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NASA NTRS2000

Error, stress, and teamwork in medicine and aviation: cross sectional surveys

OBJECTIVES: To survey operating theatre and intensive care unit staff about attitudes concerning error, stress, and teamwork and to compare these attitudes with those of airline cockpit crew. DESIGN:: Cross sectional surveys. SETTING:: Urban teaching and non-teaching hospitals in the United States, Israel, Germany, Switzerland, and Italy. Major airlines around the world. PARTICIPANTS:: 1033 doctors, nurses, fellows, and residents working in operating theatres and intensive care units and over 30 000 cockpit crew members (captains, first officers, and second officers). MAIN OUTCOME MEASURES:: Perceptions of error, stress, and teamwork. RESULTS:: Pilots were least likely to deny the effects of fatigue on performance (26% v 70% of consultant surgeons and 47% of consultant anaesthetists). Most pilots (97%) and intensive care staff (94%) rejected steep hierarchies (in which senior team members are not open to input from junior members), but only 55% of consultant surgeons rejected such hierarchies. High levels of teamwork with consultant surgeons were reported by 73% of surgical residents, 64% of consultant surgeons, 39% of anaesthesia consultants, 28% of surgical nurses, 25% of anaesthetic nurses, and 10% of anaesthetic residents. Only a third of staff reported that errors are handled appropriately at their hospital. A third of intensive care staff did not acknowledge that they make errors. Over half of intensive care staff reported that they find it difficult to discuss mistakes. CONCLUSIONS: Medical staff reported that error is important but difficult to discuss and not handled well in their hospital. Barriers to discussing error are more important since medical staff seem to deny the effect of stress and fatigue on performance. Further problems include differing perceptions of teamwork among team members and reluctance of senior theatre staff to accept input from junior members.

Non-NASA Center↗

NASA NTRS1949

The Static-Pressure Error of a Wing Airspeed Installation of the McDonnell XF-88 Airplane in Dives to Transonic Speeds

Measurements were made, in dives to transonic speeds, of the static-pressure position error at a distance of one chord ahead of the McDonnell XF-88 airplane. The airplane incorporates a wing which is swept back 35 deg along the 0.22 chord line and utilizes a 65-series airfoil with a 9-percent-thick section perpendicular to the 0.25-chord line. The section in the stream direction is approximately 8-percent thick. Data up to a Mach number of about 0.97 were obtained within an airplane normal-force-coefficient range from about 0.05 to about 0.68. Data at Mach numbers above about 0.97 were obtained within an airplane normal-force-coefficient range from about 0.05 to about 0.68. Results of the measurements indicate that the static-pressure error, within the accuracy of measurement, is negligible from a Mach number of 0.65 to a Mach number of about 0.97. With a further increase in Mach number, the static-pressure error increases rapidly; at the highest Mach number attained in these tests (about M = 1.038), the error increases to about 8 percent of the impact pressure. Above a Mach number of about 0.975, the recorded Mach number remains substantially constant with increasing true Mach number; the installation is of no value between a Mach number of about 0.975 and at least 1.038, as the true Mach number cannot be obtained from the recorded Mach number in this range. Previously published data have shown that at 0.96 chord ahead of the wing tip of the straight-wing X-l airplanes, a rapid rise of position error started at a Mach number of about 0.8. In the case of the XF-88 airplane, this rise of position error was delayed, presumably by the sweep of the wing, to a Mach number of about 0.97.

Goodman, Harold R.↗

NASA NTRS1999

Investigation of Measurement Errors in Doppler Global Velocimetry

While the initial development phase of Doppler Global Velocimetry (DGV) has been successfully completed, there remains a critical next phase to be conducted, namely the determination of an error budget to provide quantitative bounds for measurements obtained by this technology. This paper describes a laboratory investigation that consisted of a detailed interrogation of potential error sources to determine their contribution to the overall DGV error budget. A few sources of error were obvious; e.g., iodine vapor adsorption lines, optical systems, and camera characteristics. However, additional non-obvious sources were also discovered; e.g., laser frequency and single-frequency stability, media scattering characteristics, and interference fringes. This paper describes each identified error source, its effect on the overall error budget, and where possible, corrective procedures to reduce or eliminate its effect.

Meyers, James F.↗

NASA NTRS2005

The Effects of Thrust Uncertainty and Attitude Knowledge Errors on the MMS Formation Maintenance Maneuver

The Magnetospheric Multiscale (MMS) Mission will use a formation of four spinning spacecraft to study the Earth s magnetosphere. The science objectives of MMS require a near-regular tetrahedron formation to be maintained with side lengths ranging from ten kilometers to several thousand kilometers at orbit apogee. To reduce spacecraft complexity and cost, the current mission concept assumes MMS can achieve its formation goals through open-loop orbit control from the ground, rather than in-flight, closed-loop formation control that has been the subject of recent study. Significant analysis has been performed to provide optimal reference orbit and relative orbit designs. However, the feasibility of achieving these orbits, and maintaining them for an extended period of time in the presence of real world errors and perturbations has not been investigated. In particular, attitude knowledge and control errors, which may have a negligible effect on orbit control for conventional missions with spinning spacecraft, can contribute significant errors to the MMS orbits. In this work, a 6 degree-of-freedom (DOF) simulation is developed and used to analyze the effects of realistic errors on formation maintenance maneuver accuracy. Several realistic considerations including a finite-burn model, attitude perturbations, and thrust uncertainty are studied. The primary objective is to quantify the effects of realistic attitude and orbit control, knowledge, and actuator errors on the formation geometry by observing representative maneuver errors of a single spacecraft.

Tsai, Dean C.↗

NASA NTRS2006

Effects of diffraction and static wavefront errors on high-contrast imaging from the Thirty Meter Telescope

High-contrast imaging, particularly direct detection of extrasolar planets, is a major science driver for the next generation of extremely large telescopes such as the segmented Thirty Meter Telescope. This goal requires more than merely diffraction-limited imaging, but also attention to residual scattered light from wavefront errors and diffraction effects at the contrast level of 10-8-10-9. Using a wave-optics simulation of adaptive optics and a diffraction suppression system we investigate diffraction from the segmentation geometry, intersegment gaps, obscuration by the secondary mirror and its supports. We find that the large obscurations pose a greater challenge than the much smaller segment gaps. In addition the impact of wavefront errors from the primary mirror, including segment alignment and figure errors, are analyzed. Segment-to-segment reflectivity variations and residual segment figure error will be the dominant error contributors from the primary mirror. Strategies to mitigate these errors are discussed.

segmented mirrors↗

NASA NTRS2009

Evaluation of TRMM Ground-Validation Radar-Rain Errors Using Rain Gauge Measurements

Ground-validation (GV) radar-rain products are often utilized for validation of the Tropical Rainfall Measuring Mission (TRMM) spaced-based rain estimates, and hence, quantitative evaluation of the GV radar-rain product error characteristics is vital. This study uses quality-controlled gauge data to compare with TRMM GV radar rain rates in an effort to provide such error characteristics. The results show that significant differences of concurrent radar-gauge rain rates exist at various time scales ranging from 5 min to 1 day, despite lower overall long-term bias. However, the differences between the radar area-averaged rain rates and gauge point rain rates cannot be explained as due to radar error only. The error variance separation method is adapted to partition the variance of radar-gauge differences into the gauge area-point error variance and radar rain estimation error variance. The results provide relatively reliable quantitative uncertainty evaluation of TRMM GV radar rain estimates at various times scales, and are helpful to better understand the differences between measured radar and gauge rain rates. It is envisaged that this study will contribute to better utilization of GV radar rain products to validate versatile spaced-based rain estimates from TRMM, as well as the proposed Global Precipitation Measurement, and other satellites.

Wang, Jianxin↗

NASA NTRS2011

The Crucial Role of Error Correlation for Uncertainty Modeling of CFD-Based Aerodynamics Increments

The Ares I ascent aerodynamics database for Design Cycle 3 (DAC-3) was built from wind-tunnel test results and CFD solutions. The wind tunnel results were used to build the baseline response surfaces for wind-tunnel Reynolds numbers at power-off conditions. The CFD solutions were used to build increments to account for Reynolds number effects. We calculate the validation errors for the primary CFD code results at wind tunnel Reynolds number power-off conditions and would like to be able to use those errors to predict the validation errors for the CFD increments. However, the validation errors are large compared to the increments. We suggest a way forward that is consistent with common practice in wind tunnel testing which is to assume that systematic errors in the measurement process and/or the environment will subtract out when increments are calculated, thus making increments more reliable with smaller uncertainty than absolute values of the aerodynamic coefficients. A similar practice has arisen for the use of CFD to generate aerodynamic database increments. The basis of this practice is the assumption of strong correlation of the systematic errors inherent in each of the results used to generate an increment. The assumption of strong correlation is the inferential link between the observed validation uncertainties at wind-tunnel Reynolds numbers and the uncertainties to be predicted for flight. In this paper, we suggest a way to estimate the correlation coefficient and demonstrate the approach using code-to-code differences that were obtained for quality control purposes during the Ares I CFD campaign. Finally, since we can expect the increments to be relatively small compared to the baseline response surface and to be typically of the order of the baseline uncertainty, we find that it is necessary to be able to show that the correlation coefficients are close to unity to avoid overinflating the overall database uncertainty with the addition of the increments.

Hemsch, Michael J.↗

NASA NTRS2011

General Tool for Evaluating High-Contrast Coronagraphic Telescope Performance Error Budgets

The Coronagraph Performance Error Budget (CPEB) tool automates many of the key steps required to evaluate the scattered starlight contrast in the dark hole of a space-based coronagraph. The tool uses a Code V prescription of the optical train, and uses MATLAB programs to call ray-trace code that generates linear beam-walk and aberration sensitivity matrices for motions of the optical elements and line-of-sight pointing, with and without controlled fine-steering mirrors (FSMs). The sensitivity matrices are imported by macros into Excel 2007, where the error budget is evaluated. The user specifies the particular optics of interest, and chooses the quality of each optic from a predefined set of PSDs. The spreadsheet creates a nominal set of thermal and jitter motions, and combines that with the sensitivity matrices to generate an error budget for the system. CPEB also contains a combination of form and ActiveX controls with Visual Basic for Applications code to allow for user interaction in which the user can perform trade studies such as changing engineering requirements, and identifying and isolating stringent requirements. It contains summary tables and graphics that can be instantly used for reporting results in view graphs. The entire process to obtain a coronagraphic telescope performance error budget has been automated into three stages: conversion of optical prescription from Zemax or Code V to MACOS (in-house optical modeling and analysis tool), a linear models process, and an error budget tool process. The first process was improved by developing a MATLAB package based on the Class Constructor Method with a number of user-defined functions that allow the user to modify the MACOS optical prescription. The second process was modified by creating a MATLAB package that contains user-defined functions that automate the process. The user interfaces with the process by utilizing an initialization file where the user defines the parameters of the linear model computations. Other than this, the process is fully automated. The third process was developed based on the Terrestrial Planet Finder coronagraph Error Budget Tool, but was fully automated by using VBA code, form, and ActiveX controls.

Marchen, Luis F.↗

NASA NTRS2009

Investigation of Primary Mirror Segment's Residual Errors for the Thirty Meter Telescope

The primary mirror segment aberrations after shape corrections with warping harness have been identified as the single largest error term in the Thirty Meter Telescope (TMT) image quality error budget. In order to better understand the likely errors and how they will impact the telescope performance we have performed detailed simulations. We first generated unwarped primary mirror segment surface shapes that met TMT specifications. Then we used the predicted warping harness influence functions and a Shack-Hartmann wavefront sensor model to determine estimates for the 492 corrected segment surfaces that make up the TMT primary mirror. Surface and control parameters, as well as the number of subapertures were varied to explore the parameter space. The corrected segment shapes were then passed to an optical TMT model built using the Jet Propulsion Laboratory (JPL) developed Modeling and Analysis for Controlled Optical Systems (MACOS) ray-trace simulator. The generated exit pupil wavefront error maps provided RMS wavefront error and image-plane characteristics like the Normalized Point Source Sensitivity (PSSN). The results have been used to optimize the segment shape correction and wavefront sensor designs as well as provide input to the TMT systems engineering error budgets.

warping harness↗

NASA NTRS2015

Empirical State Error Covariance Matrix for Batch Estimation

State estimation techniques effectively provide mean state estimates. However, the theoretical state error covariance matrices provided as part of these techniques often suffer from a lack of confidence in their ability to describe the uncertainty in the estimated states. By a reinterpretation of the equations involved in the weighted batch least squares algorithm, it is possible to directly arrive at an empirical state error covariance matrix. The proposed empirical state error covariance matrix will contain the effect of all error sources, known or not. This empirical error covariance matrix may be calculated as a side computation for each unique batch solution. Results based on the proposed technique will be presented for a simple, two observer and measurement error only problem.

Frisbee, Joe↗

NASA NTRS2015

A Complementary Note to 'A Lag-1 Smoother Approach to System-Error Estimation': The Intrinsic Limitations of Residual Diagnostics

Recently, this author studied an approach to the estimation of system error based on combining observation residuals derived from a sequential filter and fixed lag-1 smoother. While extending the methodology to a variational formulation, experimenting with simple models and making sure consistency was found between the sequential and variational formulations, the limitations of the residual-based approach came clearly to the surface. This note uses the sequential assimilation application to simple nonlinear dynamics to highlight the issue. Only when some of the underlying error statistics are assumed known is it possible to estimate the unknown component. In general, when considerable uncertainties exist in the underlying statistics as a whole, attempts to obtain separate estimates of the various error covariances are bound to lead to misrepresentation of errors. The conclusions are particularly relevant to present-day attempts to estimate observation-error correlations from observation residual statistics. A brief illustration of the issue is also provided by comparing estimates of error correlations derived from a quasi-operational assimilation system and a corresponding Observing System Simulation Experiments framework.

Fixed-lag smoothing↗

NASA NTRS2015

Decomposition of Sources of Errors in Seasonal Streamflow Forecasting over the U.S. Sunbelt

Seasonal streamflow forecasts, contingent on climate information, can be utilized to ensure water supply for multiple uses including municipal demands, hydroelectric power generation, and for planning agricultural operations. However, uncertainties in the streamflow forecasts pose significant challenges in their utilization in real-time operations. In this study, we systematically decompose various sources of errors in developing seasonal streamflow forecasts from two Land Surface Models (LSMs) (Noah3.2 and CLM2), which are forced with downscaled and disaggregated climate forecasts. In particular, the study quantifies the relative contributions of the sources of errors from LSMs, climate forecasts, and downscaling/disaggregation techniques in developing seasonal streamflow forecast. For this purpose, three month ahead seasonal precipitation forecasts from the ECHAM4.5 general circulation model (GCM) were statistically downscaled from 2.8deg to 1/8deg spatial resolution using principal component regression (PCR) and then temporally disaggregated from monthly to daily time step using kernel-nearest neighbor (K-NN) approach. For other climatic forcings, excluding precipitation, we considered the North American Land Data Assimilation System version 2 (NLDAS-2) hourly climatology over the years 1979 to 2010. Then the selected LSMs were forced with precipitation forecasts and NLDAS-2 hourly climatology to develop retrospective seasonal streamflow forecasts over a period of 20 years (1991-2010). Finally, the performance of LSMs in forecasting streamflow under different schemes was analyzed to quantify the relative contribution of various sources of errors in developing seasonal streamflow forecast. Our results indicate that the most dominant source of errors during winter and fall seasons is the errors due to ECHAM4.5 precipitation forecasts, while temporal disaggregation scheme contributes to maximum errors during summer season.

Decomposition↗

NASA NTRS2016

A Comprehensive Radial Velocity Error Budget for Next Generation Doppler Spectrometers

We describe a detailed radial velocity error budget for the NASA-NSF Extreme Precision Doppler Spectrometer instrument concept NEID (NN-explore Exoplanet Investigations with Doppler spectroscopy). Such an instrument performance budget is a necessity for both identifying the variety of noise sources currently limiting Doppler measurements, and estimating the achievable performance of next generation exoplanet hunting Doppler spectrometers. For these instruments, no single source of instrumental error is expected to set the overall measurement floor. Rather, the overall instrumental measurement precision is set by the contribution of many individual error sources. We use a combination of numerical simulations, educated estimates based on published materials, extrapolations of physical models, results from laboratory measurements of spectroscopic subsystems, and informed upper limits for a variety of error sources to identify likely sources of systematic error and construct our global instrument performance error budget. While natively focused on the performance of the NEID instrument, this modular performance budget is immediately adaptable to a number of current and future instruments. Such an approach is an important step in charting a path towards improving Doppler measurement precisions to the levels necessary for discovering Earth-like planets.

NASA-NSF Extreme Precision Doppler Spectrometer in↗

NASA NTRS2017

Accounting for the Speed-Accuracy Trade-Off in Quantifying Human-In-The-Loop Error Probabilities

Human-in-the-loop (HITL) simulations cannot collect enough data from human operators to validate estimates of error probabilities for task components. Error rates for tasks have been estimated by using laboratory data for error rates depending on variables such as the cognitive complexity of the task. The limited channel capacity of human operators compels error rates to be strongly related to the time available for the task, the speed-accuracy trade-off. HITL simulations can provide valuable data on the time available for the operator's tasks. We propose that the response times be used in conjunction with measured speed-accuracy curves to estimate the operator error rates contributing to mission failure. Such analyses should be especially important in the estimation of error rates in off-nominal situations.

probability↗

NASA NTRS2017

Assessment of the Impact of Spatial Heterogeneity on Microwave Satellite Soil Moisture Periodic Error

An accurate temporal and spatial characterization of errors is required for the efficient processing, evaluation, and assimilation of remotely-sensed surface soil moisture retrievals. However, empirical evidence exists that passive microwave soil moisture retrievals are prone to periodic artifacts which may complicate their application in data assimilation systems (which commonly treat observational errors as being temporally white). In this paper, the link between such temporally-periodic errors and spatial land surface heterogeneity is examined. Both the synthetic experiment and site-specified cases reveal that, when combined with strong spatial heterogeneity, temporal periodicity in satellite sampling patterns (associated with exact repeat intervals of the polar-orbiting satellites) can lead to spurious high frequency spectral peaks in soil moisture retrievals. In addition, the global distribution of the most prominent and consistent 8-day spectral peak in the Advanced Microwave Scanning Radiometer - Earth Observing System soil moisture retrievals is revealed via a peak detection method. Three spatial heterogeneity indicators - based on microwave brightness temperature, land cover types, and long-term averaged vegetation index - are proposed to characterize the degree to which the variability of land surface is capable of inducing periodic error into satellite-based soil moisture retrievals. Regions demonstrating 8-day periodic errors are generally consistent with those exhibiting relatively higher heterogeneity indicators. This implies a causal relationship between spatial land surface heterogeneity and temporal periodic error in remotely-sensed surface soil moisture retrievals.

Fangni Lei↗

NASA NTRS2018

Addressing Human Error in International Space Station Flight Control Teams: Advances in Ground Training for Science Operators

In flight control, as with any human in the loop system, operator error is an inevitable reality. On the International Space Station (ISS) where crew time and physical resources are precious and often irreplaceable, operator errors can result in significant, irreversible consequences. Flight controllers at the Payload Operations Integration Center (POIC) located at NASA's Marshall Space Flight Center (MSFC) in Huntsville, Alabama know this reality well. At the POIC, operator errors can be caused by a variety of factors, from poor hardware or software design to environmental factors such as time pressure or fatigue. The most difficult errors to address, however, are those which result from ineffective teamwork. To address these teamwork errors, trainers at the POIC have drawn best practices from high reliability industries as well as from our sister ISS control center at the Johnson Space Center (JSC) in Houston, Texas, to develop and implement a new training program focused specifically on teamwork skills. This training program, called Team Skills Training, is inspired by modern and historical training programs developed by NASA and is specifically tailored to the needs of the payload operations flight control team at the POIC. The program consists of training for both certified and trainee flight controllers, and covers team skills topics such as situational awareness, leadership, and communication skills. To maximize effectiveness, the program uses novel instructional techniques which extend beyond the classroom to encourage students to apply what they have learned to their day to day work. Minimizing operator errors in flight control is an endeavor which requires constant vigilance and continuous improvement. At the POIC, Team Skills Training is an important step in this journey.

Harris, Samantha S.↗

NASA NTRS2018

Regional Replay: A Unique Reanalysis-Based Tool for Addressing Model Error

Understanding and correcting errors in general circulation and climate models has long been part intuition and part trial and error. Efforts to diagnose the errors and provide some guidance to developers have been of some value, though such efforts, with few exceptions, have been more successful in identifying and documenting the errors in the model simulations rather than the model deficiencies that produced them. Modern atmospheric reanalyses such as MERRA-2 provide much-improved estimates of our climate system at hourly to interannual and longer time scales and have become an important tool for assessing model performance. Here we use MERRA-2 to address biases in the NASA/GMAO GEOS model by employing a "regional replay" approach developed in the GMAO. The regional replay approach constrains the model to remain close to the reanalysis over arbitrary regions and selected model variables, thus allowing us to examine how model error generated over one area is spatially translated across the globe. Several examples are given including an assessment of the global impact of errors produced over the Tibet region.

Tibet Region↗

NASA NTRS2020

Reducing Errors in Velocity–Azimuth Display (VAD) Wind and Deformation Retrievals from Airborne Doppler Radars in Convective Environments

The present study describes methods to reduce the uncertainty of velocity–azimuth display (VAD) wind and deformation retrievals from downward-pointing, conically scanning, airborne Doppler radars. These retrievals have important applications in data assimilation and real-time data processing. Several error sources for VAD retrievals are considered here, including violations to the underlying wind field assumptions, Doppler velocity noise, data gaps, temporal variability, and the spatial weighting function of the VAD retrieval. Specific to airborne VAD retrievals, we also consider errors produced due to the radar scans occurring while the instrument platform is in motion. While VAD retrievals are typically performed using data from a single antenna revolution, other strategies for selecting data can be used to reduce retrieval errors. Four such data selection strategies for airborne VAD retrievals are evaluated here with respect to their effects on the errors. These methods are evaluated using the second hurricane nature run numerical simulation, analytic wind fields, and observed Doppler radar radial velocities. The proposed methods are shown to reduce the median absolute error of the VAD wind retrievals, especially in the vicinity of deep convection embedded in stratiform precipitation. The median absolute error due to wind field assumption violations for the along-track and for the across-track wind is reduced from 0.36 to 0.08 m s−1 and from 0.35 to 0.24 m s−1, respectively. Although the study focuses on Doppler radars, the results are equally applicable to conically scanning Doppler lidars as well.

Charles N Helms↗