Part2 Resilience Engineering view of Sys. Eng. is Tuesday 4/2 12:45-2pm eastern: Reconstructing Systems Eng: How Fundamentals in Resilience Engineering guide Architecting Systems when complexities/scale dominate. osu.zoom.us/j/99131130095?…

The session-An Adaptive History of Systems Engineering-is up. Its part1 of Resilience Engineering view of Systems Engineering: Deconstructing how Systems Eng. Copes with Complexity. Session has some course matieral at beginning osu.zoom.us/rec/play/ZpJ9d…

'Human error is the attributed cause of large system accidents because human performance in these complex systems is so good. Failures of these systems are, by almost any measure, rare and unusual events. ' 1/2

'Most of the system operations go smoothly; incidents that occur do not usually lead to bad outcomes. These systems have come to be regarded as 'safe' by *design* rather than by *control*.'

– R.I. Cook, D.D. Woods, Operating at the Sharp End: The Complexity of Human Error
2/2

Hofstadter's law, incident edition: incidents are always more complex than you think, even taking into account Hofstadter’s law, incident edition.

Post-incident review meetings have much more going on than most people are aware of.

adaptivecapacitylabs.com/2019/06/17/som…

#LFI #LearningFromIncidents

Resilience Hides in Plain Sight bit.ly/3Tr5gO7 by John Allspaw

SREcon24 Americas is next month! The program includes talks like *Real Talk: What We Think We Know — That Just Ain’t So* presented by John Allspaw! View the program and register now: bit.ly/sre24amsprog #SREcon

Happy Valentine’s Day from all of us at WWF. As you reflect on love today – we hope you will take a moment to watch our new animated video. Can we love more? Yes. Yes. Yes.

Human Factors and folk models. Spicy🌶️topic!

researchgate.net/publication/22…

Nice work, Fred Hebert - you nail the best parts here…

ferd.ca/notes/paper-th…

OH: Andrew Clay Shafer 雷启理: “You are either building a learning organization… or you will be losing to someone who is…” #devops

'The future seems implausible, the past incredible.'

OH: 'Nobody ever got fired for quoting the DORA report.'

feeling pretty good about my job security rn

The David Woods classic How Adaptive Systems Fail in ‘Resilience Engineering in Practice’ 2011

1) being stuck in outdated behaviours
2) loss of adaptive capacity
3) working at cross purposes

These are so relevant currently and understanding these patterns helps us call them out.

The reading for today in Human Factors & Systems Safety comes from Christopher P. Nemeth and Erik Hollnagel.

Resilience Engineering Perspectives, Volume 1 Remaining Sensitive to the Possibility of Failure

routledge.com/Resilience-Eng…

'Many organizations have driven post-incident reviews to become pallid, vapid, mechanical exercises whose value is limited to producing a defensible argument that management  is occurring.' - I can certainly relate to this.

'...the process is inherently a social one, people learn how the organization responds to events, what tensions exist (between individuals, teams, management, etc.), which topics are acceptable for discussion and which ones are forbidden, how power dynamics play out...' 👇

'It all started at Three-Mile Island' - episode 1 of Richard I. Cook's Cognitive Work Studies seminar

youtube.com/watch?v=H-VTaf…