

Practical Human Factors
Our Mission: To enhance aviation safety and performance by translating complex human factors research into actionable insights for the general aviation pilot.
Three-Part Series
Outcome Bias: What is, When it is Good, When it is Bad, and How to Control it.

Part 1: All's Well that Ends Well. Or is it?
Part 2: Outcome Bias - Not Always the Villian
Part 3: Mitigating the Bad and Promoting the Good
Part 1: All's Well that Ends Well. Or is it?

The outcome of a process is important, but judging success based solely on the outcome can lead to future problems.
Picture this: it’s one of those days when you just *want* to fly. No mission, no passengers, no real purpose—just the simple joy of getting airborne.
But the weather has other plans. The aviation reports are full of warnings about strong, gusty surface winds and possible low‑level windshear. The windsock isn’t exactly subtle either—it’s snapping around like it’s trying to send Morse code. So you make the smart call: today’s not a flying day. Instead, you wander down the row of T‑hangars to see if anyone else is out braving the breeze.
Then you spot it.
An airplane—looks like a Mooney—turning final for Runway 33. The windsock is doing its best impression of a metronome, swinging from straight out to half deflection, and the wind direction is bouncing between 020° and 050°. The pilot is clearly fighting it. The bank angles are all over the place, pitch is inconsistent, and the power setting is anything but constant. You’re waiting for the go‑around… but it never comes.
The approach keeps getting worse, and you find yourself pulling out your phone—just in case. You hold your breath as the airplane touches down firmly and swerves a bit to either side of the centerline. Somehow, the pilot slows down and taxis off toward the ramp. You exhale. Crisis averted. And like many of us would, you think, “Wow, that pilot is really good! That approach was really scary, but the pilot pulled it off.”
But… did they?
This is where outcome bias sneaks in. One of our cognitive biases is called outcome bias. It’s our tendency to judge the quality of a decision based solely on how things turned out. Good landing? Must’ve been good decisions. Bad landing? Must’ve been bad decisions.
But that’s not how reality works.
If that Mooney had ended up in the grass with a collapsed gear, a prop strike, and a bent firewall, we’d all be shaking our heads, saying, “What was that pilot thinking trying to land in those conditions?” The process didn’t change—only the outcome did.
And this isn’t just an aviation thing. Surgeons, business leaders, military commanders—history is full of people who were hailed as geniuses when things went well and condemned as fools when they didn’t. Luck often gets far more credit (or blame) than we admit.
Outcome bias also sets the stage for something even more dangerous: normalization of deviance. Every time we cut a corner, skip a step, or bend a rule—and nothing bad happens—we become just a little more comfortable doing it again. Eventually, the shortcut becomes the “new normal.” Aviation has plenty of examples of where that path leads, both in the cockpit and in maintenance hangars.
Our next post will look at the positive side of outcome bias and how it helps us develop heuristics and train our brains for urgent decision making.

Clear Skies,Clear Mind: Why Sleep is an Important Preflight Action
As pilots, we obsess over the preflight checklist. We check the fuel, the oil, the control surfaces, and the weather. But there is one critical component of the flight system that often gets neglected: the pilot’s brain.
The Cognitive Cost of Fatigue
When you’re sleep-deprived, your brain doesn't just feel "slow"; it actually begins to fail in ways that are specifically dangerous for aviators:
- Degraded Situational Awareness: You lose the "big picture." You might focus on a single instrument while ignoring an escalating engine issue or a straying heading.
- Slowed Reaction Time: In the pattern or during an emergency, milliseconds matter. Fatigue can slow your physical and mental response times to levels equivalent to being legally intoxicated.
- Poor Risk Assessment: A tired brain is prone to "get-there-itis." You are more likely to talk yourself into a dangerous situation—like pushing into deteriorating weather—because your frontal lobe is too exhausted to exercise proper judgment.
The Brain’s Janitor: The Glymphatic System
Why does sleep specifically fix these issues? The answer lies in a relatively recent scientific discovery: the glymphatic system.
Think of your brain as a high-performance engine. As it works throughout the day, it creates metabolic "exhaust" or waste products, such as toxic proteins (like beta-amyloid). If these toxins build up, they clog the gears of your neurons, leading to brain fog and poor performance.
During the day, the brain is too busy processing flight data to clean itself. However, when you enter deep sleep, the glymphatic system kicks into high gear:
- Brain cells actually shrink, increasing the space between them by up to 60%.
- Cerebrospinal fluid (CSF) rushes through these widened gaps.
- Toxins are washed away and drained into the body’s lymphatic system for disposal.
Without adequate sleep, this "power wash" never happens. You wake up with yesterday’s metabolic trash still sitting in your synapses, which is why a tired pilot's brain feels sluggish and "heavy."
Preflighting Your Sleep: Tips for Pilots
General aviation often involves early morning departures or long days in the cockpit. To ensure your "internal janitor" has time to do its job, consider these strategies:
- The 8-Hour Rule (for Sleep, not just Bottles): Aim for 7 to 9 hours of actual sleep. Remember that time in bed does not always equal time asleep.
- Manage Light Exposure: The blue light from your electronic devices inhibits melatonin. Limiting bright light and blue light in the hours before bedtime can be helpful.
- Cool Your Environment: Cooling helps the body initiate deep sleep and that is when glymphatic clearance is greatest.
- Watch the Caffeine "Half-Life": Caffeine stays in your system for hours. If you have a 6:00 AM wheels-up time, try to cut off the coffee by early afternoon the day before to ensure your sleep quality isn't fragmented.
- Consistency is Key: Try to go to bed and wake up at the same time, whether planning to fly or not. This trains your circadian rhythm to perform when it counts.
The Bottom Line
A pilot who is fatigued is a pilot who is flying a compromised aircraft. By prioritizing sleep, you aren't just "resting"—you are actively maintaining the most complex piece of equipment in the aircraft.
Next time you plan a flight, treat your sleep schedule with the same respect you treat your weight and balance. Your brain, and your passengers, will thank you.

Two Kinds of Fear:
One is beneficial and the other can kill us!
The fear response to an immediate emergency helps us to focus and respond appropriately, but the social fear of asking for help can work against us. We can take steps to update our brain to help us overcome the negative social fear.
Two Kinds of Fear
Pilots typically think of fear as the feeling produced by an engine failure right after takeoff, ice rapidly forming on the airframe, or the windshield suddenly covered in engine oil. When events such as these occur, the brain springs into action. Our brain wiring stems from our early ancestors’ need to deal with an attack by a wild animal. The amygdala trips the alarm and the sympathetic nervous system springs into action causing an almost immediate release of adrenalin and cortisol. Heart rate and blood pressure spike, breathing becomes rapid and shallow, the eye pupils dilate, skin becomes pale as blood is diverted to the muscles and organs, muscles tense, and digestion and salivation stop immediately. This response is generally beneficial in an emergency, making the well-trained pilot better able to respond.
The other flavor of fear, the one that can kill us, arises from our human need for social acceptance. When the brain senses a social threat, higher order cortical regions get involved. The Anterior Cingulate Cortex (ACC) is the brain’s “conflict monitor.” The Medial Prefrontal Cortex (mPFC) is crucial for "mentalizing or thinking about what others are thinking. It evaluates social norms and predicts the long-term consequences of a social mistake.
The social threat may be the anticipation of asking for help such as requesting a vector from ATC or declaring an emergency when the situation is deteriorating. We pilots tend to be a proud group. We value our self-image. We are trained and socialized to see ourselves as capable, resilient problem‑solvers, so declaring an emergency can feel like a public confession of incompetence or poor airmanship. Continuation bias provides a powerful drive to complete the flight as planned, which competes directly with the decision to admit an emergency and divert, declare, or land immediately. Declaring an emergency can feel like giving up on the mission rather than practicing good risk management, even when it is clearly the safer choice. We may fear that declaring an emergency will automatically trigger investigations or enforcement action, even though punitive outcomes are rare.
We must do a bit of brain updating to turn the tables on this fear of asking for help. That updating is done through education and training. Access to some level of flight simulation is extremely helpful, but discussion with a flight instructor or experienced pilot can also be valuable.
Crew Resource Management (CRM) is a key element. the details of CRM can be rather involved, but simply said, “USE ALL AVAILABLE RESOURCES!” There is an ample supply of information about Crew Resource Management online, just be sure to use reliable sources.
Scenario Based Training (SBT) can be effective in helping with brain updating. SBT, when properly designed, places pilots in situations in which the correct course of action is ambiguous such as deteriorating weather, an unexpected engine indication, or an ill passenger. The training combats a common psychological defense mechanism, denial. It also helps update the brain to admit when a situation is best handled with outside assistance, thus overcoming pilot’s ego of being able to handle any situation.
The fear response triggered by a real and sudden emergency can give us the performance boost we need to respond correctly and efficiently. Conversely, the fear of asking for a vector or declaring an emergency can delay our effective response and result in a bad ending. Study and practice in CRM, SBT, and a general understanding of how we “squawk human” can help us to be safer pilots.
Realted Links:
Skybrary - Crew Resource Management

Ultra-Fast Planning
The planning that happens in the unconscious mind and how to train it to be better.
When humans think about planning, it might be planning for retirement, planning a vacation, planning what to have for dinner, or planning a party. When general aviation pilots think about planning, preflight planning usually comes
to mind. But planning exists on more than one level in our brains. If a quarterback tosses a football to a receiver, that player must plan to be positioned within the trajectory of the ball which might include a jump, and then have arms and
hands configured to secure the ball.Additionally, the receiver must plan to manage inertia so that both feet land inbounds. Analyzing the physics and doing all the math involved would be daunting at best. Yet, the receiver’s human brain is not only doing the calculations but is directing a multitude of muscles to controlthe receiver’s body parts where they need to be at just the time they need to be there. Of course, this is all being done in a constantly changing environment requiring countless adjustments. It works because of the countless hours oftraining and practice that player has endured.
That training and practice has figuratively rewired theplayer’s unconscious mind. Neuroplasticity is the collective term for changes in the brain structure and function. Communication in the brain happens at the synapse, the tiny gap between two neurons. The receiving neuron adds more receptors to its surface to catch chemical signals faster. The sending neuron starts releasing more neurotransmitters. This results in the signal moving across the gap with much less effort and higher reliability. The technical term for this is synaptic plasticity.

Beyond just strengthening existing connections, the brainphysically grows new structures to support our training. This process is called structural plasticity and has three elements. First, in dendric sprouting, neurons grow new "branches" called dendrites. This increases the surface area available to connect with other neurons, creating a denser, more complex network. Next, with enough practice, the brain will create entirely new synapses between neurons that weren't communicating before. The term for this is synaptogenesis. The third step is called cortical remapping. The specific area of the brain dedicated to that skill can physically expand, borrowing space from neighboring areas that are used less often.
As impressive as that is, the magic does not end there. Neuroglia,often called glial cells, produce an insulation, myelin, and wrap more layers of it around the active circuits. This prevents the electrical impulse signals from leaking out and allows the signals to travel significantly faster.


And the finale is when a process called synaptic pruning weakensand eventually removes the unnecessary connections that are consuming resources unnecessarily and potentially producing interference.
As general aviation pilots, not professional athletes, we train to make correct and timely control inputs for a landing in a crosswind rather than to catch a football. We train to make a timely and well-executed go-around rather than to release the football just at the right time, in the best direction, and with just the right amount of force. Our control inputs result from ultra-fast planning that is happening in the unconscious mind in the same way the athlete relies on it to execute the play.
Proficiency as a pilot or as an athlete is fluid. Neither pilots nor athletes can afford to be complacent about training and practice. Neither can expect gaps in training and practice to not take a toll in proficiency. Synaptic
pruning begins to steal the unused circuits as soon as they are not being used. That is the reason for training camp or spring training after an off-season. Those circuits need to be rebuilt and refreshed. As pilots, we must recognize that if we have an off-seasonof a few months, we need our own version of training camp to refresh and rebuild. The off-season may not be a lack of flying, but a lack of practicing some specific skills. An example would be the instrument rated pilot who has not flown solely by reference to the flight instruments for several months.
We can avoid the negative effects of an off-season by participating in a good recurrent training program designed to address the kind of flying we do. If used as intended, the FAA Wings program will create such a
program. There are other ways to find a suitable recurrent program, but it must be adequately comprehensive and rigorous. Always remember that our error during a critical phase of flight can have consequences far beyond the dropped catch or intercepted pass.Guardrails
Mental guardrails can help protect us from our humanness.

Guardrails
Anyone who has ever driven on a curvy mountain road has developed an appreciation for guardrails. We realize that misjudging the maximum speed to enter the next curve or the distraction of an incoming phone call could potentially cause us to hit a guardrail, causing expensive damage to our vehicle, but we would not careen over the cliff. Driving that road places a substantial load on our cognitive abilities but the guardrails are there just
in case our cognitive workload at any time exceeds our cognitive ability.
We do not have physical guardrails when we fly airplanes, but we can erect mental guardrails to catch us before we execute bad decisions resulting from the common error causal factors or cognitive biases.
These mental guardrails have already been constructed. We just need to use them. Probably the first to come to mind are the Personal Minimums Checklist (PMC) and the Flight Risk Assessment Tool (FRAT). These tools, when used properly and as intended, put up guardrails against several common error causal factors such as the “Bias Bundle Bomb” of illusory superiority, confirmation bias, and continuation bias. They also help guard
against the very strong influence of pressure from external factors and the dangers imposed by fatigue, stress, and medications. They even, when properly created, put up guardrails against flying when our recent experience in the given conditions is insufficient.
Though relying on less reliable subject evaluations, the IMSAFE Checklist also serves as a set of guardrails by evaluating our health, any medications we are using, our stress level, recent alcohol use, possible fatigue, and our emotional wellbeing. Another useful, but again subjective tool, is the Risk Matrix. It asks us for an estimation of the severity of a given situation and the likelihood that the situation will arise. The matrix then reveals the level of risk involved. The problem with the tools requiring a subjective decision is that our cognitive biases and external factors can weigh in on our inputs, skewing the results.
The variety of checklists we use also serve as guardrails. They must be well constructed and followed explicitly to be effective. Collectively, they can help avoid the hazards associated with distractions, normal lapses in working memory, weak planning skills, normative social influence, and more.
One set of guardrails is critical and applies to every approach we fly regardless of the kind of airplane, the flight conditions, or the airport environment. The concept is simple, but the effect on safety is dramatic. A stabilization altitude is established. There are eight conditions to be met for an approach to be considered stabilized. If, at any time, the airplane is below the stabilization altitude and all conditions are not met, the approach is abandoned.
I once did a presentation titled "Help! My Brain is Trying to Kill Me?” That is of course overly dramatic, but our unconscious mind can sometimes override our training and good sense. Regardless of our certification level or how fat our logbook has become, as humans we are subject to these strong influences. Erecting these mental guardrails can help protect us from our humanness.Links
Use the following links to learn more about the mental guardrails.
Personal Minimums Checklist and FRAT
IM SAFE Checklist and Risk Assessment Matrix
Some graphics on this website have been created or edited using AI.
Copyright © 2026 Gene Benson. All rights reserved.











