메뉴 건너뛰기




Volumn 50, Issue 4, 2012, Pages 931-944

Modeling patterns of breakdown (or archetypes) of human and organizational processes in accidents using system dynamics

Author keywords

System dynamics

Indexed keywords

ACCIDENT INVESTIGATION; ACCIMAP; COMPLEXITY THEORY; CONTROL MODEL; GENERIC TEMPLATES; IN-BUILDINGS; ORGANIZATIONAL DYNAMICS; ORGANIZATIONAL PROCESS; SAFETY MARGIN; SYSTEM CONTROL; SYSTEM DYNAMICS; SYSTEMS APPROACH; VIABLE SYSTEM MODEL;

EID: 84856419778     PISSN: 09257535     EISSN: 18791042     Source Type: Journal    
DOI: 10.1016/j.ssci.2011.12.011     Document Type: Review
Times cited : (48)

References (52)
  • 1
    • 84856462519 scopus 로고
    • Accident Investigation
    • Accident to Boeing 737-400 G-OBME Near Kegworth, Leicestershire on 8th January 1989. Air Accidents Investigations Branch, Department of Transport. Report No. 4190, HSMO, London.
    • Accident Investigation, 1989. Accident to Boeing 737-400 G-OBME Near Kegworth, Leicestershire on 8th January 1989. Air Accidents Investigations Branch, Department of Transport. Report No. 4190, HSMO, London.
    • (1989)
  • 2
    • 33845312419 scopus 로고
    • Accident Investigation
    • Controlled Flight Into Terrain American Airlines Flight 965 Boeing 757-233, N651AA Near Cali, Colombia, December 20, 1995. Aeronautica Civil of the Republic of Colombia.
    • Accident Investigation, 1995. Controlled Flight Into Terrain American Airlines Flight 965 Boeing 757-233, N651AA Near Cali, Colombia, December 20, 1995. Aeronautica Civil of the Republic of Colombia.
    • (1995)
  • 6
    • 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
  • 7
    • 33748796621 scopus 로고    scopus 로고
    • Failure to mobilize in reliability-seeking organizations: two cases from the UK Railway
    • Busby J.S. Failure to mobilize in reliability-seeking organizations: two cases from the UK Railway. Journal of Management Studies 2006, 43:1375-1393.
    • (2006) Journal of Management Studies , vol.43 , pp. 1375-1393
    • Busby, J.S.1
  • 8
    • 84937570007 scopus 로고    scopus 로고
    • Distancing through differencing: An obstacle to organizational learning following accidents
    • Ashgate, Aldershot, E. Hollnagel, D.W. Woods, N. Leveson (Eds.)
    • Cook R.I., Woods D.D. Distancing through differencing: An obstacle to organizational learning following accidents. Resilience Engineering: Concepts and Precepts 2006, 329-338. Ashgate, Aldershot. E. Hollnagel, D.W. Woods, N. Leveson (Eds.).
    • (2006) Resilience Engineering: Concepts and Precepts , pp. 329-338
    • Cook, R.I.1    Woods, D.D.2
  • 9
    • 0041310004 scopus 로고    scopus 로고
    • A system dynamics analysis of the Westray mine disaster
    • Cooke D.L. A system dynamics analysis of the Westray mine disaster. System Dynamics Review 2003, 19:139-166.
    • (2003) System Dynamics Review , vol.19 , pp. 139-166
    • Cooke, D.L.1
  • 10
    • 33845327850 scopus 로고    scopus 로고
    • Learning from incidents: from normal accidents to high reliability
    • Cooke D.L., Rohleder T.R. Learning from incidents: from normal accidents to high reliability. System Dynamics Review 2006, 22:213-239.
    • (2006) System Dynamics Review , vol.22 , pp. 213-239
    • Cooke, D.L.1    Rohleder, T.R.2
  • 11
    • 0002052350 scopus 로고
    • Fixation errors: failures to revise situation assessment in dynamic and risky environments
    • Kluwer Academic, Amsterdam, A.G. Colombo, A. Saiz de Bustamante (Eds.)
    • De Keyser V., Woods D.D. Fixation errors: failures to revise situation assessment in dynamic and risky environments. Systems Reliability Assessment 1990, 231-251. Kluwer Academic, Amsterdam. A.G. Colombo, A. Saiz de Bustamante (Eds.).
    • (1990) Systems Reliability Assessment , pp. 231-251
    • De Keyser, V.1    Woods, D.D.2
  • 13
    • 0003486253 scopus 로고    scopus 로고
    • Metropolitan Books/Henry Holt, New York
    • Dorner D. The Logic of Failure 1996, Metropolitan Books/Henry Holt, New York.
    • (1996) The Logic of Failure
    • Dorner, D.1
  • 14
    • 33846668511 scopus 로고    scopus 로고
    • Using system dynamics for safety and risk management in complex engineering systems
    • Kuhl, M.E., Steiger, N.M., Armstrong, F.B., Joines, J.A. (Eds.), Proceedings of the 2005 Winter Simulation Conference.
    • Dulac, N., Leveson, N., Zipkin, D., Friedenthal, S., Cutcher-Gershenfeld, J., Carroll, J., Barrett, B., 2005. Using system dynamics for safety and risk management in complex engineering systems. In: Kuhl, M.E., Steiger, N.M., Armstrong, F.B., Joines, J.A. (Eds.), Proceedings of the 2005 Winter Simulation Conference, pp. 1311-1320.
    • (2005) , pp. 1311-1320
    • Dulac, N.1    Leveson, N.2    Zipkin, D.3    Friedenthal, S.4    Cutcher-Gershenfeld, J.5    Carroll, J.6    Barrett, B.7
  • 16
    • 0029004440 scopus 로고
    • Towards a theory of situation awareness in dynamic systems
    • Endsley M.R. Towards a theory of situation awareness in dynamic systems. Human Factors 1995, 37:32-64.
    • (1995) Human Factors , vol.37 , pp. 32-64
    • Endsley, M.R.1
  • 18
    • 0024604590 scopus 로고
    • The response of anesthesia trainees to simulated critical incidents
    • Gaba D.M., DeAnda A. The response of anesthesia trainees to simulated critical incidents. Anesthesia and Analgesia 1989, 68:444-451.
    • (1989) Anesthesia and Analgesia , vol.68 , pp. 444-451
    • Gaba, D.M.1    DeAnda, A.2
  • 21
    • 0003553116 scopus 로고    scopus 로고
    • Learning from Bristol
    • The Report of the Public Enquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984-1995, HMSO, London. .
    • Kennedy, I., 2001. Learning from Bristol. The Report of the Public Enquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984-1995, HMSO, London. http://www.bristol-inquiry.org.uk.
    • (2001)
    • Kennedy, I.1
  • 23
    • 84856426357 scopus 로고    scopus 로고
    • Adaptive teams
    • Proceedings of the 6th ICCRTS Collaboration in the Information Age Track 4: C2 Decision Making and Cognitive Analysis. .
    • Klein, G.A., Pierce, L.G., 2001. Adaptive teams. In: Proceedings of the 6th ICCRTS Collaboration in the Information Age Track 4: C2 Decision Making and Cognitive Analysis. http://www.dodccrp.org/6thICCRTS.
    • (2001)
    • Klein, G.A.1    Pierce, L.G.2
  • 24
  • 25
    • 84855657770 scopus 로고    scopus 로고
    • A systemic analysis of patterns of organizational breakdown in accidents: a case from helicopter emergency medical service (HEMS) operations
    • in press.
    • Kontogiannis, T., Malakis, S., in press. A systemic analysis of patterns of organizational breakdown in accidents: a case from helicopter emergency medical service (HEMS) operations. Reliability Engineering and System Safety.
    • Reliability Engineering and System Safety.
    • Kontogiannis, T.1    Malakis, S.2
  • 26
    • 0343353411 scopus 로고
    • Occupational accident research and systems approach
    • John Wiley, New York, J. Rasmussen, K. Duncan, J. Leplat (Eds.)
    • Leplat J. Occupational accident research and systems approach. New Technology and Human Error 1987, 181-191. John Wiley, New York. J. Rasmussen, K. Duncan, J. Leplat (Eds.).
    • (1987) New Technology and Human Error , pp. 181-191
    • Leplat, J.1
  • 27
    • 34548204400 scopus 로고    scopus 로고
    • System Safety Engineering: Back to the Future
    • .
    • Leveson, N.G., 2002. System Safety Engineering: Back to the Future. http://sunnyday.mit.edu/.
    • (2002)
    • Leveson, N.G.1
  • 28
    • 1342344540 scopus 로고    scopus 로고
    • A new accident model for engineering safety systems
    • Leveson N.G. A new accident model for engineering safety systems. Safety Science 2004, 42:237-270.
    • (2004) Safety Science , vol.42 , pp. 237-270
    • Leveson, N.G.1
  • 29
    • 77957020928 scopus 로고    scopus 로고
    • Technical and managerial factors in the NASA Challenger and Columbia losses: looking forward to the future
    • University of Wisconsin Press, K.A. Cloud-Hansen, J. Handelsman, D.L. Kleinman (Eds.)
    • Leveson N.G. Technical and managerial factors in the NASA Challenger and Columbia losses: looking forward to the future. Controversies in Science and Technology 2007, 237-261. University of Wisconsin Press. K.A. Cloud-Hansen, J. Handelsman, D.L. Kleinman (Eds.).
    • (2007) Controversies in Science and Technology , pp. 237-261
    • Leveson, N.G.1
  • 30
    • 44349183649 scopus 로고    scopus 로고
    • Conceptualizing and communicating organizational risk dynamics in the thoroughness-efficiency space
    • Marais K., Saleh J.H. Conceptualizing and communicating organizational risk dynamics in the thoroughness-efficiency space. Reliability Engineering and System Safety 2008, 93:1710-1719.
    • (2008) Reliability Engineering and System Safety , vol.93 , pp. 1710-1719
    • Marais, K.1    Saleh, J.H.2
  • 32
    • 77949478849 scopus 로고    scopus 로고
    • Organisational resilience and industrial risk
    • Ashgate Publishing, Aldershot, E. Hollnagel, D.D. Woods, N. Leveson (Eds.)
    • McDonald N. Organisational resilience and industrial risk. Resilience Engineering: Concepts and Practice 2006, 143-168. Ashgate Publishing, Aldershot. E. Hollnagel, D.D. Woods, N. Leveson (Eds.).
    • (2006) Resilience Engineering: Concepts and Practice , pp. 143-168
    • McDonald, N.1
  • 33
    • 60249097741 scopus 로고    scopus 로고
    • Incorporating organizational factors into Probabilistic Risk Assessment (PRA) of complex socio-technical systems: a hybrid technique formalization
    • Mohaghegh Z., Kazemi R., Mosleh A. Incorporating organizational factors into Probabilistic Risk Assessment (PRA) of complex socio-technical systems: a hybrid technique formalization. Reliability Engineering and System Safety 2009, 94:1000-1018.
    • (2009) Reliability Engineering and System Safety , vol.94 , pp. 1000-1018
    • Mohaghegh, Z.1    Kazemi, R.2    Mosleh, A.3
  • 34
    • 0033931435 scopus 로고    scopus 로고
    • There is more to monitoring a nuclear power plant than meets the eye
    • Mumaw R.J., Roth E.M., Vicente K., Burns C.M. There is more to monitoring a nuclear power plant than meets the eye. Human Factors 2000, 42:36-55.
    • (2000) Human Factors , vol.42 , pp. 36-55
    • Mumaw, R.J.1    Roth, E.M.2    Vicente, K.3    Burns, C.M.4
  • 35
    • 0042116360 scopus 로고    scopus 로고
    • Quantifying the effects of organizational and management factors in the chemical installation
    • Probabilistic Safety Assessment and Management, ESREL 96-PSAM III, Crete, Greece.
    • Papazoglou, I.A., Aneziris, O.N., 1996. Quantifying the effects of organizational and management factors in the chemical installation. In: Probabilistic Safety Assessment and Management, ESREL 96-PSAM III, Crete, Greece, pp. 922-927.
    • (1996) , pp. 922-927
    • Papazoglou, I.A.1    Aneziris, O.N.2
  • 38
    • 0004223940 scopus 로고
    • Cambridge University Press, Cambridge, UK
    • Reason J.T. Human Error 1990, Cambridge University Press, Cambridge, UK.
    • (1990) Human Error
    • Reason, J.T.1
  • 39
    • 0004249249 scopus 로고    scopus 로고
    • Managing the Risks of Organizational Accidents
    • Reason, J.T., 1997. Managing the Risks of Organizational Accidents.
    • (1997)
    • Reason, J.T.1
  • 41
    • 69949136472 scopus 로고    scopus 로고
    • The dynamics of action-oriented problem solving: linking interpretation and choice
    • Rudolph J.W., Morrison J.B., Carroll J.S. The dynamics of action-oriented problem solving: linking interpretation and choice. Academy of Management Review 2009, 34:733-756.
    • (2009) Academy of Management Review , vol.34 , pp. 733-756
    • Rudolph, J.W.1    Morrison, J.B.2    Carroll, J.S.3
  • 42
    • 33746228537 scopus 로고    scopus 로고
    • Who is to blame, the operator or the designer? Two stages of human failure in the Chernobyl accident
    • Salge M., Milling P.M. Who is to blame, the operator or the designer? Two stages of human failure in the Chernobyl accident. System Dynamics Review 2006, 22:89-112.
    • (2006) System Dynamics Review , vol.22 , pp. 89-112
    • Salge, M.1    Milling, P.M.2
  • 43
    • 0029257139 scopus 로고
    • How in the world did I ever get into that mode: mode error and awareness in supervisory control
    • Sarter N.B., Woods D.D. How in the world did I ever get into that mode: mode error and awareness in supervisory control. Human Factors 1993, 37:5-19.
    • (1993) Human Factors , vol.37 , pp. 5-19
    • Sarter, N.B.1    Woods, D.D.2
  • 47
    • 0037412617 scopus 로고    scopus 로고
    • Why hospitals don't learn from failures: organizational and psychological dynamics that inhibit system change
    • Tucker A.L., Edmondson A.C. Why hospitals don't learn from failures: organizational and psychological dynamics that inhibit system change. California Management Review 2000, 45:55-72.
    • (2000) California Management Review , vol.45 , pp. 55-72
    • Tucker, A.L.1    Edmondson, A.C.2
  • 52
    • 5444246667 scopus 로고    scopus 로고
    • A quantitative assessment of organizational factors affecting safety using a system dynamics model
    • Yu J., Ash N., Jae M. A quantitative assessment of organizational factors affecting safety using a system dynamics model. Journal of Korean Nuclear Society 2004, 36:64-72.
    • (2004) Journal of Korean Nuclear Society , vol.36 , pp. 64-72
    • Yu, J.1    Ash, N.2    Jae, M.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.