Drift into Failure
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Sidney Dekker
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Sidney Dekker
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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.
©2012 Sidney Dekker (P)2018 Sidney DekkerKritikerstimmen
"Dekker is a specialist in things going wrong. He is the world's leading thinker on airline safety. He is concerned about drift into failure in hospitals, on oil drilling platforms, in financial services, on NASA missions. But my hope that the book would somehow be about the human condition in a more intimate way was not disappointed." (Australian Library Review)
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Geschichte
- Beat Kistler
- 08.04.2020
Spot on!
Sidney is a legend and is spot on with his explanation. Learned a lot. He gives some ideas how to solve the drift in practice, but I guess to find the ideal way is the holy grail.
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