A new approach to risk analysis with a focus on organizational risk factors

Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Aeronautics and Astronautics, 2005.

[1]  Nancy G. Leveson,et al.  A new accident model for engineering safer systems , 2004 .

[2]  B Fischhoff,et al.  Risk perception and communication unplugged: twenty years of process. , 1995, Risk analysis : an official publication of the Society for Risk Analysis.

[3]  William R. Freudenburg.  Nothing Recedes Like Success - Risk Analysis and the Organizational Amplification of Risks , 1992 .

[4]  D E Maurino,et al.  Beyond Aviation Human Factors: Safety in High Technology Systems , 1995 .

[5]  Ido Erev,et al.  The Negative Effect of Probability Assessments on Decision Quality , 1993 .

[6]  J. L. Harrison,et al.  The Government Printing Office , 1968, American Journal of Pharmaceutical Education.

[7]  Terence Lee,et al.  Assessment of safety culture at a nuclear reprocessing plant , 1998 .

[8]  Karl E. Weick,et al.  Normal Accident Theory As Frame, Link, and Provocation , 2004 .

[9]  I. Cartuja.  ON SCIENCE AND PRECAUTION IN THE MANAGEMENT OF TECHNOLOGICAL RISK , 2000 .

[10]  N. Repenning,et al.  Disaster Dynamics: Understanding the Role of Quantity in Organizational Collapse , 2002 .

[11]  A. Kellerman,et al.  The Constitution of Society : Outline of the Theory of Structuration , 2015 .

[12]  Alistair Cheyne,et al.  Modelling employee attitudes to safety: a comparison across sectors , 1999 .

[13]  Richard Wilson.  Risk analysis , 1986, Nature.

[14]  R. S. Capers,et al.  Hubble error: Time, money and millionths of an inch , 1993 .

[15]  E. H. Bowman,et al.  A Dynamic Model of Organizational Decision Making: Chemco Revisited Six Years After Bhopal , 1997 .

[16]  Russell L. Ackoff,et al.  OR: after the post mortem , 2001 .

[17]  N. Pidgeon.  SAFETY CULTURE: KEY THEORETICAL ISSUES , 1998 .

[18]  K. Weick.  Organizational Culture as a Source of High Reliability , 1987 .

[19]  William I. Gorden.  Corporate Cultures: The Rites and Rituals of Corporate Life , 1984 .

[20]  Frances J. Milliken,et al.  Organizational Silence: A Barrier to Change and Development in a Pluralistic World , 2000 .

[21]  E. Wenger,et al.  Communities of Practice: The Organizational Frontier , 2000 .

[22]  P. Adler,et al.  Two Types of Bureaucracy: Enabling and Coercive , 1996 .

[23]  K. Weick.  The Vulnerable System: An Analysis of the Tenerife Air Disaster , 1990 .

[24]  Kenneth L. Carper,et al.  Inviting Disaster: Lessons from the Edge of Technology , 2001 .

[25]  Robert Maranto,et al.  The Perfect Is the Enemy of the Good , 2006 .

[26]  Gerard Walschap,et al.  ERIC , 1990, The Lancet.

[27]  Jeffrey S. Lavell,et al.  Report on the Loss of the Mars Polar Lander and Deep Space 2 Missions , 2000 .

[28]  Torbjørn Rundmo,et al.  Organisational factors, safety attitudes and workload among offshore oil personnel , 1998 .

[29]  Nancy G. Leveson,et al.  Safety Analysis Using Petri Nets , 1987, IEEE Transactions on Software Engineering.

[30]  Verzekeren Naar Sparen,et al.  Cambridge , 1969, Humphrey Burton: In My Own Time.

[31]  D. Buss,et al.  Contemporary Worldviews and Perception of the Technological System , 1986 .

[32]  John D. Sterman,et al.  All models are wrong: reflections on becoming a systems scientist† , 2002 .

[33]  Garret N. Vanderplaats,et al.  Numerical optimization techniques for engineering design , 1999 .

[34]  N. Rothbard,et al.  Out on a limb: The role of context and impression management in selling gender-equity issues. , 1998 .

[35]  P. Slovic.  Trust, Emotion, Sex, Politics, and Science: Surveying the Risk‐Assessment Battlefield , 1999, Risk analysis : an official publication of the Society for Risk Analysis.

[36]  Joseph H. Saleh,et al.  Archetypes for organizational safety , 2006 .

[37]  M. Shubik,et al.  A Behavioral Theory of the Firm. , 1964 .

[38]  A. D. RITCHIE.  Authority and the Individual , 1949, Nature.

[39]  B. Fischhoff,et al.  Knowing with Certainty: The Appropriateness of Extreme Confidence. , 1977 .

[40]  W. Huda.  Value Assumptions in Risk Assessment: A Case Study of the Alachlor Controversy , 1996 .

[41]  J. de Jong,et al.  The Human Operator in the Computer-Controlled Refinery , 1971 .

[42]  Anita L. Tucker,et al.  When Problem Solving Prevents Organizational Learning , 2002 .

[43]  J. E. Groves,et al.  Made in America: Science, Technology and American Modernist Poets , 1989 .

[44]  George E. Apostolakis,et al.  CONTEXT IN THE RISK ASSESSMENT OF DIGITAL SYSTEMS , 1999 .

[45]  Terje Aven,et al.  On the use of risk and decision analysis to support decision-making , 2003, Reliab. Eng. Syst. Saf..

[46]  George E. Apostolakis,et al.  Automated hazard analysis of digital control systems , 2002, Reliab. Eng. Syst. Saf..

[47]  Karlene H. Roberts,et al.  The Self-Designing High- Reliability Organization , 1998 .

[49]  Elizabeth E. Wierba,et al.  Reading the wind: how middle managers assess the context for selling issues to top managers , 1997 .

[50]  Birgitte Rasmussen,et al.  Hazard identification based on plant functional modelling , 1993 .

[51]  A. Tversky,et al.  Prospect theory: an analysis of decision under risk — Source link , 2007 .

[52]  Moshe Y. Vardi,et al.  Verification , 1917, Handbook of Automata Theory.

[53]  Frances J. Milliken,et al.  Speaking Up, Remaining Silent: The Dynamics of Voice and Silence in Organizations , 2003 .

[54]  Joel Cutcher-Gershenfeld,et al.  Addressing NASA ’ s Organizational and Safety Culture : Insights from Systems Safety and Engineering Systems , 2004 .

[55]  Ortwin Renn,et al.  A New Approach to Risk Evaluation and Management: Risk‐Based, Precaution‐Based, and Discourse‐Based Strategies 1 , 2002, Risk analysis : an official publication of the Society for Risk Analysis.

[56]  Scott D. Sagan,et al.  The Problem of Redundancy Problem: Why More Nuclear Security Forces May Produce Less Nuclear Security † , 2004, Risk analysis : an official publication of the Society for Risk Analysis.

[57]  Barry Kirwan,et al.  Development of a Hazard and Operability-based method for identifying safety management vulnerabilities in high risk systems , 1998 .

[58]  Michael Masuch,et al.  Vicious circles in organizations. , 1985 .

[59]  Richard C. Thompson,et al.  Where the Safety Rubber Meets the Shop FJoor: A Confirmatory Model of Management Influence on Workplace Safety , 2001 .

[60]  Edward J. Woodhouse.  The Limits of Safety: Organizations, Accidents, and Nuclear Weapons . By Scott D. Sagan. Princeton: Princeton University Press, 1993. 286p. $29.95. , 1994 .

[61]  J. Oxford,et al.  Oxford , 1968, Leaving The Arena.

[62]  Thomas H. Lee,et al.  A New American Tqm: Four Practical Revolutions In Management , 1993 .

[63]  J. March,et al.  Managerial perspectives on risk and risk taking , 1987 .

[64]  Danny Miller,et al.  Archetypes of Organizational Transition. , 1980 .

[65]  S. Clarke.  Perceptions of organizational safety: implications for the development of safety culture , 1999 .

[66]  Daniel Fong,et al.  Factors affecting safety performance on construction sites , 1999 .

[67]  Thomas J. Allen,et al.  Organizing for Product Development , 2001 .

[68]  Nancy G. Leveson,et al.  An Approach to Design for Safety in Complex Systems , 2004 .

[69]  S. Dekker.  Failure to adapt or adaptations that fail: contrasting models on procedures and safety. , 2003, Applied ergonomics.

[70]  Joan C. Woodward.  Industrial Organization: Theory and Practice , 1966 .

[71]  B. Mark.  Organizational culture. , 1996, Annual review of nursing research.

[72]  M. Elisabeth Paté-Cornell,et al.  Human and management factors in probabilistic risk analysis: the SAM approach and observations from recent applications , 1996 .

[73]  E. Lawler.  Total Quality Management and employee involvement: Are they compatible? , 1994 .

[74]  A. Majchrzak,et al.  Can absence make a team grow stronger? , 2004, Harvard business review.

[75]  George Apostolakis,et al.  The work process analysis model (WPAM) , 1994 .

[76]  H. G. Maule.  Productivity and Social Organization: The Ahmedabad Experiment , 1958 .

[77]  George Apostolakis,et al.  Incorporating organizational factors into risk assessment through the analysis of work processes , 1994 .

[78]  J. N. Sørensen,et al.  Safety culture: a survey of the state-of-the-art , 2002, Reliab. Eng. Syst. Saf..

[79]  Kimball Fisher.  Leading Self-Directed Work Teams: A Guide to Developing New Team Leadership Skills , 1993 .

[80]  René Amalberti,et al.  The paradoxes of almost totally safe transportation systems , 2001 .

[81]  John S. Carroll.  Safety culture as an ongoing process: Culture surveys as opportunities for enquiry and change , 1998 .

[82]  M. Audrey Korsgaard,et al.  What motivates fairness? The role of subordinate assertive behavior on manager's interactional fairness. , 1998 .

[83]  M. Taylor,et al.  Consequences of individual feedback on behavior in organizations. , 1979 .

[84]  A George,et al.  On the Spatial , 1982 .

[85]  Scott F. Rockart,et al.  Overcoming the improvement paradox , 1999 .

[86]  David Bruggeman.  NASA: a path dependent organization , 2002 .

[87]  K. Roberts.  Some Characteristics of One Type of High Reliability Organization , 1990 .

[88]  M. Rogers,et al.  Control in an Age of Empowerment , 1995 .

[89]  V. Meek,et al.  Organizational Culture: Origins and Weaknesses , 1988 .

[90]  Gustavo Stubrich.  The Fifth Discipline: The Art and Practice of the Learning Organization , 1993 .

[91]  A. Meyers.  Reading , 1999, Language Teaching.

[92]  Taeki Lee,et al.  Assessing safety culture in nuclear power stations , 2000 .

[93]  Paul R. Schulman,et al.  The Negotiated Order of Organizational Reliability , 1993 .

[94]  John D. Sterman,et al.  Business dynamics : systems thinking and modelling for acomplex world , 2002 .

[95]  Frances J. Milliken,et al.  An Exploratory Study of Employee Silence: Issues that Employees Don’t Communicate Upward and Why* , 2003 .

[96]  K. Weick,et al.  Collective mind in organizations: Heedful interrelating on flight decks. , 1993 .

[97]  J Swanson,et al.  Business Dynamics—Systems Thinking and Modeling for a Complex World , 2002, J. Oper. Res. Soc..

[98]  T. L. Porte,et al.  A Rejoinder to Perrow , 1994 .

[99]  C. Carver,et al.  Self-Consciousness and Self-Assessment , 1985 .

[100]  Jennifer A. Chatman,et al.  Leading by Leveraging Culture , 2003 .

[101]  D. Denison.  What is the Difference Between Organizational Culture and Organizational Climate? A Native's Point of View on a Decade of Paradigm Wars , 1996 .

[102]  S. Ranson.  The Structuring of Organizational Structures. , 1980 .

[103]  Nadine B. Sarter,et al.  How in the World Did We Ever Get into That Mode? Mode Error and Awareness in Supervisory Control , 1995, Hum. Factors.

[104]  R. Smith,et al.  Fast reactor safety , 1979, Nature.

[105]  Scott Snook,et al.  Friendly Fire: The Accidental Shootdown of U.S. Black Hawks over Northern Iraq , 2002 .

[106]  Kathleen D. Ryan,et al.  Driving fear out of the workplace: Creating the high-trust, high-performance organization, 2nd ed. , 1998 .

[107]  E. F. Wolstenholme,et al.  Towards the definition and use of a core set of archetypal structures in system dynamics , 2003 .

[108]  Gene I. Rochlin.  Iran Air Flight 655 and the USS Vincennes , 1990 .

[109]  Raymond E. Levitt,et al.  Reducing Construction Accidents—Top Management’s Role , 1976 .

[110]  J. Forrester.  Industrial Dynamics , 1997 .

[111]  S. Crawford,et al.  Volume 1 , 2012, Journal of Diabetes Investigation.

[112]  Constance Perin,et al.  Operating as Experimenting: Synthesizing Engineering and Scientific Values in Nuclear Power Production , 1998 .

[113]  Vicki M. Bier.  Challenges to the Acceptance of Probabilistic Risk Analysis , 1999 .

[114]  S. Sitkin.  Learning Through Failure : The Strategy of Small Losses , 1992 .

[115]  Leland K. Bassett.  Risk taking: A managerial perspective , 1998 .

[116]  George E. Apostolakis,et al.  The dynamic flowgraph methodology for assessing the dependability of embedded software systems , 1995, IEEE Trans. Syst. Man Cybern..

[117]  I. Mitroff,et al.  Preparing for evil. , 2003, Harvard business review.

[118]  M. Hatch.  The Dynamics of Organizational Culture , 1993 .

[119]  J. A. Salvato.  John wiley & sons. , 1994, Environmental science & technology.

[120]  C. Perrow.  The organizational context of human factors engineering. , 1983, Administrative science quarterly.

[121]  長沢 信方.  Report of the President's Commission on the Accident at Three Mile Island; The Need for Change; The Legacy of TMI, Washington, DC., 1979, Pergamon Press, New York and Oxford, (1979), ix+201ページ, 28×21.5cm, 4,650円. , 1980 .

[122]  Eugene A. Rosa,et al.  The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. By Diane Vaughan. University of Chicago Press, 1996. 575 pp. $24.95 , 1997 .

[123]  Stephen M. Hess,et al.  Development of a dynamical systems model of plant programmatic performance on nuclear power plant safety risk , 2005, Reliab. Eng. Syst. Saf..

[124]  Erik Hollnagel,et al.  Human Reliability Analysis: Context and Control , 1994 .

[125]  Perry,et al.  Determining the effects of management practices on coal miners' safety. Open File Report (Final), September 1984-December 1987 , 1987 .

[126]  Stephen Jay Gould,et al.  The Flamingo's Smile: Reflections in Natural History , 1985 .

[127]  O. H. Lowry.  Academic press. , 1972, Analytical chemistry.

[128]  Frank Mueller,et al.  HUMAN RESOURCES AS STRATEGIC ASSETS: AN EVOLUTIONARY RESOURCE‐BASED THEORY* , 1996 .

[129]  M. Foucault,et al.  The Order of Things , 2017 .

[130]  Christian Koch,et al.  Integration, differentiation and ambiguity in safety cultures , 2004 .

[131]  James G. March,et al.  Organizational decision making: Understanding how decisions happen in organizations , 1996 .

[132]  Terje Aven,et al.  Models and model uncertainty in the context of risk analysis , 2003, Reliab. Eng. Syst. Saf..

[133]  P. Harwood.  Michael , 1985 .

[134]  G. Hale,et al.  National Research Council , 1923, Journal of the American Institute of Electrical Engineers.

[135]  Erik Hollnagel,et al.  Understanding accidents-from root causes to performance variability , 2002, Proceedings of the IEEE 7th Conference on Human Factors and Power Plants.

[136]  C. Perrow,et al.  The President's Commission and the Normal Accident , 2019, Accident at Three Mile Island: The Human Dimensions.

[137]  Ali Mosleh,et al.  A procedure for the analysis of errors of commission in a Probabilistic Safety Assessment of a nuclear power plant at full power , 1995 .

[138]  D. Armstrong,et al.  Managing distances and differences in geographically distributed work groups. , 2002 .

[139]  S. Cox,et al.  Safety Culture: The Prediction of Commitment to Safety in the Manufacturing Industry , 1998 .

[140]  A. O'Dea.  The role of managerial leadership in determining workplace safety outcomes , 2003 .

[141]  Richard I. Cook,et al.  Nine Steps to Move Forward from Error , 2002, Cognition, Technology & Work.

[142]  Richard Coggins,et al.  Joel , 2003, The Prophets.

[143]  R. Hall,et al.  Organizational Size, Complexity, and Formalization , 1967 .

[144]  L. L. Cummings,et al.  FEEDBACK AS AN INDIVIDUAL RESOURCE: PERSONAL STRATEGIES OF CREATING INFORMATION , 1983 .

[145]  Nancy G. Leveson,et al.  Role of Software in Spacecraft Accidents , 2004 .

[146]  Nick W. Hurst,et al.  Risk Assessment: The Human Dimension , 1998 .

[147]  Anant R. Negandhi,et al.  Cross-Cultural Management Research: Trend and Future Directions , 1983 .

[148]  D. A. Bella,et al.  Learning to Think in Circles , 2002 .

[149]  A. Tversky,et al.  Choices, Values, and Frames , 2000 .

[150]  S. Robbins.  Organization Theory: The Structure and Design of Organizations , 1987 .

[151]  George E Apostolakis,et al.  How Useful Is Quantitative Risk Assessment? , 2004, Risk analysis : an official publication of the Society for Risk Analysis.

[152]  D. A. Winsor,et al.  Communication failures contributing to the Challenger accident: an example for technical communicators , 1988 .

[153]  Anita L. Tucker,et al.  Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System Change , 2003 .

[154]  Simon Reynolds,et al.  Learning from Disasters: A Management Approach , 1997 .

[155]  Dennis S. Mileti,et al.  Size and Structure in Complex Organizations , 1977 .

[156]  David L. Collinson,et al.  `Surviving the Rigs': Safety and Surveillance on North Sea Oil Installations , 1999 .

[157]  J. Rudolph,et al.  Learning from experience in high-hazard organizations , 2002 .

[158]  W. Catton.  Emile Who and the Division of What? , 1985 .

[159]  C. F. Larry.  UNDERSTANDING THE CHALLENGER DISASTER: ORGANIZATIONAL STRUCTURE AND THE DESIGN OF RELIABLE SYSTEMS , 1993 .

[160]  Nancy G. Leveson,et al.  A Systems Theoretic Approach to Safety Engineering , 2003 .

[161]  D. Woods.  Perspectives on Human Error: Hindsight Biases and Local Rationality , 2000 .

[162]  K. Roberts.  Managing High Reliability Organizations , 1990 .

[163]  J. March.  Bounded rationality, ambiguity, and the engineering of choice , 1978 .

[164]  T. Probst,et al.  The effects of job insecurity on employee safety outcomes: cross-sectional and longitudinal explorations. , 2001, Journal of occupational health psychology.

[165]  David L. Cooke,et al.  A system dynamics analysis of the Westray mine disaster , 2003 .

[166]  Keith W Hipel,et al.  Risk and Systems Theory , 2002, Risk analysis : an official publication of the Society for Risk Analysis.

[167]  Peter Neumann,et al.  Safeware: System Safety and Computers , 1995, SOEN.

[168]  Paul S. Adler,et al.  Interdepartmental Interdependence and Coordination: The Case of the Design/Manufacturing Interface , 1995 .

[169]  I. Svedung,et al.  Proactive Risk Management in a Dynamic Society , 2000 .

[170]  J. Logsdon,et al.  The Space Shuttle Program: A Policy Failure? , 1986, Science.

[171]  Thomas J. Allen,et al.  Architecture and Communication among Product Development Engineers , 2000, Proceedings of the 2000 IEEE Engineering Management Society. EMS - 2000 (Cat. No.00CH37139).

[172]  Deborah G. Ancona,et al.  Managing for the Future: Organizational Behavior and Processes , 1998 .

[173]  Jens Rasmussen,et al.  Risk management in a dynamic society: a modelling problem , 1997 .

[174]  Joseph M. Sussman,et al.  Collected Views on Complexity in Systems , 2002 .

[175]  J.D. Sterman,et al.  Nobody Ever Gets Credit for Fixing Problems That Never Happened: Creating and Sustaining Process Improvement , 2001, IEEE Engineering Management Review.

[176]  James G. March,et al.  Learning from samples of one or fewer* , 1991 .

[177]  C. Levenstein.  Bhopal: Anatomy of a Crisis , 1988 .

[178]  Alfred A. Marcus,et al.  5. Playing the Maintenance Game: How Mental Models Drive Organizational Decisions , 2018, Debating Rationality.

[179]  Howard Kunreuther,et al.  POST-BHOPAL BEHAVIOUR AT A CHEMICAL COMPANY , 1988 .

[180]  A. Tversky,et al.  Judgment under Uncertainty: Heuristics and Biases , 1974, Science.

[181]  T. Laporte,et al.  Working in Practice But Not in Theory: Theoretical Challenges of “High-Reliability Organizations” , 1991 .

[182]  J. Carroll.  Organizational Learning Activities in High‐hazard Industries: The Logics Underlying Self‐Analysis , 1998 .

[183]  L. Clarke.  Social Organization and Risk: Some Current Controversies , 1993 .

[184]  A. Edmondson.  Psychological Safety and Learning Behavior in Work Teams , 1999 .