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A Case Study on Improvement of Incident Investigation Process

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Systems, Software and Services Process Improvement (EuroSPI 2015)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 543))

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Abstract

IT service trending of root causes of service incidents and problems is an important part of proactive problem management and service improvement. This exploratory case study focuses on exploring human errors as root causes in IT service incidents. In the case study, we applied Human Factors Analysis and Classification System (HFACS) analyzing 65 incidents to related IT services, like servers, network, storage, and applications.

Based on the analysis, several improvement suggestions were identified in IT service management processes of case organizations, including improvements in incident investigation process, coupling incident investigation to continual service improvement, and need for an HFACS taxonomy adapted to IT service management (ITSM), which helps in identifying trends in incidents.

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References

  1. ISO/IEC 20000-1:2011, Information technology – Service management – Part 1: Service management system requirements (2013)

    Google Scholar 

  2. Office, C.: ITIL Service Operation. The Stationary Office, UK (2011)

    Google Scholar 

  3. Office, C.: ITIL Continual Service Improvement. The Stationary Office, UK (2011)

    Google Scholar 

  4. ISO/IEC TC JTC1/ SC7 WG10: Information technology — Process assessment — Part 8: An exemplar process assessment model for IT service management, s.29 Geneva, Switzerland (2012)

    Google Scholar 

  5. Reason, J.: Human Error. Cambridge University Press, New York (1990)

    Book  Google Scholar 

  6. Harris, D., Li, W.C.: An extension of the human factors analysis and classification system for use in open systems. Theoretical Issues in Ergonomics Science 12(2), 108–128 (2011)

    Article  Google Scholar 

  7. Shappell, S., Wiegmann, D.: The Human Factors Analysis and Classification System—HFACS. US Department of Transportation (2000)

    Google Scholar 

  8. Saarelainen, K., Jäntti, M.: Human errors in IT services - HFACS model in root cause categorization. In: CIMT 2015: International Conference on Information and Multimedia Technology, Venice, Italy (2015)

    Google Scholar 

  9. Department of Defense Human Factors Analysis and Classification System - A mishap investigation and data analysis tool (2005)

    Google Scholar 

  10. Olsen, N.S., Shorrock, S.T.: Evaluation of the HFACS-ADF safety classification system: inter-coder consensus and intra-coder consistency. Accident Analysis and Prevention 42(2), 437–444 (2010)

    Article  Google Scholar 

  11. Bilbro, J.: An inter-rater comparison of DoD human factors analysis and classification system (HFACS) and human factors analysis and classification system—maritime (HFACS-M) classification system. Naval Postgraduate School, Monterey (2013)

    Google Scholar 

  12. Schroder-Hinrichs, J.U., Baldauf, M., Ghirxi, K.: Accident investigation reporting deficiencies related to organizational factors in machinery space fires and explosions. Accident Analysis and Prevention 43(3), 1187–1196 (2011)

    Google Scholar 

  13. Patterson, J.M., Shappell, S.A.: Operator error and system deficiencies: Analysis of 508 mining incidents and accidents from Queensland. Australia using HFACS. Accident Analysis and Prevention 42, 1379–1385 (2010)

    Article  Google Scholar 

  14. Pounds, J., Scarborough, A., Shappell, S.: A human factors analysis of air traffic control operational errors. Aviation Space and Environmental Medicine 71, 329–332 (2000)

    Google Scholar 

  15. Hsiao, Y., Drury, C., Wu, C., Paquet, V.: Predictive models of safety based on audit findings: Part 1: Model development and reliability. Applied Ergonomics 44, 261–273 (2013)

    Article  Google Scholar 

  16. ElBardissi, A.W., Wiegmann, D.A., Dearani, J.A., Daly, R.C., Sundt, T.M.: Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Annals of Thoracic Surgery 83(4), 1412–1419 (2007)

    Article  Google Scholar 

  17. Krulak, D.C.: Human factors in maintenance: impact on aircraft mishap frequency and severity. Aviation Space and Environmental Medicine 75(5), 429–432 (2004)

    Google Scholar 

  18. Cintron, R.: Human Factors Analysis and Classification System Interrater Reliability for Biopharmaceutical Manufacturing Investigations. Ph.D. Dissertation, Walden University (2015)

    Google Scholar 

  19. Reinach, S., Viale, A.: Application of a human error framework to conduct train accident/incident investigations. Accident Analysis and Prevention 38(2), 396–406 (2006)

    Article  Google Scholar 

  20. Yin, R.: Case Study Research: Design and Methods. Sage Publishing, Beverly Hills (1994)

    Google Scholar 

  21. Baskerville, R.: Investigating Information Systems with Action Research. Communications of the Association for Information Systems 2, Article 19 (1999)

    Google Scholar 

  22. Helms Mills, J., Dye, K., Mills, A.J.: Understanding Organizational Change. Routledge, London (2009)

    Google Scholar 

  23. Dechy, N., et al.: Guidelines for Safety Investigations of Accidents. ESReDA - European Safety Reliability and Data Association, p. 12 (June 2009)

    Google Scholar 

  24. Risktec: Six Steps for Successful Incident Investigation. RISKworld issue 14 autumn 2008 pg 6, Warrington, United Kingdom (2008)

    Google Scholar 

  25. Serious Accident Investigation Chief Investigator’s Handbook Blm Manual H-1112-3. Bureau of Land Management, USA (2003)

    Google Scholar 

  26. ISO/IEC ISO/IEC TS 15504-8:2012(E): Software Engineering - Process Assessment - Part 8: An Exemplar Process Assessment Model for IT Service Management (2012)

    Google Scholar 

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Correspondence to Kari Saarelainen .

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Saarelainen, K., Jäntti, M. (2015). A Case Study on Improvement of Incident Investigation Process. In: O’Connor, R., Umay Akkaya, M., Kemaneci, K., Yilmaz, M., Poth, A., Messnarz, R. (eds) Systems, Software and Services Process Improvement. EuroSPI 2015. Communications in Computer and Information Science, vol 543. Springer, Cham. https://doi.org/10.1007/978-3-319-24647-5_2

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  • DOI: https://doi.org/10.1007/978-3-319-24647-5_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24646-8

  • Online ISBN: 978-3-319-24647-5

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