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Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity Bus Transportation October 20, 2008 Carlton D. Fisher

Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

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Page 1: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Looking Backward, Thinking Backward:Hindsight Judgment of Human Error in

Transportation Accidents

18th National Conference on Rural Public and Intercity Bus Transportation

October 20, 2008

Carlton D. Fisher

Page 2: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Carlton D. Fisher

Partner in national law firm of Hinshaw & Culbertson LLP, headquartered in Chicago, Illinois

Fellow of the American College of Trial LawyersTried to verdict more than 75 civil casesOne of the founding members of TIDANational trial counsel for several transportation

companiesDisciple of the “Let’s Eliminate Hindsight Bias”

Guerrilla Movement

Page 3: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Evaluating Driver Behavior:How Hindsight Bias Can Affect and

Effect Decisions about Reasonableness

Page 4: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

FORESIGHT VS. HINDSIGHTA Legal Comparison of How Litigants and

Their Experts Should or Could Evaluate Driver Error in Traffic Accidents With How

Lawyers, Experts, Judges and Jurors Typically Assess Legal Responsibility

Transportation Research BoardVehicle User Characteristics Committee Workshop #139 B

Annual International ConventionWashington D.C. - January 13, 2008

Carlton D. Fisher

Page 5: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

20:20 Hindsight

Perfect understanding of an event after it has happened

Sarcastic term used in response to criticism of one’s decision

Its utterance implies that the critic is unfairly judging the wisdom of the decision in light of information not available when the decision was made

Page 6: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Hindsight Bias

Hindsight bias refers to the tendency for after accident observers to falsely believe that the once future incident was more foreseeable for those involved than actually was the case, even when warned to disregard their after-the-fact knowledge of the outcome.

Page 7: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Knowing that something had happened roughly doubled

the perceived odds that it was going to occur.

Page 8: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Hindsight accident analysis highlights the actual path that led to the tragic outcome, making the path

appear so obvious that we have trouble believing those involved

didn’t see what was coming next.

Page 9: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Do “Accidents” Happen in the Eyes of The Law?

Layperson’s view:

Legal view:

Any occurrence producing injury with no deliberate or intentional fault

An occurrence which is the result of an unknown cause or the result of an unusual and unexpected event happening in such an unusual manner from a known cause that it could not be reasonably expected or foreseen and that it was not the result of any negligence.

Page 10: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Preventability of Motor Vehicle Collisions

Defensive driving

in tension with

Legal responsibility

Page 11: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

National Safety Council Definition of “A Preventable Collision”

One in which the driver failed to do everything that he/she reasonably could have done to avoid it

Page 12: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

American Trucking Association’s “Preventability Rule”

Was the vehicle driven in such a way to make due allowance for the conditions of the road, weather, and traffic and to also assure that the mistakes of the other drivers did not involve the driver in a collision?

Page 13: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Federal Motor Carrier Safety Regulations

“Preventable accident on the part of a motor carrier means an accident (1) that involved a commercial motor vehicle, and

(2) that could have been averted but for an act, or failure to act, by the motor carrier, or the driver.”

29 CFR §385.3

Page 14: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

US DOT / FHA / FMCSA

Commercial Vehicle Preventable Accident Manual “A preventable accident is one wherein the driver and/or

the carrier failed to act in a reasonably expected manner to prevent it.”

“FMCSA recognizes that not all accidents are preventable. Some . . . can be prevented by drivers, while others require changes in motor carrier practices, policies or equipment.”

www.fmcsa.dot.gov

www.fhwa.dot.gov

www.underridenetwork.org

Page 15: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Elements of Negligence

1.Duty Statutory Based Common Law Based Foreseeable* Risk/Benefit

2. Breach of Duty

1 + 2 = Negligence

Page 16: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Elements of Negligence (Cont.)

3.Causation Cause in Fact Legal Causation Proximate Cause Foreseeable**

4. Injury/Damages

1 + 2 + 3 + 4 = Legal Responsibility

Page 17: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Causation

“Root Cause” Crash report “Causes and Contributing Causes” Cause in fact “But For” test Legal cause Proximate cause Intervening or superseding cause Foreseeable

Page 18: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

New York Instruction on Foreseeability

Negligence requires . . . a reasonably foreseeable danger of injury to another . . .

A person is only responsible . . . [i]f the risk of injury is reasonably foreseeable.

[I]f a reasonabl[e] person could foresee injury and acted unreasonably in light of what could be foreseen = negligence.

[I]f a reasonabl[e] person could not have foreseen injury . . . or acted reasonably in light of what could be foreseen = no negligence

Page 19: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

The Reasonable Person

Is assumed to act with “Ordinary Care”

or“The care a reasonably careful or prudent

person would use under circumstances similar to those shown by the evidence”

The jury is not told how a reasonable person acts - that is for the jury to decide.

Page 20: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Justice Benjamin Cardozo’s Words on How the Conduct of the Reasonable Person Should Be Judged

“The actor’s conduct must be judged in the light of the possibilities apparent to him at the time and

not by looking backward….

‘with wisdom born of the event’”

Page 21: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

What is Reasonable? Or What is Unreasonable Conduct?

Non-Emergency SettingCareful / Deliberate / Time to Reflect

Customary:Violation of Custom/StatutesGoing Too Fast for ConditionsBlowing a Stop Light/SignFailing to Keep a LookoutRear EnderCrossing the Center Line

Page 22: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

What is Reasonable? Or What is Unreasonable Conduct? (Con’t)

Emergency Setting - What is an emergency? Sudden Encounter Sudden Condition Not Reasonably Anticipated Unexpected Encounter Imminent Leaves No Time for Deliberation Reasonable Apprehension “Real” Emergency “Apparent” Emergency

Page 23: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Emergency Situation – New York

A person faced with an emergency and who acts without opportunity to consider the alternatives is not negligent if (he,she) acts as a reasonably prudent person would act in the same emergency, even if it later appears that (he, she) did not make the safest choice or exercise the best judgment.

Page 24: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Duty of One in Imminent Peril – California

A person . . . confronted with [an imminent] peril . . . is neither expected nor required to use the same judgment and prudence that is required in the exercise of ordinary care in calmer and more deliberate moments.

If at that moment [he] [she] does what appears to [him] [her] to be the best thing to do, . . .[he] [she] does all the law requires of [him] [her].

This is true, even though in the light of later events, it should appear that a different course would have been better and safer.

Page 25: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Sudden Emergency - Arizona

If a person, without negligence on his or her part, encountered . . . an emergency and acted reasonably to avoid harm or self or others, you may find that the person was not negligent.

This is so even though, in hindsight, you feel that under normal conditions some other or better course of conduct could and should have been followed.

Page 26: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Hindsight Foresight Diagram Diagram

Page 27: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Case Study

Melissa Wolkomir (passenger) and

Samantha Pillizzi (passenger)

Angelica Greco (passenger)

vs.

Angela Curtis (intoxicated minor car driver)

Marshall Kent (truck driver)

Zeeb Trucking (trucking company)

Kelly’s on 41 and Patch 22 (party hosts)

Accident Date – 10/30/2004

Page 28: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity
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Page 33: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

1st Person Narrative Commentary Driving

Circumstances known to a truck driver from the point of view of a reasonably careful driver taking ordinary care . . .

Page 34: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

1st Person Narrative Commentary Driving

Today is Saturday, October 30, 2004. It is 11:30 at night. The weather is clear and dry. I am driving a 64,000 pound 18-wheeler tractor-trailer. I am driving southbound in the right lane of US 41 at 50

mph. The speed limit is 50 mph. US 41 has two southbound and two northbound lanes

separated by a concrete barrier. Shoulder on the right and the left are as wide as the

travel lanes. I see no traffic ahead or behind me. Except for my headlights illuminating the road ahead, the

area is dark.

Page 35: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

1st Person Narrative Commentary Driving

The road ahead curves to the right. There is an intersection coming into view around the curve. The intersection is well lit with streetlights. A side road intersects from the right. Berm and foliage along the right side of US 41 is blocking my

view of the side road. I see a car appear on the right moving slowly. It appears normal. I am still a few seconds away. I expect the car will stop and wait for me to pass as usual. The car can easily stop before reaching my lane.

Page 36: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity
Page 37: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

1st Person Narrative Commentary Driving

The car is getting closer and I am beginning to sense that it might not stop.

Cars always stop and wait when I am that close. If it doesn’t stop, I am too close to the intersection to stop

myself. Since I can’t stop, I have to cross through the

intersection. The situation is suddenly changing from routine to

potentially dangerous. I am now only a couple seconds away. I still expect the driver will see me and stop, but I have

no way to be certain. What the driver will do next is unpredictable.

Page 38: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

1st Person Narrative Commentary Driving

There are many possibilities. Within the next couple seconds it might: Stop abruptly to the right of my lane. Slow down or stop near the edge of my lane and

then accelerate. Roll partially into my lane and stop. Continue to roll across the road without stopping. Stop anywhere across the right or the left lanes. Accelerate quickly across both lanes. It might even stop and backup.

Page 39: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

1st Person Narrative Commentary Driving

I can’t predict where the car will be when I arrive at the intersection.

I can brake, accelerate or maintain the same speed, steer left or right or continue to stay in my lane, but I can’t stop before reaching the intersection and crossing paths with the car.

Whatever move I make to go around the car, the car can still end up in front of me by abruptly stopping, rapidly accelerating or any other response.

The car is still to my right. I steer left to give the driver more space. Whether or not I avoid an accident depends on what the

car does next and I still can’t predict what it might do.

Page 40: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity
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Page 44: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Zone of Uncertainty

Page 45: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Point of View Matters

…the driver’s point of view matters, as the situation is (not was) unfolding…

…our point of view as after-accident observers, with “the wisdom born of the event” is immaterial to the reasonableness of the driver’s conduct when the conduct occurred.

Page 46: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Pre-accident versus Post-accident

Point of View

Three Seconds Before Driver’s Point of View Directly Involved Before-the-Fact Information What is Happening Several Attentional Demands Routine Traffic Flow No injuries Forward Looking Forward Thinking Analog Analysis No Second Chance Precursors are Ambiguous

Hours, Days & Years After Observer’s Points of View Uninvolved Before & After-the-Fact

Information What Happened Single Attentional Focus Dangerous Emergency Fatalities and/or Serious Injuries Backward Looking Backward Thinking Digital Analysis Mentally Undo Accident and Try

Again Precursors are Clear

Page 47: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

The Danger of Hindsight Bias

The danger of hindsight bias in analyzing the previous conduct of a person is: it is natural for people to be biased by hindsight it is caused by a deeply ingrained cognitive

process that cannot be easily eliminated or even moderated

it is not intentional or deliberate it is difficult to feel it happening people are not aware of it happening to them

Page 48: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

The Danger of Hindsight Bias

The danger of hindsight bias in analyzing the previous conduct of a person is: (continued) it is universal, regardless of profession or intellect hindsight judgments are easier to make than

foresight judgments hindsight involves one explanation, whereas

foresight considers many possible alternatives people cannot be “debiased” merely by warning

them to guard against it

Page 49: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Debiasing Strategies

What can lawyers, expert witnesses, judges and juries do to mitigate or eliminate the effect of hindsight bias?

Are any of the debiasing strategies effective?Is there any empirical support for the debiasing

strategies?Does the law allow the use of any or all of these

debiasing strategies?

Page 50: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Debiasing Strategies in Dealing With Hindsight Bias

BifurcationEffective deposition cross-examinationMotion for summary judgmentTrial brief on hindsight biasMotion in limine – post remedial measure ruleMotion in limine – regarding post event expert

testimonyVoir dire – jury selection

Page 51: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Debiasing Strategies in Dealing With Hindsight Bias

Opening statementsCounterfactual questioningLimiting instruction on testimonyExpert testimony on hindsight biasClosing argumentsJury instructions

Page 52: Looking Backward, Thinking Backward: Hindsight Judgment of Human Error in Transportation Accidents 18 th National Conference on Rural Public and Intercity

Carlton D. Fisher312-704-3450

[email protected]