Leveson & Cutcher-Gershenfeld discuss systems safety in the context of the Columbia Accident Investigation Board (CAIB) investigation. NB. These types of analyses are, of course, replete with hindsight and outcome logics, and sometimes judgmental attributions (failure, inadequate). But that doesn’t inherently mean we can’t learn anything. Extracts: · “The CAIB report describes system safety engineering at… Continue reading What System Safety Engineering Can Learn from the Columbia Accident (Nancy Leveson)
Tag: nancy leveson
Leveson and Dekker on Reason: How the Critics Got the Swiss Cheese Model Wrong – Andrew Hopkins
Andrew Hopkins in this article defends Reason’s Swiss Cheese Metaphor (SCM) from critiques from both Nancy Leveson and Sid Dekker. Just a few extracts. [** Be on the lookout for next week’s compendium dedicated to Hopkins & Hale] I’m taking no sides – just reporting what’s in the paper: · He selects criticisms of Reason’s work… Continue reading Leveson and Dekker on Reason: How the Critics Got the Swiss Cheese Model Wrong – Andrew Hopkins
Compendium of Nancy Leveson: STAMP, STPA, CAST and Systems Thinking
Although I don’t often mention or post about Leveson’s work, she’s probably been the most influential thinker on my approach after Barry Turner. So here is a mini-compendium covering some of Leveson’s work. Feel free to shout a coffee if you’d like to support the growth of my site: https://direct.mit.edu/books/oa-monograph/2908/Engineering-a-Safer-WorldSystems-Thinking-Applied https://doi.org/10.1177/0170840608101478 https://doi.org/10.1145/7474.7528 http://therm.ward.bay.wiki.org/assets/pages/documents-archived/safety-3.pdf http://sunnyday.mit.edu/papers/Rasmussen-Legacy.pdf https://www.tandfonline.com/doi/pdf/10.1080/00140139.2015.1015623… Continue reading Compendium of Nancy Leveson: STAMP, STPA, CAST and Systems Thinking
The systems approach to medicine: controversy and misconceptions — Dekker & Leveson
This was a really brief discussion paper from Dekker and Leveson, covering systems thinking in medicine. Three parts – see comments. Nothing new for most, but they cover: · “The ‘systems approach’ to patient safety has recently led to questions about its ethics and practical utility” · E.g. A recent paper from a retired neurosurgeon questioned systems… Continue reading The systems approach to medicine: controversy and misconceptions — Dekker & Leveson
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