Style, Task Complexity, and Training Level
,”
Reliab. Eng. Syst. Saf.
,
93
(
10
), pp.
1500
1511
.10.1016/j.ress.2007.09.006
17.
Iwaki
,
K.
,
1990
, “
Control Room Design and Automation in the Advanced Bwr
,”
Proceedings/Annual International Symposium Balancing Automation Human Action in Nuclear Power Plants
, Piscataway, NJ, pp.
399
412
.
18.
Burian
,
B. K.
,
Barshi
,
I.
, and
Dismukes
,
K.
,
2005
, “
The Challenge of Aviation Emergency and Abnormal Situations
,” Ames Research Center, Moffett Field, CA, Report No.
NASA/TM—2005–213462
. https://ntrs.nasa.gov/archive/nasa/casi.ntrs.nasa.gov/20060023295.pdf
19.
Burian
,
B. K.
, and
Barshi
,
I.
,
2003
, “
Emergency and Abnormal Situations: A Review of ASRS Reports
,”
12th International Symposium on Aviation Psychology
, Wright State University Press, Dayton, OH.
20.
Ranter
,
H.
,
2018
, “Asn Aircraft Accident de Havilland Canada dhc-8-402q dash 8 s2-agu Kathmandu-Tribhuvan Airport (KTM),”
Aviation Safety Network
. https://aviation-safety.net/database/record.php?id=20180312-0
21.
The Kathmandu Post,
2019
, “
Exclusive: US-Bangla Pilot was Mentally Stressed and Reckless—National—The Kathmandu Post
,” accessed Sept. 19, 2019, http://kathmandupost.ekantipur.com/news/2018-08-27/exclusive-us-bangla-pilot-was-mentally-stressed-and-reckless.html
22.
The Daily Star,
2018
, “
US-Bangla Airlines Flight Crash: Guilty, Who?—The Daily Star
,”
accessed Sept. 19, 2019, https://www.thedailystar.net/frontpage/us-bangla-airlines-flight-crash-guilty-who-1547413
23.
Dekker
,
S.
, and
Meyer
,
J.
,
2006
, “
Book Review: Field Guide to Human Error Investigations
,”
Creative Nurs.
,
12
(
3
), pp.
15
16
. http://leonardo-in-flight.nl/PDF/FieldGuide%20to%20Human%20Error.PDF
24.
Dekker
,
S. W.
,
2001
, “
The Re-Invention of Human Error
,”
Hum. Factors Aerosp. Saf.
,
1
(
3
), pp.
247
265
. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.522.4705&rep=rep1&type=pdf
25.
Kariuki
,
G.
, and
Löwe
,
K.
,
2012
,
Incorporation of Human Factors in the Design Process
,
Institute for Plant and Process Technology, Process Safety and Plant Technology
,
TU, Berlin
.
26.
Van Zandt
,
T.
, and
Proctor
,
R. W.
,
2008
, “
Human Factors in Simple and Complex Systems
,” 2nd ed., Taylor & Francis Group, London.
27.
Rothwell
,
W. J.
,
Hohne
,
C. K.
, and
King
,
S. B.
,
2018
,
Human Performance Improvement: Building Practitioner Performance
,
Routledge,
Abingdon, UK.
28.
Charles
,
J. M.
,
2002
,
Contemporary Kinesiology
,
Stipes Publishing
, Champaign, IL.
29.
Wolfe
,
J. M.
,
Kluender
,
K. R.
,
Levi
,
D. M.
,
Bartoshuk
,
L. M.
,
Herz
,
R. S.
,
Klatzky
,
R. L.
,
Lederman
,
S. J.
, and
Merfeld
,
D. M.
,
2006
,
Sensation and Perception
,
Sinauer
,
Sunderland, MA
.
30.
Pham
,
D. T.
, and
Gault
,
R. S.
,
1998
, “
A Comparison of Rapid Prototyping Technologies
,”
Int. J. Mach. Tools Manuf.
,
38
(
10–11
), pp.
1257
1287
.10.1016/S0890-6955(97)00137-5
31.
Stowe
,
D.
,
2008
, “
Investigating the Role of Prototyping in Mechanical Design Using Case Study Validation
,” Clemson, SC.
32.
Jönsson
,
A.
,
2004
, “
Lean Prototyping of Multi-Body and Mechatronic Systems
,” Ph.D. thesis, Blekinge Institute of Technology, Karlskrona, Sweden.
33.
Tseng
,
M. M.
,
Jiao
,
J.
, and
Su
,
C.-J.
,
1997
, “
A Framework of Virtual Design for Product Customization
,” IEEE
Sixth International Conference on Emerging Technologies and Factory Automation Proceedings
(
ETFA'97
), Piscataway, NJ, Sept. 9–12, pp.
7
14
.10.1109/ETFA.1997.616234
34.
Demirel
,
H. O.
,
2015
, “
Modular Human-in-the-Loop Design Framework Based on Human Factors
,” Ph.D. thesis, Purdue University, West Lafayette, IN.
35.
Verlinden
,
J.
, and
Horváth
,
I.
,
2009
, “
Analyzing Opportunities for Using Interactive Augmented Prototyping in Design Practice
,”
AI Eda
m
,
23
(
3
), pp.
289
303
. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.945.3793&rep=rep1&type=pdf
36.
Vandevelde
,
A.
,
Van Dierdonck
,
R.
, and
Clarysse
,
B.
,
2002
, “
The Role of Physical Prototyping in the Product Development Process
,”
Vlerick Leuven Gent Management School Work Paper Series
.
37.
Hall
,
R. R.
,
2001
, “
Prototyping for Usability of New Technology
,”
Int. J. Human-Comput. Stud.
,
55
(
4
), pp.
485
501
.10.1006/ijhc.2001.0478
38.
Walker
,
M.
,
Takayama
,
L.
, and
Landay
,
J. A.
,
2002
, “
High-Fidelity or Low-Fidelity, Paper or Computer? Choosing Attributes When Testing Web Prototypes
,”
Human Factors and Ergonomics Society Annual Meeting
, Vol.
46
, SAGE Publications Sage, Los Angeles, CA, pp.
661
665
.
39.
Ward
,
S.
,
1994
, “
Getting Feedback From Users Early in the Design Process: A Case Study
,”
Ergonomics: The Fundamental Design Science, 30th Annual Conference of the Ergonomics Society of Australia
, The Ergonomics Society of Australia Canberra, Australia, pp.
22
29
.
40.
Brereton
,
M.
, and
McGarry
,
B.
,
2000
, “
An Observational Study of How Objects Support Engineering Design Thinking and Communication: Implications for the Design of Tangible Media
,”
SIGCHI Conference on Human Factors in Computing Systems
, The Hague, The Netherlands, pp.
217
224
.
41.
Kuutti
,
K.
,
Battarbee
,
K.
,
Sade
,
S.
,
Mattelmaki
,
T.
,
Keinonen
,
T.
,
Teirikko
,
T.
, and
Tornberg
,
A.-M.
,
2001
, “
Virtual Prototypes in Usability Testing
,”
IEEE
34th Annual Hawaii International Conference on System Sciences,
Maui, HI, Jan. 6, p.
7
.10.1109/HICSS.2001.926545
42.
Alexopoulos
,
K.
,
Mavrikios
,
D.
, and
Chryssolouris
,
G.
,
2013
, “
Ergotoolkit: An Ergonomic Analysis Tool in a Virtual Manufacturing Environment
,”
Int. J. Comput. Integr. Manuf.
,
26
(
5
), pp.
440
452
.10.1080/0951192X.2012.731610
43.
Bi
,
Z. M.
,
2010
, “
Computer Integrated Reconfigurable Experimental Platform for Ergonomic Study of Vehicle Body Design
,”
Int. J. Comput. Integr. Manuf.
,
23
(
11
), pp.
968
978
.10.1080/0951192X.2010.500678
44.
Zorriassatine
,
F.
,
Wykes
,
C.
,
Parkin
,
R.
, and
Gindy
,
N.
,
2003
, “
A Survey of Virtual Prototyping Techniques for Mechanical Product Development
,”
Proc. Inst. Mech. Eng., Part B: J. Eng. Manuf.
,
217
(
4
), pp.
513
530
.10.1243/095440503321628189
45.
Bullinger
,
H.-J.
, and
Dangelmaier
,
M.
,
2003
, “
Virtual Prototyping and Testing of in-Vehicle Interfaces
,”
Ergonomics
,
46
(
1–3
), pp.
41
51
.10.1080/00140130303528
46.
Bordegoni
,
M.
,
Cugini
,
U.
,
Caruso
,
G.
, and
Polistina
,
S.
,
2009
, “
Mixed Prototyping for Product Assessment: A Reference Framework
,”
Int. J. Interact. Des. Manuf. (IJIDeM)
,
3
(
3
), pp.
177
187
.10.1007/s12008-009-0073-9
47.
Nilsson
,
S.
, and
Johansson
,
B.
,
2006
, “
A Cognitive Systems Engineering Perspective on the Design of Mixed Reality Systems
,”
13th Eurpoean Conference on Cognitive Ergonomics: Trust and Control in Complex Socio-Technical Systems
, Zurich, Switzerland, Sept. 20–22, pp.
154
161
.10.1145/1274892.1274923
48.
Lee
,
Y.-G.
,
Park
,
H.
,
Woo
,
W.
,
Ryu
,
J.
,
Kim
,
H. K.
,
Baik
,
S. W.
,
Ko
,
K. H.
,
Choi
,
H. K.
,
Hwang
,
S.-U.
,
Kim
,
D. B.
,
Kim
,
H.
, and
Lee
,
K. H.
,
2010
, “
Immersive Modeling System (IMMs) for Personal Electronic Products Using a Multi-Modal Interface
,”
Comput.-Aided Des.
,
42
(
5
), pp.
387
401
.10.1016/j.cad.2009.11.003
49.
Barbieri
,
L.
,
Angilica
,
A.
,
Bruno
,
F.
, and
Muzzupappa
,
M.
,
2013
, “
Mixed Prototyping With Configurable Physical Archetype for Usability Evaluation of Product Interfaces
,”
Comput. Ind.
,
64
(
3
), pp.
310
323
.10.1016/j.compind.2012.11.010
50.
Rajesh
,
R.
, and
Srinath
,
R.
,
2016
, “
Review of Recent Developments in Ergonomic Design and Digital Human Models
,”
Ind. Eng. Manage.
,
5
, p.
186
.10.4172/2169-0316.1000186
51.
Zhang
,
X.
, and
Chaffin
,
D. B.
,
2005
, “
Digital Human Modeling for Computer-Aided Ergonomics
,”
Handbook of Occupational Ergonomics. Taylor & Francis
,
CRC Press
,
London
, pp.
1
20
.
52.
Sundin
,
A.
, and
Örtengren
,
R.
,
2006
, “
Digital Human Modeling for Cae Applications
,”
Handbook of Human Factors and Ergonomics
, Wiley, Hoboken, NJ, pp.
1053
1078
.
53.
Chaffin
,
D. B.
,
2008
, “
Digital Human Modeling for Workspace Design
,”
Rev. Human Factors Ergonom.
,
4
(
1
), pp.
41
74
.10.1518/155723408X342844
54.
Stephens
,
A.
, and
Godin
,
C.
,
2006
, “
The Truck That Jack Built: Digital Human Models and Their Role in the Design of Work Cells and Product Design
,”
SAE
Technical Paper No. 2006-01-2314.10.4271/2006-01-2314
55.
Lämkull
,
D.
,
Hanson
,
L.
, and
Örtengren
,
R.
,
2009
, “
A Comparative Study of Digital Human Modelling Simulation Results and Their Outcomes in Reality: A Case Study Within Manual Assembly of Automobiles
,”
Int. J. Ind. Ergonom.
,
39
(
2
), pp.
428
441
.10.1016/j.ergon.2008.10.005
56.
Frey Law
,
L.
,
Xia
,
T.
, and
Laake
,
A.
,
2009
, “
Modeling Human Physical Capability: Joint Strength and Range of Motion
,”
Handbook of Digital Human Modeling
,
CRC Press
,
Boca Raton, FL
.
57.
Colombo
,
G.
, and
Cugini
,
U.
,
2005
, “
Virtual Humans and Prototypes to Evaluate Ergonomics and Safety
,”
J. Eng. Des.
,
16
(
2
), pp.
195
203
.10.1080/09544820500031542
58.
Ahmed
,
S.
,
Gawand
,
M. S.
,
Irshad
,
L.
, and
Demirel
,
H. O.
,
2018
, “
Exploring the Design Space Using a Surrogate Model Approach With Digital Human Modeling Simulations
,”
ASME
Paper No. DETC2018-86323.10.1115/DETC2018-86323
59.
Chaffin
,
D.
,
2001
,
Human Digital Modelling for Vehicle and Workplace Design
,
Society of Automotive Engineers
,
Warrendale, PA
.
60.
Hart
,
S. G.
, and
Staveland
,
L. E.
,
1988
, “
Development of NASA-TLX (Task Load Index): Results of Empirical and Theoretical Research
,”
Adv. Psychol.
,
52
, pp.
139
183
. http://stavelandhfe.com/images/NASA-TLX_paper.pdf
61.
Laughery
,
K. R.
,
1989
, “
Micro Sainta Tool for Modeling Human Performance in Systems
,”
Applications of Human Performance Models to System Design
,
Springer
, Berlin, pp.
219
230
.
62.
Lexico,
2019
, “
Emergency—Definition of Emergency in English by Oxford Dictionaries,”
accessed Sept. 19, 2019, https://en.oxforddictionaries.com/definition/emergency
63.
Jenvald
,
J.
, and
Morin
,
M.
,
2004
, “
Simulation-Supported Live Training for Emergency Response in Hazardous Environments
,”
Simul. Gaming
,
35
(
3
), pp.
363
377
.10.1177/1046878104266223
64.
McGaghie
,
W. C.
,
Issenberg
,
S. B.
,
Petrusa
,
E. R.
, and
Scalese
,
R. J.
,
2010
, “
A Critical Review of Simulation-Based Medical Education Research: 2003–2009
,”
Med. Educ.
,
44
(
1
), pp.
50
63
.10.1111/j.1365-2923.2009.03547.x
65.
Jenckes
,
M. W.
,
Catlett
,
C. L.
,
Hsu
,
E. B.
,
Kohri
,
K.
,
Green
,
G. B.
,
Robinson
,
K. A.
,
Bass
,
E. B.
, and
Cosgrove
,
S. E.
,
2007
, “
Development of Evaluation Modules for Use in Hospital Disaster Drills
,”
Am. J. Disaster Med.
,
2
(
2
), pp.
87
95
.10.5055/ajdm.2007.0016
66.
Cohen
,
D.
,
Sevdalis
,
N.
,
Patel
,
V.
,
Taylor
,
M.
,
Lee
,
H.
,
Vokes
,
M.
,
Heys
,
M.
,
Taylor
,
D.
,
Batrick
,
N.
, and
Darzi
,
A.
,
2013
, “
Tactical and Operational Response to Major Incidents: Feasibility and Reliability of Skills Assessment Using Novel Virtual Environments
,”
Resuscitation
,
84
(
7
), pp.
992
998
.10.1016/j.resuscitation.2012.12.011
67.
Ingrassia
,
P. L.
,
Ragazzoni
,
L.
,
Carenzo
,
L.
,
Colombo
,
D.
,
Gallardo
,
A. R.
, and
Della Corte
,
F.
,
2015
, “
Virtual Reality and Live Simulation: A Comparison Between Two Simulation Tools for Assessing Mass Casualty Triage Skills
,”
Eur. J. Emerg. Med.
,
22
(
2
), pp.
121
127
.10.1097/MEJ.0000000000000132
68.
Franc-Law
,
J. M.
,
Ingrassia
,
P. L.
,
Ragazzoni
,
L.
, and
Della Corte
,
F.
,
2010
, “
The Effectiveness of Training With an Emergency Department Simulator on Medical Student Performance in a Simulated Disaster
,”
Can. J. Emerg. Med.
,
12
(
1
), pp.
27
32
.https://pdfs.semanticscholar.org/cd7b/822134eb122a21fbd3a9d26ea2bfb0e0e970.pdf
69.
Franc-Law
,
J. M.
,
Bullard
,
M.
, and
Della Corte
,
F.
,
2008
, “
Simulation of a Hospital Disaster Plan: A Virtual, Live Exercise
,”
Prehospital Disaster Med.
,
23
(
4
), pp.
346
353
.10.1017/S1049023X00005999
70.
Ahmed
,
S.
,
Zhang
,
J.
, and
Demirel
,
O.
,
2018
, “
Assessment of Types of Prototyping in Human-Centered Product Design
,”
International Conference on Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management
, Las Vegas, NV, pp.
3
18
.
71.
Mail Online,
2010
, “
How a Faulty Heater Caused the Windshield in the Cockpit of a Passenger Jet to Shatter—Thousands of Feet Above the Atlantic—Daily M
ail Online,” accessed Nov. 25, 2018, https://www.dailymail.co.uk/news/article-1290535/How-faulty-heater-caused-windshield-cockpit-passenger-jet-shatter– thousands-feet-Atlantic.html
72.
The San Diego Union-Tribune, 2010, “
Incidents, Events Involving Boeing Cockpit Fires—The San Diego Union-Tribune
,” accessed Nov. 25, 2018, https://www.sandiegouniontribune.com/sdut-incidents-events-involving-boeing-cockpit-fires-2010jun29-story.html
73.
Niehorster
,
D. C.
,
Li
,
L.
, and
Lappe
,
M.
,
2017
, “
The Accuracy and Precision of Position and Orientation Tracking in the Htc Vive Virtual Reality System for Scientific Research
,”
i-Perception
,
8
(
3
), pp.
1
23
.https://journals.sagepub.com/doi/pdf/10.1177/2041669517708205
74.
Flisher
,
A. J.
,
Evans
,
J.
,
Muller
,
M.
, and
Lombard
,
C.
,
2004
, “
Brief Report: Test–Retest Reliability of Self-Reported Adolescent Risk Behaviour
,”
J. Adolescence
,
27
(
2
), pp.
207
212
.10.1016/j.adolescence.2001.10.001
75.
Tzannes
,
A.
,
Paxinos
,
A.
,
Callanan
,
M.
, and
Murrell
,
G. A.
,
2004
, “
An Assessment of the Interexaminer Reliability of Tests for Shoulder Instability
,”
J. Shoulder Elbow Surgery
,
13
(
1
), pp.
18
23
.10.1016/j.jse.2003.09.002
76.
Demirel
,
H. O.
, and
Duffy
,
V. G.
,
2017
, “
Incorporating Tactile Cues Into Human-Centered Virtual Product Design
,”
Human Factors Ergonom. Manuf. Serv. Ind.
,
27
(
1
), pp.
5
16
.10.1002/hfm.20402
77.
Hoonakker
,
P.
,
Carayon
,
P.
,
Gurses
,
A. P.
,
Brown
,
R.
,
Khunlertkit
,
A.
,
McGuire
,
K.
, and
Walker
,
J. M.
,
2011
, “
Measuring Workload of ICU Nurses With a Questionnaire Survey: The NASA Task Load Index (TLX)
,”
IIE Trans. Healthcare Syst. Eng.
,
1
(
2
), pp.
131
143
.10.1080/19488300.2011.609524
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