메뉴 건너뛰기




Volumn 49, Issue 1, 2011, Pages 55-64

Applying systems thinking to analyze and learn from events

Author keywords

Accident model; Causal factors; Hazard analysis; Operator error; Safety versus reliability

Indexed keywords

ACCIDENT MODELS; CAUSAL FACTORS; HAZARD ANALYSIS; OPERATOR ERROR; SAFETY VERSUS RELIABILITY;

EID: 77957016520     PISSN: 09257535     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ssci.2009.12.021     Document Type: Article
Times cited : (376)

References (30)
  • 1
    • 0001217367 scopus 로고
    • Towards a system of systems concepts
    • Ackoff R.L. Towards a system of systems concepts. Management Science 1971, 17(11):661-671.
    • (1971) Management Science , vol.17 , Issue.11 , pp. 661-671
    • Ackoff, R.L.1
  • 2
    • 0027024489 scopus 로고
    • Dynamic decision making: human control of complex systems
    • Brehmer B. Dynamic decision making: human control of complex systems. Acta Psychologica 1992, 81:211-241.
    • (1992) Acta Psychologica , vol.81 , pp. 211-241
    • Brehmer, B.1
  • 5
    • 77957019329 scopus 로고    scopus 로고
    • Demonstration of a Powerful New Approach to Risk Analysis for NASA Project Constellation, MIT CSRL Final Report, March.
    • Dulac, Nicholas, Brandon Owens, Nancy Leveson, Betty Barrett, John Carroll, Joel Cutcher-Gershenfeld, Stephen Friedenthal, Joseph Laracy, Joseph Sussman, 2007. Demonstration of a Powerful New Approach to Risk Analysis for NASA Project Constellation, MIT CSRL Final Report, March. http://sunnyday.mit.edu/ESMD-Final-Report.pdf.
    • (2007)
    • Dulac, N.1    Owens, B.2    Leveson, N.3    Barrett, B.4    Carroll, J.5    Cutcher-Gershenfeld, J.6    Friedenthal, S.7    Laracy, J.8    Sussman, J.9
  • 6
    • 84964114370 scopus 로고
    • Dynamic decision theory and probabilistic information processing
    • Edwards W. Dynamic decision theory and probabilistic information processing. Human Factors 1962, 4:59-73.
    • (1962) Human Factors , vol.4 , pp. 59-73
    • Edwards, W.1
  • 7
    • 77957021261 scopus 로고
    • What shapes operator performance? JAERI Human Factors Meeting, Tokyo, November.
    • Fujita, Y., 1991. What shapes operator performance? JAERI Human Factors Meeting, Tokyo, November.
    • (1991)
    • Fujita, Y.1
  • 8
    • 77957021198 scopus 로고    scopus 로고
    • iSixSigma
    • iSixSigma, 2008. http://www.isixsigma.com/dictionary/5_Whys-377.htm.
    • (2008)
  • 9
    • 77957017601 scopus 로고    scopus 로고
    • JPL Special Review Board, Report on the Loss of the Mars Polar Lander and Deep Space 2 Missions, NASA Jet Propulsion Laboratory, 22 March.
    • JPL Special Review Board, 2000. Report on the Loss of the Mars Polar Lander and Deep Space 2 Missions, NASA Jet Propulsion Laboratory, 22 March.
    • (2000)
  • 10
    • 0003407669 scopus 로고
    • Ablex Publishers, Klein, A. Gary, R. Judith Orasano, Calderwood, E. Caroline, Zsambok (Eds.)
    • Decision Making in Action: Models and Methods 1993, Ablex Publishers. Klein, A. Gary, R. Judith Orasano, Calderwood, E. Caroline, Zsambok (Eds.).
    • (1993) Decision Making in Action: Models and Methods
  • 12
    • 77957017220 scopus 로고
    • Addison-Wesley, Reading, MA
    • Leveson Nancy G. Software 1995, Addison-Wesley, Reading, MA.
    • (1995) Software
    • Leveson, N.G.1
  • 13
    • 1342344540 scopus 로고    scopus 로고
    • A new accident model for engineering safer systems
    • Leveson N.G. A new accident model for engineering safer systems. Safety Science 2004, 42(4):237-270.
    • (2004) Safety Science , vol.42 , Issue.4 , pp. 237-270
    • Leveson, N.G.1
  • 14
    • 77957017338 scopus 로고    scopus 로고
    • Risk Analysis of NASA Independent Technical Authority, NASA Final Report, June.
    • Leveson, Nancy, Nicolas Dulac, Betty Barrett, John Carroll, Joel Cutcher-Gershenfeld, Stephen Friedenthal, 2005. Risk Analysis of NASA Independent Technical Authority, NASA Final Report, June. http://sunnyday.mit.edu/ITA-Risk-Analysis.doc.
    • (2005)
    • Leveson1    Nancy2    Dulac, N.3    Barrett, B.4    Carroll, J.5    Cutcher-Gershenfeld, J.6    Friedenthal, S.7
  • 15
    • 77957020928 scopus 로고    scopus 로고
    • Technical and managerial factors in the NASA challenger and Columbia losses: looking forward to the future
    • Mary Ann Liebert, Inc.
    • Leveson N.G. Technical and managerial factors in the NASA challenger and Columbia losses: looking forward to the future. Controversies in Science and Technology, From Chromosomes to the Cosmos 2007, vol. 2. Mary Ann Liebert, Inc.
    • (2007) Controversies in Science and Technology, From Chromosomes to the Cosmos , vol.2
    • Leveson, N.G.1
  • 16
    • 77957018435 scopus 로고    scopus 로고
    • System Safety Engineering: Back to The Future (tentative title). Unpublished draft.
    • Leveson, Nancy G., 2009. System Safety Engineering: Back to The Future (tentative title). Unpublished draft. http://sunnyday.mit.edu/book2.html.
    • (2009)
    • Leveson1    Nancy, G.2
  • 17
    • 77957019879 scopus 로고    scopus 로고
    • Formal Report of the Investigation of the 30 April 1999 Titan IV B/Centaur TC-14/Milstar-3 (B32) Space Launch Mishap. US Air Force.
    • Pavlovich, J.G., 1999. Formal Report of the Investigation of the 30 April 1999 Titan IV B/Centaur TC-14/Milstar-3 (B32) Space Launch Mishap. US Air Force.
    • (1999)
    • Pavlovich, J.G.1
  • 20
    • 0004448459 scopus 로고
    • Human error and the problem of causality in analysis of accidents
    • Clarendon Press, Oxford, D.E. Broadbent, J. Reason, A. Baddeley (Eds.)
    • Rasmussen Jens Human error and the problem of causality in analysis of accidents. Human Factors in Hazardous Situations 1990, 1-12. Clarendon Press, Oxford. D.E. Broadbent, J. Reason, A. Baddeley (Eds.).
    • (1990) Human Factors in Hazardous Situations , pp. 1-12
    • Rasmussen, J.1
  • 21
    • 0031279121 scopus 로고    scopus 로고
    • Risk management in a dynamic society: a modelling problem. Safety Science, Elsevier Science Ltd.
    • Rasmussen, Jens, 1997. Risk management in a dynamic society: a modelling problem. Safety Science, vol. 27(2/3), Elsevier Science Ltd., pp. 183-213.
    • (1997) , vol.27 , Issue.2-3 , pp. 183-213
    • Jens, R.1
  • 23
    • 84968054162 scopus 로고
    • Managing high reliability organizations
    • Roberts K.H. Managing high reliability organizations. California Management Review 1990, 32(4):101-114.
    • (1990) California Management Review , vol.32 , Issue.4 , pp. 101-114
    • Roberts, K.H.1
  • 24
    • 77957018896 scopus 로고
    • The Self-Designing High Reliability Organization, Naval War College Review, Autumn.
    • Rochlin, Gene, I., La Porte, Todd, R., Roberts, Karlene, H., 1987. The Self-Designing High Reliability Organization, Naval War College Review, Autumn.
    • (1987)
    • Rochlin Gene, I.1    La Porte Todd, R.2    Roberts Karlene, H.3
  • 25
    • 77957021488 scopus 로고
    • Herald of Free Enterprise Report, Marine Accident Investigation Branch, Department of Transport (originally Report of Court No 8074 Formal Investigation, HMSO, London).
    • Sheen, Barry, 1987. Herald of Free Enterprise Report, Marine Accident Investigation Branch, Department of Transport (originally Report of Court No 8074 Formal Investigation, HMSO, London).
    • (1987)
    • Sheen1    Barry2
  • 26
    • 77957017629 scopus 로고
    • A Field Study of Operator Cognitive Monitoring at Pickering Nuclear Generating Station, Technical Report CEL 9504, Cognitive Engineering Laboratory, University of Toronto.
    • Vicente, R., Kim, J., 1995. A Field Study of Operator Cognitive Monitoring at Pickering Nuclear Generating Station, Technical Report CEL 9504, Cognitive Engineering Laboratory, University of Toronto.
    • (1995)
    • Vicente, R.1    Kim, J.2
  • 27
    • 84968080940 scopus 로고
    • Organizational Culture as a Source of High Reliability. California Management Review, (Winter)
    • Weick, Karl, E., 1987. Organizational Culture as a Source of High Reliability. California Management Review, 29(2), pp. 112-127 (Winter).
    • (1987) , vol.29 , Issue.2 , pp. 112-127
    • Weick Karl, E.1
  • 30
    • 0004196951 scopus 로고    scopus 로고
    • Lawrence Erlbaum Associates, R. Zsambok, E. Caroline, Gary Klein (Eds.)
    • Naturalistic Decision Making 1997, Lawrence Erlbaum Associates. R. Zsambok, E. Caroline, Gary Klein (Eds.).
    • (1997) Naturalistic Decision Making


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.