The human factor: Revolutionizing the way people live with technology

The Human Factor: Revolutionizing the Way People Live with Technology

Volumn , Issue , 2004, Pages 1-356

  Vicente, Kim J ^a  

^a UNIVERSITY OF TORONTO   (Canada)

Author keywords

[No Author keywords available]

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EID: 84917251319     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.4324/9780203944479     Document Type: Book

References (168)

1. This account of the Chernobyl accident is based on the following sources: "Chernobyl" (World Nuclear Association, 2001), available at www.world-nuclear.org/info/chernobyllinill7.htm. 14 December 2001;
2. J. Reason, Human E7Tor (Cambridge, England: Cambridge University Press, 1990);
3. "Chernobyl fifteen years on: Thoughts and lessons from the Chernobyl accident," Nuclear Energy Association USA Health Physics Society Newsletter (April 2000), (www.nea.fr/htmVrp/chernobyl/allchernobyl.html, 14 December 2001);
4. P. Gould, Fire in the Rain: The Democratic Consequences of Chemobyl (Cambridge, England: Polity Press, 1990);
5. P. P. Read, Ablaze: The Story of Chemobyl (London: Seeker and Warburg, 1993).
6. A number of other factors also contributed to the accident. See Reason, Human Error.
7. U. Franklin, The Real World of Technology, revised edition (Toronto: House of Anansi Press, 1999).
8. R. W. Lucky, "Design for people - Nar," IEEE Spectrum 36(7): 20-21 (1999).
9. A. Lightman, The World Is Too Much with Me: Finding Pnvate Space in the Wired World (Toronto: Hart House, University of Toronto, 2002);
10. J. Gleick, Faster: The Acceleration of Just About Everything (New York: Pantheon, 2002).
11. L. T. Kohn, J. M. Corrigan, and M. S. Donaldson, To Err Is Human: BUilding a Saftr Health System (Washington, DC: National Academy Press, 1999).
12. T. A. Brennan et al., "Incidence of Adverse Events and Negligence in Hospitalized Patients: Results of the Harvard Medical Practice Study I," New England Journal of Medicine 324 (1991): 370-76.
13. L. L. Leape et al., "The Nature of Adverse Events in Hospitalized Patients: Results of the Harvard Medical Practice Study II" New England Journal of Medicine 324 (1991): 377-84.
14. R. M. Wilson et al., "The Quality in Australian Health Care Study," Medical Journal of Australia 163 (1995): 45-71;
15. C. Vincent et al., "Adverse Events in British Hospitals: Preliminary Retrospective Record Review," British Medical Journal 322 (2001): 517-19;
16. P. Davis et al., "Adverse Events in New Zealand Public Hospitals I: Occurrence and Impact," New Zealand Medical Journal 115 (2001) 271-80.
17. T. Brennan, 'The Institute of Medicine Report on Medical Errors - Could It Do Harm?" New England Journal of Medicine 342 (2002), 1123-25;
18. C. Newhall, letter to the editor, New England Journal of Medicine 343 (2000),664;
19. W. C. Richardson, D. M. Berwick and J. C. Bisgard, letter to the editor, New England Journal of Medicine, 343 (2002), 663-64;
20. C. J. McDonald, M. Weiner, and S. L. Hui, "Deaths Due to Medical Errors are Exaggerated in Institute of Medicine Report," Journal rf the American Medical Associatiol1 284 (2000): 93-95;
21. L. L. Leape, "Institute of Medicine Medical Error Figures Are Not Exaggerated," Journal of the Amencan Medical Association 284 (2000), 95-97.
22. D. B. Guralnik, Webster's New World Dictionary of the American Language, Second College Edition (Cleveland: William Collins and World Publishing, 1976), 1460.
23. Neil Postman, Technopoly: The Surrender of Culture to Technology (New York: Vintage, 1992).
24. D. M. Gaba and S. K. Howard, "Fatigue Among Clinicians and the Safety of Patients," New El1gland Journal of Medzcine 347 (2002): 1249-55.
25. "Pilot Fatigue, Error Probably Causes of '99 Little Rock Crash," CNN, 2001 (www.cnn.com/2001lUS/1of23/little.rock.crash/index.html, 26 April 2002).
26. R. Steinbrook, "The Debate over Residents' Work Hours," New England Journal of Medicine 347 (2002): 1296-1302.
27. L. O'Brien-Pallas et al., "The Economic Impact of Nurse Staffing Decisions: Time to Turn Down Another Road?" Hospital Quarterly 4(3): 42-50 (2001).
28. C. Kovner and P. J. Gergen, "Nursing Staff Levels and Adverse Events Following Surgery in U.S. Hospitals," Image: Journal of Nursing Sholarship 30 (1998),315-21;
29. L. Aiken et al., "Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction," Journal of the Amencan Medical Association 288 (2002): 1987-93;
30. J. Needleman et al., "Nurse-Staffing Levels and the Quality of Care in Hospitals," New England Journal of MedlCzne 346 (2002): 1715-22.
31. National Transportation Safety Board, 'Accidents, Fatalities, and Rates, 1982 through 2000, for U.S. Air Carriers Operating Under 14 CFR 121, Scheduled Service (Airlines)" (www.ntsb.gov/aviation/Table6.htm, 12 December 2001).
32. T. S. Perry, "In Search of the Future of Air Traffic Control," IEEE Spectrum 34(8): 19-35 (1997).
33. P. A. Hancock and S. G. Hart, "Defeating Terrorism: What Can Human Factors/Ergonomics Offer?" Ergonomics in Design 10(1): 6-15 (2002).
34. N. Moray, "Technosophy and Humane Factors," Ergonomics in Design 1(4): 33-39 (1993);
35. N. Moray, "Ergonomics and the Global Problems of the 21st Century," keynote address presented at the 12th Triennial Congress of the International Ergonomics Association, Toronto, August 1994;
36. R. Nickerson, Looking Ahead: Human Factors Challenges in a Changtng World (Hillsdale, NJ.: Erlbaum, 1992);
37. R. S. Nickerson and N. P. Moray, "Environmental change," in R. S. Nickerson, ed., Emergtng Needs and opportunties for Human Factors Research (Washington, D.C.: National Academy Press, 1995): 158-76;
38. M. Strong, Where On Earth Are We Gotng? (Toronto: Knopf Canada, 2000);
39. D. Peterson, "Safe Drinking Water for Rural Canada," in Proceedtng.r of the Conference on Safe DrInkIng Water Production tn Rural Areas: Issues, Challenges and Future Directions (Saskatoon, Sask ..: Safe Drinking Water Foundation, 2002) (www.safewater.org/conferences/proceedings!peterson.htm, November 29, 2002)
40. World Resource Institute Facts and Figures: Environmental Data Tables (www.wri.org/facts/data-tables-forests.html, March 7, 2003.)
41. See R. Preston, The Demon in the Freezer: A True Story (New York: Random House, 2002).
42. I C. P. Snow, The Two Cultures (1959; Cambridge, England: Cambridge University Press, 1998): 3, 11, 16,50.
43. E. Hutchins, Cognition in the Wild. (Cambridge, Mass.: MIT Press, 1995).
44. D. A. Norman, The Psychology if Everyday Things (New York: Basic Books, 1988).
45. M. Gooderham, "Baffled Consumers Plead for Simplicity," Globe and Mat?' 8 December 1998, C1.
46. J. Hopkins, "When the Devil Is in the Design," USA Today, 31 December 2001 (www.usatoday.com/money/retaill2001-12-31-design.htm, December 31, 2001).
47. A. Robinson, "BMW 7451: The Ultimate Interfacing Machine," Car and Driver (June 2002): 71-75.
48. A. Bornhop, "BMW 7451: iDrive? No, you drive, while I fiddle with the controller," Road and Track (June 2002): 74-79.
49. P. Beynon-Davies, "Information Systems 'Failure': The Case of the London Ambulance Service's Computer Aided Despatch Project," European Journaloflnflrmotion Systems 4(1995):171-84;
50. D. Page, P. Williams, and D. Boyd, "Report of the Public Inquiry into the London Ambulance Service" (London: South West Thames Regional Health Authority, 1993).
51. Beynon-Davies, "Information Systems Failure:'Norman, Psychology of Everyday Things.
52. Robert Wright, Nonzero: The Logic of Human Destiny (New York: Vintage Books, 2000).
53. J. J. Gibson, The Ecological Approach to Visual Perception (Boston: Houghton-Miillin,1979).
54. See N. Moray, "Error Reduction as a Systems Problem," in M. S. Bogner, ed., Human Error in Medidne (Hillsdale, NJ.: Erlbaum, 1994),67-91;
55. andJ. Rasmussen, "Risk Management in a Dynamic Society," Softty Science 22 (1997): 183-213.
56. National Research Council, Musculoskeletal Disorders and the Workplace: Low Back and Upper Extremtttes (Washington, D.C.: National Academy Press, 2001).
57. C. D. Wickens, Engineen"ng Psychology and Human PerfOnnance (New York: Harper-Collins, 1992).
58. L. Segal, "Designing Team Workstations: The Choreography of Teamwork," in P. Hancock,J. Flach,J. Caird, and K. Vicente, eds., Local Appkcattons of the Ecological Approach to Human-Machine Systems (Hillsdale, NJ.: Erlbaum, 1995),392-415.
59. I. L. Janis, Victims of Groupthink (Boston: Houghton-Mifflin, 1972).
60. P. Ayton, and H. Arkes, "Call It Quits," New Scientist 158 (1998): 40-43.
61. G. Hardin, "The Tragedy of the Commons," Science 162 (1968): 1243-48.
62. K. J. Vicente, Cognitive Work Analysis: Toward Saft, Productive, and Healthy Computer-Based Work (Mahwah, NJ.: Erlbaum, 1999).
63. I Webb Associates, Anthropometnc Source Book: Anthropometry for Designers 1-3, NASA Reference Publication 1024 (Washington, D.C.: NASA, 1978).
64. K. H. E. Kroemer, H. I. Kroemer, and Ebert K. E. Kroemer, Engineen'ng Physiology: Physiologtcal Bases of Human Factors/Ergonomics (Amsterdam: Elsevier, 1986).
65. D. Gaba, "Structural and Organizational Issues in Patient Safety: A Comparison of Health Care to Other High-Hazard Industries," California Management Review 43 (2000): 83-102;
66. C. Perrow, Nonnal Accidents: Living With High-Risk Technologtes (New York: Basic Books, 1984).
67. Reuters, "Airline Disasters Fall," Metro Today, 3 January 2002, 1.
68. Fitts and Jones, "Analysis of Factors Contributing to 460 'Pilot Error' Experiences in Operating Aircraft Controls," 18.
69. S. N. Roscoe, The Adolescence of Engineenng Psychology (Santa Monica, Calif: Human Factors and Ergonomics Society, 1997).
70. A. R. Duchossoir, The Fender Stratocaster: The Success Story of A Legendary Guitar Born and Made in California (Milwaukee, Wis.: Hal Leonard Publishing, 1988).
71. Christie's Auction House, A Selection of Ene Clapton's Guitars In Aid of the Crossroads Centre (New York, 1999).
72. A. R. Duchossoir, The Fender Telecaster: The Detailed Story of Amenca's Senior Solid Body Electnc Guitar (Milwaukee, Wis.: Hal Leonard Publishing, 1991).
73. Duchossoir, Fender Stratocaster, 2.
74. Duchossoir, Fender Telecaster, 7.
75. Guitar Player (columnist), "The Hendrix Interviews: One of His First. October '68," Guitar Heroes 1(1) (1992): 49.
76. J. R. Guilfoyle, "What Design Has Done for the Toothbrush," Industnal Design (November/December 1977: 34-38).
77. G. Smets, "Industrial Design Engineering and the Theory of Direct Perception and Action," Ecological Psychology 7 (1995): 329-74.
78. D. A. Norman, The PsycllOlogy of Everyday Things (New York: Basic Books, 1998);
79. C. D. Wickens, S. E. Gordon, and Y. Liu, An Introduction to Human Factors Engineenng (Reading, Mass.: Addison-Wesley, 1997).
80. www.swindonweb.com/life/lifemagiO.htm.
81. Alphonse Chapanis and L. Lindenbaum, "A Reaction Time Study of Four Control-Display Linkages," Human Factors 1(4)(1950): 1-7.
82. E. Bergman and R. Haitani, "Designing the PalmPilot: A Conversation with Rob Haitani," in E. Bergman, ed., ItifOnnatl0n Applz'ances and Beyond (San Francisco, Calif: Morgan Kaufinann, 2000,81-102).
83. www.palm.com.
84. W. S. Cleveland, The Elements o/Graphlng Data (Monterey, Calif: Wadsworth, 1985).
85. P. Underhill, Why We Buy: The Science of ShoppIng (New York: Simon and Schuster, 1999).
86. These examples were already presented in my "Human Factors and Global Problems: A Systems Perspective" (Systems Engtneenng 1 (1998): 57-69.
87. D. Kuk, J. Cowley, and F. A. Beserve, "Human Factors: Two Different Directions in Energy Conservation," unpublished manuscript (Toronto: Department of Industrial Engineering, University of Toronto, 1994).
88. C. Long, D. Ramsahai, Z. Bhujwalla, and J. Wright, "Redesigning Photocopiers to Reduce Paper Wastage," unpublished manuscript (Toronto: Department of Industrial Engineering, University of Toronto, 1994).
89. J. L. Seminara, W. R. Gonzalez, and S. O. Parsons, Human Factors Review of Nuclear Plant Control Room Design, Electric Power Research Institute, Palo Alto, Calif (1977): NP-309.
90. John G. Kemeny, Report of the President's CommisSIon on the Accident at Three Mzle Island: The Need for Change: The Legacy of TMI, Government Printing Office, Washington, D.C. (1979): 112.
91. J. M. Broughton, P. Kuan, and D. A. Petti, "A Scenario of the Three Mile Island Unit 2 Accident," Nuclear Technology 87 (1989): 34-53.
92. E. Rubinstein, "The accident that shouldn't have happened," IEEE Spectrum 16 (1979): 33-42.
93. L. Beltracchi, 'A Direct Manipulation Interface for Water-based Rankine Cycle Heat Engines," IEEE Transachons on Systems, Man, andCybemehcsSMC-17 (1987),478-87.
94. K.J. Vicente et al., "Evaluation of a Rankine Cycle Display for Nuclear Power Plant Monitoring and Diagnosis" Human Factors 38 (1996): 506-21.
95. International Atomic Energy Association, "Electricity, Nuclear Power and the Global Environment - Fact Sheet:' (www.iaea.org/worldatomiPeriodicals/Factsheets/Engiishl, 23 December 2002).
96. This description of the problems with airport security is based on the following references: P. A. Hancock and S. G. Hart, "Defeating Terrorism: What Can Human Factors/Ergonomics Offer?" Ergonomics in Design 10(1): 6-16 (2002);
97. D. Harris, "How to Really Improve Airport Security," Ergonomics in Design 10(1): 17-22 (2002);
98. G. Kaempf, D. Klinger, and S. Wolf, Development of Decision-Centered Interventionsfor Airport Secunry Checkpoints, final technical report (Yellow Springs, Ohio: Klein Associates Inc., 1994);
99. G. Kaempf, D. Klinger, and S. Wolf, Perfonnance Measurement for Airport Secunry Personnel, final technical report (Yellow Springs, Ohio: Klein Associates Inc., 1996).
100. Harris, "Airport Security," 20.
101. D. R. Davies and R. Parasuraman, The Psychology of Vigilance (London: Academic, 1982).
102. D. Ose, Enifing Memorandum for November 27, 2001
103. Heanng. "What Regulations Are Needed to Ensure Air Security?" (Washington, D.C.: Committee on Government Reform, House of Representatives, Congress of the United States, 2001).
104. Kaempf et al., "Performance Measurement," 12-13.
105. K. J. Vicente, K. Kada-Bekhaled, G. Hillel, A. Cassano, and B. A. Orser, "Programming Errors Contribute to Death from PatientControlled Analgesia: Case Report and Estimate of Probability," Canadian Journal of Anesthesia 50(4)(2003): 328-32.
106. Institute for Safe Medication Practices, "Evidence Builds: Lack of Focus on Human Factors Allows Error-Prone Devices," ISMP Medication Safty Alert 4(15) (1999);
107. M. B. Weinger et al., "Incorporating Human Factors into the Design of Medical Devices," Journal of the Amencan Medical Association 280 (1998): 1484.
108. Emergency Care Research Institute, "Patient-Controlled Analgesic Infusion Pumps," Health DevIces 30 (2001): 172.
109. C. H. McLeskey, "Abbott Addresses Medication Errors through Advanced PCA Technology," APSF Newsletter 15 (2000): 36-37. (www.gasnet.orgllsocieties/apsflnewsletter/200offall/070pinionResponse.htm, 22 August 2001);
110. Abbott Laboratories, "LifeCare® PCA Plus II Infuser" (www.abbotthosp.comiPROD/pain/pcaplus.html, 23 August 2001).
111. Emergency Care Research Institute, "Medication Safety: PCA Pump Programming Errors Continue to Cause Fatal Overinfusions," Health Devices 31 (2002): 342-47.
112. Vicente et al., "Programming Errors Contribute to Death".
113. Institute for Safe Medication Practices, "Safety briefs," ISMP Medication Safety Alert 1(9)(1996): 1.
114. L. Lin et al., ''Applying Human Factors to the Design of Medical Equipment: Patient-Controlled Analgesia," Journal of Climcal Monitonng and Computlng 14 (1998): 253-63. (www.kluweronline.com/issn/1387-1307, 25 February 2002.)
115. L. Lin, K. J. Vicente, and D. J. Doyle, "Patient Safety, Potential Adverse Drug Events, and Medical Device Design: A Human Factors Engineering Approach," Journal of BiomedIcal ltiformatlcs 34 (2001): 274-84 (www.idealibrary.com/links/doill0.l006/jbin.2001.1028/pdf, 28 March 2002).
116. D. Mayer, "Dear Clinician," letter dated 29 October 1997 (Hospital Products Division of Abbott Laboratories, 1997).
117. P. St. John, "Drug Pump's Deadly Trail," Tallahassee Democrat (28 May 2001) AI.
118. C. H. McLeskey, "Patient-Controlled Analgesia," Canadian Medzcal Associatlon Journal 164 (2001): 620-35
119. L. L. Leape, "Error in Medicine," Journal ofthe Amencan Medical Associatzon 272 (1994): 1851-57.
120. J. B. Cooper, R. S. Newbower, C. D. Long., and B. McPeek, "Preventable Anesthesia Mishaps: A Study of Human Factors," AnesthesIology 49 (1978): 399-406.
121. Arthur Koestler, The Sleepwalkers: A History of Man's Changing Vision of the Universe (London: Penguin, 1959).
122. R. L. Helmreich, and H. C. Foushee, "Why Crew Resource Management? Empirical and Theoretical Bases of Human Factors Training in Aviation," in E. L. Weiner, B. G. Kanki, and R. L. Helmreich, eds., COCkpIt Resource Management (San Diego. Calif: Academic Press, 1993) 3-45.
123. H. C. Foushee, "Dyads and Triads at 35,000 Feet: Factors Affecting Group Process and Crew Performance," Amencan Psychologist 39 (1984): 885-93.
124. H. W. Orlady, 'Airline Pilot Training Today and Tomorrow," in E. L. Weiner, B. G. Kanki, and R. L. Helmreich, eds., Cockpit Resouro: Management, 447-77.
125. Weiner, Kanki, and Helmreich, Cockpit Resource Management.
126. R. E. Butler, "LOFT: Full-Mission Simulation as Crew Resource Management Training," in Weiner, Kanki, and Helmreich, Cockpit Resouro: Management, 231-59.
127. L. Segal, "Designing Team Workstations: The Choreography of Teamwork, in P. Hancock et al., eds., Local Applications of the Ecological Approach to Human-Machine Systems (Hillsdale, NJ.: Erlbaum, 1995), 392-415.
128. R. E. Byrnes, and R. Black, "Developing and Implementing CRM Programs: The Delta Experience," in Weiner, Kanki, and Helmreich, Cockpit Resouro: Management, 421-43.
129. R L. Helrnreich, E. L. Weiner, and B. G. Kanki, '''The Future of Crew Resource Management in the Cockpit and Elsewhere, in Weiner, Kanki, and Helmreich, Cockpit Resource Management, 479-50l.
130. R. L. Helmreich, and A. C. Merritt, Culture at "Work in Aviation and Medicine: National, Organizational and Profissional Influences (Aldershot, England: Ashgate, 1998).
131. R. L. Helmreich, and H.-G. Schaefer, "Team Performance in the Operating Room," in M. S. Bogner, ed., Human Error in Medicine (Hillsdale, NJ.: Erlbaum, 1994), 225-53.
132. L. Lingard et al., "Team Communication in the Operating Room: Talk Patterns, Sites of Tension, and Implications for Novices," Academic Medicine 77 (2002), 232-37.
133. Helmreich and Merritt, Culture at Work in Aviation, 169-70.
134. S. K. Howard, D. M. Gaba, K. J. Fish, G. Yang, and F. H. Sarnquist, ''Anesthesia Crisis Resource Management Training: Teaching Anesthesiologists to Handle Critical Incidents," Aviation, Space & Environmental Medicine 63 (1992): 763-70
135. D. M. Gaba et al., 'Simulation-Based Training in Anesthesia Crisis Resource Management (ACRM): A Decade of Experience," Simulation & Gaming 32 (2001): 175-93.
136. D. M. Gaba, and A. DeAnda, ''A Comprehensive Anesthesia Simulation Environment: Re-Creating the Operating Room for Research and Training," Anesthesiology 69, 387-94. For a description of the latest version, see: anesthesia.stanford.edul VASimulatorlsim.htm, 25 March 2002.
137. D. M. Gaba, K. J. Fish, and S. K. Howard, Cnsis Management in Anesthesiology (New York: Churchill Livingstone, 1994).
138. Gaba et al. "Simulation-based Training in Anesthesia" (2001).
139. Helmreich, Weiner, and Kanki, "Future of Crew Resource Management
140. N. Johnston, "CRM: Cross-cultural Perspectives," in Veiner, Kanki, and Helmreich, Cockpit Resource Management.
141. H. Yamamori, and T. Mito, "Keeping CRM is Keeping the Flight Safe," in Weiner, Kanki, and Helmreich, Cockpit Resource Management, 399-420.
142. L. T. Kohn, J. M., Corrigan, and M. S. Donaldson, To Err is Human: Butlding a Safer Health System (Washington, D.C.: National Academy Press, 1999).
143. Richard Feynman, '''What do you care what other people think?' Further Adventures of a Cunous Character" (New York: Norton, 1988).
144. J Rasmussen, "Risk Management in a Dynamic Society: A Modelling Problem," Saftty Science 27 (1997): 183-213
145. S C. Billings, "Incident Reporting Systems in Medicine and Experience with the Aviation Safety Reporting System," in R. I. Cook, D. D. Woods, and C. Miller, eds., A Tale of Two Stones: ContrastIng Views of Pattent Safety (Chicago: National Patient Safety Foundation at the AMA, 1998), 52-61
146. Billings, "Lessons Learned from Voluntary Incident Reporting," 59.
147. D. J. Cullen et al., "The Incident Reporting System Does Not Detect Adverse Drug Events: A Problem for Quality Improvement," Joint Commission Journal of Qualz'ty Improvement 21(10)(1995): 541-52
148. Keith et al., "Detecting and Evaluating Adverse Drug Events"
149. B. Liang, "Error in Medicine: Legal Impediments to U.S. Reform," Journal of Health Politics, Poliey and Law 24 (1999): 27-58.
150. E. M. Tracy, "Evolving Practice and a Culture of Safety," in ProceedIngs of EnhanCIng Pattent Safety and Reducing Errors In Health Care (Chicago: National Patient Safety Foundation, 1999), 38-40.
151. S. S. Kraman, and G. Hamm, "Risk Management: Extreme Honesty May be the Best Policy," Annals of Internal Medicine 131 (1999): 963-67.
152. Thomas Homer-Dixon, "The rise of complex terrorism," Foreign Policy (January/February 2002).
153. S. Hick, E. F. Halpin, and E. Hoskins, Human Rights and the Internet (London: MacMillan, 2000).
154. W. Shawcross, "The Literary Destruction of Henry Kissinger," Far Eastern Economic Review (2 January 1981)
155. Smith, Moral Sentiments, 233-34.
156. K. J. Vicente and J. Rasmussen, "The Ecology of HumanMachine Systems II: Mediating 'Direct Perception' in Complex Work Domains," Ecological Psychology 2 (1990): 207-50
157. K. J. Vicente and J. Rasmussen, "Ecological Interface Design: Theoretical Foundations," IEEE Transacttons on Systems, Man, and Cybernetics SMC-22 (1992): 589-606.
158. Adapted from Rasmussen (1997) and reprinted from Vicente (2002). Quality and Sofety in Healtlleare, 11, 302-304. With permission from the BMJ Publishing Group.
159. K. J. Vicente, "Cognitive Engineering Research at Risø from 1962-1979," in E. Salas, ed., Advances in Hufiuln Performonce and Cognitive Engineenng Research, vol. 1 (New York: Elsevier, 2001), 1-57.
160. J. Reason, Human Error (Cambridge, England: Cambridge University Press, 1990).
161. J. Rasmussen, "Risk Management in a Dynamic Society," Sofety Science 22 (1997): 183-213.
162. http://enight.dos.state.fl.us/ 1 February 200l.
163. "Palm Beach Voter Lawsuit Withdrawn As Hearing Convenes." (CNN, 2000), (www.cnn.coml200ofALLPOLITICS/stories/11109/election.president/index.html, 9 November 2000).
164. R. C. Sinclair, et al., 'An Electoral Butterfly Effect," Nature 408 (2000): 665-66, (www.nature.com/cgitaf/DynaPage.taf?file=/nature/joumal/v408/n6813/full/408665bOJs.html, 18 February 2003).
165. D. A. Norman, The psychology of Everyday Things (New York: Basic Books, 1988).
166. J. Stackhouse, Out of Poverty: And into Something More Comfortable (Toronto: Random House Canada, 2000).
167. E. F. Schumacher, Small is Beautiful Economics As if People Mattered: 25 Year Later . .. With Commentanes (1973; Point Roberts, Wash.: Hartley and Marks, 1999).
168. S. Beer, Desigmizg Freedom (Concord, Ont.: Anansi, 1973),91.