2013 paper from Dekker discussing drift into failure. Nothing new if you’ve read his 2011 book. Extracts: · “organizations do not just fail because of component breakage or linear propagations of breakdowns. Instead, failure breeds opportunistically, non-randomly, among the very structures designed to protect an organization from disaster” · “A common pattern seems to be a drift… Continue reading Drifting into failure: Complexity theory and the management of risk
Tag: complex failure
The contribution of latent human failures to the breakdown of complex systems
What is the role of frontline people within complex system failures? For James Reason, it was often just providing the local triggers to “manifest systemic weaknesses created by fallible decisions made earlier”. This 1990 paper goes through his thinking of human performance in complex failure. It was meant to be a small post, but couldn’t… Continue reading The contribution of latent human failures to the breakdown of complex systems
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