Drift Into Failure

Author : Sidney Dekker
Publisher : CRC Press
ISBN 13 : 1351942913
Total Pages : 332 pages
Book Rating : 4.11/5 ( download)

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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.

Author : Professor Sidney Dekker
Publisher : Ashgate Publishing, Ltd.
ISBN 13 : 1409486559
Total Pages : 277 pages
Book Rating : 4.58/5 ( download)

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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.

Author : Sidney Dekker
Publisher : CRC Press
ISBN 13 : 1482242001
Total Pages : 304 pages
Book Rating : 4.03/5 ( download)

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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

Author : Rachel Maddow
Publisher : Crown
ISBN 13 : 0307461009
Total Pages : 285 pages
Book Rating : 4.01/5 ( download)

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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.

Author : David D. Woods
Publisher : CRC Press
ISBN 13 : 1317175530
Total Pages : 292 pages
Book Rating : 4.37/5 ( download)

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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.

Author : Sidney Dekker
Publisher : Routledge
ISBN 13 : 1351786032
Total Pages : 137 pages
Book Rating : 4.34/5 ( download)

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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.

Author : Ernest Dunlop Swinton
Publisher :
ISBN 13 :
Total Pages : 74 pages
Book Rating : 4.43/5 ( download)

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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:

Author : Sidney Dekker
Publisher : Ashgate Publishing, Ltd.
ISBN 13 : 1409440605
Total Pages : 201 pages
Book Rating : 4.04/5 ( download)

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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.

Author : Casey Rosenthal
Publisher : "O'Reilly Media, Inc."
ISBN 13 : 1492043818
Total Pages : 312 pages
Book Rating : 4.12/5 ( download)

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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

Author : Kweku Ewusi-Mensah
Publisher : MIT Press
ISBN 13 : 9780262262576
Total Pages : 304 pages
Book Rating : 4.76/5 ( download)

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Download or read book Software Development Failures written by Kweku Ewusi-Mensah and published by MIT Press. This book was released on 2003-08-01 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: An empirically based study of why software development failures happen, and the lessons we can learn. Failed or abandoned software development projects cost the U.S. economy alone billions of dollars a year. In Software Development Failures, Kweku Ewusi-Mensah offers an empirically grounded study that suggests why these failures happen and how they can be avoided. Case studies analyzed include the well-known Confirm travel industry reservation program, FoxMeyer's Delta, the IRS's Tax System Modernization, the Denver International Airport's Baggage Handling System, and CODIS. It has been estimated that one-third of software development projects fail or are abandoned outright because of cost overruns, delays, and reduced functionality. Some consider this an acceptable risk—that it is simply the cost of doing business. Ewusi-Mensah argues that understanding the factors involved in development failures will help developers and businesses bring down the rate of software failure and abandoned projects. Ewusi-Mensah explores the reasons software development projects are vulnerable to failure and why issues of management and organization are at the core of any failed project. He examines these projects not from a deterministically technical perspective but as part of a complex technical and social process; he proposes a framework of factors that contribute to the decision to abandon a project and enumerates the risks and uncertainties inherent in each phase of a project's life cycle. Exploring the multiplicity of factors that make software development risky, he presents empirical data that is reinforced by analyses of the reported cases. He emphasizes the role of the user in the development process and considers the effect of organizational politics on a project. Finally, he considers what lessons can be learned from past failures and how software development practices can be improved.