Drift Into Failure

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Drift into Failure

Author : Sidney Dekker
Publisher : CRC Press
ISBN 13 : 1351942913
Total Pages : 332 pages
Book Rating : 4.3/5 (519 download)

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Book Synopsis Drift into Failure by : Sidney Dekker

Download or read book Drift into Failure written by Sidney Dekker and published by CRC Press. This book was released on 2016-12-05 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: What does the collapse of sub-prime lending have in common with a broken jackscrew in an airliner’s tailplane? Or the oil spill disaster in the Gulf of Mexico with the burn-up of Space Shuttle Columbia? These were systems that drifted into failure. While pursuing success in a dynamic, complex environment with limited resources and multiple goal conflicts, a succession of small, everyday decisions eventually produced breakdowns on a massive scale. We have trouble grasping the complexity and normality that gives rise to such large events. We hunt for broken parts, fixable properties, people we can hold accountable. Our analyses of complex system breakdowns remain depressingly linear, depressingly componential - imprisoned in the space of ideas once defined by Newton and Descartes. The growth of complexity in society has outpaced our understanding of how complex systems work and fail. Our technologies have gotten ahead of our theories. We are able to build things - deep-sea oil rigs, jackscrews, collateralized debt obligations - whose properties we understand in isolation. But in competitive, regulated societies, their connections proliferate, their interactions and interdependencies multiply, their complexities mushroom. This book explores complexity theory and systems thinking to understand better how complex systems drift into failure. It studies sensitive dependence on initial conditions, unruly technology, tipping points, diversity - and finds that failure emerges opportunistically, non-randomly, from the very webs of relationships that breed success and that are supposed to protect organizations from disaster. It develops a vocabulary that allows us to harness complexity and find new ways of managing drift.

Drift into Failure

Author : Professor Sidney Dekker
Publisher : Ashgate Publishing, Ltd.
ISBN 13 : 1409486559
Total Pages : 277 pages
Book Rating : 4.4/5 (94 download)

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Book Synopsis Drift into Failure by : Professor Sidney Dekker

Download or read book Drift into Failure written by Professor Sidney Dekker and published by Ashgate Publishing, Ltd.. This book was released on 2012-10-01 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: What does the collapse of sub-prime lending have in common with a broken jackscrew in an airliner’s tailplane? Or the oil spill disaster in the Gulf of Mexico with the burn-up of Space Shuttle Columbia? These were systems that drifted into failure. While pursuing success in a dynamic, complex environment with limited resources and multiple goal conflicts, a succession of small, everyday decisions eventually produced breakdowns on a massive scale. We have trouble grasping the complexity and normality that gives rise to such large events. We hunt for broken parts, fixable properties, people we can hold accountable. Our analyses of complex system breakdowns remain depressingly linear, depressingly componential - imprisoned in the space of ideas once defined by Newton and Descartes. The growth of complexity in society has outpaced our understanding of how complex systems work and fail. Our technologies have gotten ahead of our theories. We are able to build things - deep-sea oil rigs, jackscrews, collateralized debt obligations - whose properties we understand in isolation. But in competitive, regulated societies, their connections proliferate, their interactions and interdependencies multiply, their complexities mushroom. This book explores complexity theory and systems thinking to understand better how complex systems drift into failure. It studies sensitive dependence on initial conditions, unruly technology, tipping points, diversity - and finds that failure emerges opportunistically, non-randomly, from the very webs of relationships that breed success and that are supposed to protect organizations from disaster. It develops a vocabulary that allows us to harness complexity and find new ways of managing drift.

Safety Differently

Author : Sidney Dekker
Publisher : CRC Press
ISBN 13 : 1482242001
Total Pages : 304 pages
Book Rating : 4.4/5 (822 download)

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Book Synopsis Safety Differently by : Sidney Dekker

Download or read book Safety Differently written by Sidney Dekker and published by CRC Press. This book was released on 2014-06-23 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of a bestseller, Safety Differently: Human Factors for a New Era is a complete update of Ten Questions About Human Error: A New View of Human Factors and System Safety. Today, the unrelenting pace of technology change and growth of complexity calls for a different kind of safety thinking. Automation and new technologies have resu

Behind Human Error

Author : David D. Woods
Publisher : CRC Press
ISBN 13 : 1317175530
Total Pages : 292 pages
Book Rating : 4.3/5 (171 download)

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Book Synopsis Behind Human Error by : David D. Woods

Download or read book Behind Human Error written by David D. Woods and published by CRC Press. This book was released on 2017-09-18 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human error is cited over and over as a cause of incidents and accidents. The result is a widespread perception of a 'human error problem', and solutions are thought to lie in changing the people or their role in the system. For example, we should reduce the human role with more automation, or regiment human behavior by stricter monitoring, rules or procedures. But in practice, things have proved not to be this simple. The label 'human error' is prejudicial and hides much more than it reveals about how a system functions or malfunctions. This book takes you behind the human error label. Divided into five parts, it begins by summarising the most significant research results. Part 2 explores how systems thinking has radically changed our understanding of how accidents occur. Part 3 explains the role of cognitive system factors - bringing knowledge to bear, changing mindset as situations and priorities change, and managing goal conflicts - in operating safely at the sharp end of systems. Part 4 studies how the clumsy use of computer technology can increase the potential for erroneous actions and assessments in many different fields of practice. And Part 5 tells how the hindsight bias always enters into attributions of error, so that what we label human error actually is the result of a social and psychological judgment process by stakeholders in the system in question to focus on only a facet of a set of interacting contributors. If you think you have a human error problem, recognize that the label itself is no explanation and no guide to countermeasures. The potential for constructive change, for progress on safety, lies behind the human error label.

The Field Guide to Human Error Investigations

Author : Sidney Dekker
Publisher : Routledge
ISBN 13 : 1351786032
Total Pages : 137 pages
Book Rating : 4.3/5 (517 download)

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Book Synopsis The Field Guide to Human Error Investigations by : Sidney Dekker

Download or read book The Field Guide to Human Error Investigations written by Sidney Dekker and published by Routledge. This book was released on 2017-11-01 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title was first published in 2002: This field guide assesses two views of human error - the old view, in which human error becomes the cause of an incident or accident, or the new view, in which human error is merely a symptom of deeper trouble within the system. The two parts of this guide concentrate on each view, leading towards an appreciation of the new view, in which human error is the starting point of an investigation, rather than its conclusion. The second part of this guide focuses on the circumstances which unfold around people, which causes their assessments and actions to change accordingly. It shows how to "reverse engineer" human error, which, like any other componant, needs to be put back together in a mishap investigation.

Drift

Author : Rachel Maddow
Publisher : Crown
ISBN 13 : 0307461009
Total Pages : 285 pages
Book Rating : 4.3/5 (74 download)

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Book Synopsis Drift by : Rachel Maddow

Download or read book Drift written by Rachel Maddow and published by Crown. This book was released on 2012-03-27 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: The #1 New York Times bestseller that charts America’s dangerous drift into a state of perpetual war. Written with bracing wit and intelligence, Rachel Maddow's Drift argues that we've drifted away from America's original ideals and become a nation weirdly at peace with perpetual war. To understand how we've arrived at such a dangerous place, Maddow takes us from the Vietnam War to today's war in Afghanistan, along the way exploring Reagan's radical presidency, the disturbing rise of executive authority, the gradual outsourcing of our war-making capabilities to private companies, the plummeting percentage of American families whose children fight our constant wars for us, and even the changing fortunes of G.I. Joe. Ultimately, she shows us just how much we stand to lose by allowing the scope of American military power to overpower our political discourse. Sensible yet provocative, dead serious yet seriously funny, Drift reinvigorates a "loud and jangly" political debate about our vast and confounding national security state.

Just Culture

Author : Sidney Dekker
Publisher : Ashgate Publishing, Ltd.
ISBN 13 : 1409440605
Total Pages : 201 pages
Book Rating : 4.4/5 (94 download)

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Book Synopsis Just Culture by : Sidney Dekker

Download or read book Just Culture written by Sidney Dekker and published by Ashgate Publishing, Ltd.. This book was released on 2012 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: While many organizations see the value of creating a just culture they struggle when it comes to developing it. In this Second Edition, Dekker expands his views, additionally tackling the key issue of how justice is created inside organizations. Dekker also introduces new material on ethics and on caring for the' second victim' (the professional at the centre of the incident). Consequently, we have a natural evolution of the author's ideas.

The Defence of Duffer's Drift

Author : Ernest Dunlop Swinton
Publisher :
ISBN 13 :
Total Pages : 74 pages
Book Rating : 4.:/5 (2 download)

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Book Synopsis The Defence of Duffer's Drift by : Ernest Dunlop Swinton

Download or read book The Defence of Duffer's Drift written by Ernest Dunlop Swinton and published by . This book was released on 1916 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt:

What Happened to Goldman Sachs

Author : Steven G. Mandis
Publisher : Harvard Business Press
ISBN 13 : 1422194205
Total Pages : 256 pages
Book Rating : 4.4/5 (221 download)

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Book Synopsis What Happened to Goldman Sachs by : Steven G. Mandis

Download or read book What Happened to Goldman Sachs written by Steven G. Mandis and published by Harvard Business Press. This book was released on 2013-09-10 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the story of the slow evolution of Goldman Sachs—addressing why and how the firm changed from an ethical standard to a legal one as it grew to be a leading global corporation. In What Happened to Goldman Sachs, Steven G. Mandis uncovers the forces behind what he calls Goldman’s “organizational drift.” Drawing from his firsthand experience; sociological research; analysis of SEC, congressional, and other filings; and a wide array of interviews with former clients, detractors, and current and former partners, Mandis uncovers the pressures that forced Goldman to slowly drift away from the very principles on which its reputation was built. Mandis evaluates what made Goldman Sachs so successful in the first place, how it responded to pressures to grow, why it moved away from the values and partnership culture that sustained it for so many years, what forces accelerated this drift, and why insiders can’t—or won’t—recognize this crucial change. Combining insightful analysis with engaging storytelling, Mandis has written an insider’s history that offers invaluable perspectives to business leaders interested in understanding and managing organizational drift in their own firms.

Chaos Engineering

Author : Casey Rosenthal
Publisher : "O'Reilly Media, Inc."
ISBN 13 : 1492043818
Total Pages : 312 pages
Book Rating : 4.4/5 (92 download)

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Book Synopsis Chaos Engineering by : Casey Rosenthal

Download or read book Chaos Engineering written by Casey Rosenthal and published by "O'Reilly Media, Inc.". This book was released on 2020-04-06 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: As more companies move toward microservices and other distributed technologies, the complexity of these systems increases. You can't remove the complexity, but through Chaos Engineering you can discover vulnerabilities and prevent outages before they impact your customers. This practical guide shows engineers how to navigate complex systems while optimizing to meet business goals. Two of the field's prominent figures, Casey Rosenthal and Nora Jones, pioneered the discipline while working together at Netflix. In this book, they expound on the what, how, and why of Chaos Engineering while facilitating a conversation from practitioners across industries. Many chapters are written by contributing authors to widen the perspective across verticals within (and beyond) the software industry. Learn how Chaos Engineering enables your organization to navigate complexity Explore a methodology to avoid failures within your application, network, and infrastructure Move from theory to practice through real-world stories from industry experts at Google, Microsoft, Slack, and LinkedIn, among others Establish a framework for thinking about complexity within software systems Design a Chaos Engineering program around game days and move toward highly targeted, automated experiments Learn how to design continuous collaborative chaos experiments

Outwitting the Devil

Author : Napoleon Hill
Publisher : Sharon Lechter
ISBN 13 :
Total Pages : 30 pages
Book Rating : 4./5 ( download)

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Book Synopsis Outwitting the Devil by : Napoleon Hill

Download or read book Outwitting the Devil written by Napoleon Hill and published by Sharon Lechter. This book was released on 2011 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: Originally written in 1938 but never published due to its controversial nature, an insightful guide reveals the seven principles of good that will allow anyone to triumph over the obstacles that must be faced in reaching personal goals.

Just Culture

Author : Sidney Dekker
Publisher : CRC Press
ISBN 13 : 1317109899
Total Pages : 250 pages
Book Rating : 4.3/5 (171 download)

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Book Synopsis Just Culture by : Sidney Dekker

Download or read book Just Culture written by Sidney Dekker and published by CRC Press. This book was released on 2018-09-07 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: A just culture is a culture of trust, learning and accountability. It is particularly important when an incident has occurred; when something has gone wrong. How do you respond to the people involved? What do you do to minimize the negative impact, and maximize learning? This third edition of Sidney Dekker’s extremely successful Just Culture offers new material on restorative justice and ideas about why your people may be breaking rules. Supported by extensive case material, you will learn about safety reporting and honest disclosure, about retributive just culture and about the criminalization of human error. Some suspect a just culture means letting people off the hook. Yet they believe they need to remain able to hold people accountable for undesirable performance. In this new edition, Dekker asks you to look at 'accountability' in different ways. One is by asking which rule was broken, who did it, whether that behavior crossed some line, and what the appropriate consequences should be. In this retributive sense, an 'account' is something you get people to pay, or settle. But who will draw that line? And is the process fair? Another way to approach accountability after an incident is to ask who was hurt. To ask what their needs are. And to explore whose obligation it is to meet those needs. People involved in causing the incident may well want to participate in meeting those needs. In this restorative sense, an 'account' is something you get people to tell, and others to listen to. Learn to look at accountability in different ways and your impact on restoring trust, learning and a sense of humanity in your organization could be enormous.

The Safety Anarchist

Author : Sidney Dekker
Publisher : Routledge
ISBN 13 : 135140363X
Total Pages : 220 pages
Book Rating : 4.3/5 (514 download)

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Book Synopsis The Safety Anarchist by : Sidney Dekker

Download or read book The Safety Anarchist written by Sidney Dekker and published by Routledge. This book was released on 2017-10-19 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Work has never been as safe as it seems today. Safety has also never been as bureaucratized as it is today. Over the past two decades, the number of safety rules and statutes has exploded, and organizations themselves are creating ever more internal compliance requirements. At the same time, progress on safety has slowed to a crawl. Many incident- and injury rates have flatlined. Worse, excellent safety performance on low-consequence events tends to increase the risk of fatalities and disasters. Bureaucracy and compliance now seem less about managing the safety of the workers we are responsible for, and more about managing the liability of the people they work for. We make workers do a lot that does nothing to improve their success locally. Paradoxically, such tightening of safety bureaucracy robs us of exactly the source of human insight, creativity and resilience that can tell us how success is actually created, and where the next accident may well happen. It is time for Safety Anarchists: people who trust people more than process, who rely on horizontally coordinating experiences and innovations, who push back against petty rules and coercive compliance, and who help recover the dignity and expertise of human work.

Second Victim

Author : Sidney Dekker
Publisher : CRC Press
ISBN 13 : 146658341X
Total Pages : 131 pages
Book Rating : 4.4/5 (665 download)

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Book Synopsis Second Victim by : Sidney Dekker

Download or read book Second Victim written by Sidney Dekker and published by CRC Press. This book was released on 2013-03-26 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do people cope with having "caused" a terrible accident? How do they cope when they survive and have to live with the consequences ever after? We tend to blame and forget professionals who cause incidents and accidents, but they are victims too. They are second victims whose experiences of an incident or adverse event can be as traumatic as that of the first victims’. Yet information on second victimhood and its relationship to safety, about what is known and what organizations might need to do, is difficult to find. Thoroughly exploring an emerging topic with great relevance to safety culture, Second Victim: Error, Guilt, Trauma, and Resilience examines the lived experience of second victims. It goes through what we know about trauma, guilt, forgiveness, and injustice and how these might be felt by the second victim. The author discusses how to conduct investigations of incidents that do not alienate second victims or make them feel even worse. It explores the importance support and resilience and where the responsibilities for creating it may lie. Drawing on his unique background as psychologist, airline pilot, and safety specialist, and his own experiences with helping second victims from a variety of backgrounds, Sidney Dekker has written a powerful, moving account of the experience of the second victim. It forms compelling reading for practitioners, risk managers, human resources managers, safety experts, mental health workers, regulators, the judiciary, and many other professionals. Dekker provides a strong theoretical background to promote understanding of the situation of the second victim and solid practical advice about how to deal with trauma that continues after an event leading to preventable harm or even avoidable death of a patient, consumer, or colleague. Listen to Sidney Dekker speak about his book

Always Crashing in the Same Car: On Art, Crisis, and Los Angeles, California

Author : Matthew Specktor
Publisher : Tin House Books
ISBN 13 : 1951142632
Total Pages : 259 pages
Book Rating : 4.9/5 (511 download)

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Book Synopsis Always Crashing in the Same Car: On Art, Crisis, and Los Angeles, California by : Matthew Specktor

Download or read book Always Crashing in the Same Car: On Art, Crisis, and Los Angeles, California written by Matthew Specktor and published by Tin House Books. This book was released on 2021-07-27 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Best Book of the Year at The Atlantic Los Angeles Times Bestseller "[An] absorbing and revealing book. . . . nestling in the fruitful terrain between memoir and criticism." —Geoff Dyer, author of Out of Sheer Rage Blending memoir and cultural criticism, Matthew Specktor explores family legacy, the lives of artists, and a city that embodies both dreams and disillusionment. In 2006, Matthew Specktor moved into a crumbling Los Angeles apartment opposite the one in which F. Scott Fitzgerald spent the last moments of his life. Fitz had been Specktor’s first literary idol, someone whose own passage through Hollywood had, allegedly, broken him. Freshly divorced, professionally flailing, and reeling from his mother’s cancer diagnosis, Specktor was feeling unmoored. But rather than giving in or “cracking up,” he embarked on an obsessive journey to make sense of the mythologies of “success” and “failure” that haunt the artist’s life and the American imagination. Part memoir, part cultural history, part portrait of place, Always Crashing in the Same Car explores Hollywood through a certain kind of collapse. It’s a vibrant and intimate inspection of failure told through the lives of iconic, if under-sung, artists—Carole Eastman, Eleanor Perry, Warren Zevon, Tuesday Weld, and Hal Ashby, among others—and the author’s own family history. Through this constellation of Hollywood figures, he unearths a fascinating alternate history of the city that raised him and explores the ways in which curtailed ambition, insufficiency, and loss shape all our lives. At once deeply personal and broadly erudite, it is a story of an art form (the movies), a city (Los Angeles), and one person’s attempt to create meaning out of both. Above all, Specktor creates a moving search for optimism alongside the inevitability of failure and reveals the still-resonant power of art to help us navigate the beautiful ruins that await us all.

Safety-I and Safety-II

Author : Erik Hollnagel
Publisher : CRC Press
ISBN 13 : 1317059794
Total Pages : 167 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Safety-I and Safety-II by : Erik Hollnagel

Download or read book Safety-I and Safety-II written by Erik Hollnagel and published by CRC Press. This book was released on 2018-04-17 with total page 167 pages. Available in PDF, EPUB and Kindle. Book excerpt: Safety has traditionally been defined as a condition where the number of adverse outcomes was as low as possible (Safety-I). From a Safety-I perspective, the purpose of safety management is to make sure that the number of accidents and incidents is kept as low as possible, or as low as is reasonably practicable. This means that safety management must start from the manifestations of the absence of safety and that - paradoxically - safety is measured by counting the number of cases where it fails rather than by the number of cases where it succeeds. This unavoidably leads to a reactive approach based on responding to what goes wrong or what is identified as a risk - as something that could go wrong. Focusing on what goes right, rather than on what goes wrong, changes the definition of safety from ’avoiding that something goes wrong’ to ’ensuring that everything goes right’. More precisely, Safety-II is the ability to succeed under varying conditions, so that the number of intended and acceptable outcomes is as high as possible. From a Safety-II perspective, the purpose of safety management is to ensure that as much as possible goes right, in the sense that everyday work achieves its objectives. This means that safety is managed by what it achieves (successes, things that go right), and that likewise it is measured by counting the number of cases where things go right. In order to do this, safety management cannot only be reactive, it must also be proactive. But it must be proactive with regard to how actions succeed, to everyday acceptable performance, rather than with regard to how they can fail, as traditional risk analysis does. This book analyses and explains the principles behind both approaches and uses this to consider the past and future of safety management practices. The analysis makes use of common examples and cases from domains such as aviation, nuclear power production, process management and health care. The final chapters explain the theoret

Pakistan's Drift into Extremism

Author : Hassan Abbas
Publisher : Routledge
ISBN 13 : 1317463285
Total Pages : 305 pages
Book Rating : 4.3/5 (174 download)

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Book Synopsis Pakistan's Drift into Extremism by : Hassan Abbas

Download or read book Pakistan's Drift into Extremism written by Hassan Abbas and published by Routledge. This book was released on 2015-03-26 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the rise of religious extremism in Pakistan, particularly since 1947, and analyzes its connections to the Pakistani army's corporate interests and U.S.-Pakistan relations. It includes profiles of leading Pakistani militant groups with details of their origins, development, and capabilities. The author begins with an historical overview of the introduction of Islam to the Indian sub-continent in 712 AD, and brings the story up to the present by describing President Musharraf's handling of the war on terror. He provides a detailed account of the political developments in Pakistan since 1947 with a focus on the influence of religious and military forces. He also discusses regional politics, Pakistan's attempt to gain nuclear power status, and U.S.-Pakistan relations, and offers predictions for Pakistan's domestic and regional prospects.