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class="label">Following</p><p class="data">1</p></div></a><div class="js-mentions-count-container" style="display: none;"><a href="/SDekker/mentions"><div class="stat-container"><p class="label">Mentions</p><p class="data"></p></div></a></div><span><div class="stat-container"><p class="label"><span class="js-profile-total-view-text">Public Views</span></p><p class="data"><span class="js-profile-view-count"></span></p></div></span></div><div class="suggested-academics-container"><div class="suggested-academics--header"><p class="ds2-5-body-md-bold">Related Authors</p></div><ul class="suggested-user-card-list"><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://ukma.academia.edu/AndreasUmland"><img class="profile-avatar u-positionAbsolute" alt="Andreas Umland" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/25359/8207/35842203/s200_andreas.umland.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://ukma.academia.edu/AndreasUmland">Andreas Umland</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">National University of "Kyiv-Mohyla Academy"</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://vu-nl.academia.edu/ArnoAkkermans"><img class="profile-avatar u-positionAbsolute" alt="Arno Akkermans" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/28657/9331/8847/s200_arno.akkermans.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://vu-nl.academia.edu/ArnoAkkermans">Arno Akkermans</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Vrije Universiteit Amsterdam</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://ksu.academia.edu/DavidSeamon"><img class="profile-avatar u-positionAbsolute" alt="David Seamon" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/93547/25922/29662134/s200_david.seamon.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://ksu.academia.edu/DavidSeamon">David Seamon</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Kansas State University</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://cria.academia.edu/ArmandoMarquesGuedes"><img class="profile-avatar u-positionAbsolute" alt="Armando Marques-Guedes" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/134181/3401094/148494125/s200_armando.marques-guedes.png" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://cria.academia.edu/ArmandoMarquesGuedes">Armando Marques-Guedes</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">UNL - New University of Lisbon</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://unibo.academia.edu/EnricoCirelli"><img class="profile-avatar u-positionAbsolute" alt="Enrico Cirelli" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/148236/39181/34953084/s200_enrico.cirelli.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://unibo.academia.edu/EnricoCirelli">Enrico Cirelli</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Università di Bologna</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://ubi.academia.edu/DenisCoelho"><img class="profile-avatar u-positionAbsolute" alt="Denis A. Coelho" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/361230/110238/402020/s200_denis.coelho.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://ubi.academia.edu/DenisCoelho">Denis A. Coelho</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Universidade da Beira Interior</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://lu.academia.edu/MansSvensson"><img class="profile-avatar u-positionAbsolute" alt="Måns Svensson" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/363485/111154/26671845/s200_m_ns.svensson.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://lu.academia.edu/MansSvensson">Måns Svensson</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Lund University</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://rvce.academia.edu/NarahariNuggenahalli"><img class="profile-avatar u-positionAbsolute" alt="Narahari Nuggenahalli" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/446510/144892/12274368/s200_narahari.nuggenahalli.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://rvce.academia.edu/NarahariNuggenahalli">Narahari Nuggenahalli</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">R. V. College of Engineering</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://imperial.academia.edu/NickSevdalis"><img class="profile-avatar u-positionAbsolute" alt="Nick Sevdalis" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/2003787/662531/3330110/s200_nick.sevdalis.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://imperial.academia.edu/NickSevdalis">Nick Sevdalis</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Imperial College London</p></div></div><div class="suggested-user-card"><div class="suggested-user-card__avatar social-profile-avatar-container"><a href="https://coventry.academia.edu/SeanMcCartan"><img class="profile-avatar u-positionAbsolute" alt="Dr Seán McCartan" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/2571246/804881/6219964/s200_sean.mccartan.jpg" /></a></div><div class="suggested-user-card__user-info"><a class="suggested-user-card__user-info__header ds2-5-body-sm-bold ds2-5-body-link" href="https://coventry.academia.edu/SeanMcCartan">Dr Seán McCartan</a><p class="suggested-user-card__user-info__subheader ds2-5-body-xs">Coventry University</p></div></div></ul></div><div class="ri-section"><div class="ri-section-header"><span>Interests</span></div><div class="ri-tags-container"><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="87846573" href="https://www.academia.edu/Documents/in/Human_Factors"><div id="js-react-on-rails-context" style="display:none" 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class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/93194413/Human_Error_in_the_Head_or_in_the_World"><img alt="Research paper thumbnail of Human Error—in the Head or in the World?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/93194413/Human_Error_in_the_Head_or_in_the_World">Human Error—in the Head or in the World?</a></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper 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href="https://www.academia.edu/93194412/Inconvenient_truths_in_suicide_prevention_Why_a_Restorative_Just_Culture_should_be_implemented_alongside_a_Zero_Suicide_Framework"><img alt="Research paper thumbnail of Inconvenient truths in suicide prevention: Why a Restorative Just Culture should be implemented alongside a Zero Suicide Framework" class="work-thumbnail" src="https://attachments.academia-assets.com/95998875/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/93194412/Inconvenient_truths_in_suicide_prevention_Why_a_Restorative_Just_Culture_should_be_implemented_alongside_a_Zero_Suicide_Framework">Inconvenient truths in suicide prevention: Why a Restorative Just Culture should be implemented alongside a Zero Suicide Framework</a></div><div class="wp-workCard_item"><span>Australian &amp; New Zealand Journal of Psychiatry</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Objective: The prevailing paradigm in suicide prevention continues to contribute to the nihilism ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Objective: The prevailing paradigm in suicide prevention continues to contribute to the nihilism regarding the ability to prevent suicides in healthcare settings and a sense of blame following adverse incidents. In this paper, these issues are discussed through the lens of clinicians’ experiences as second victims following a loss of a consumer to suicide, and the lens of health care organisations. Method: We discuss challenges related to the fallacy of risk prediction (erroneous belief that risk screening can be used to predict risk or allocate resources), and incident reviews that maintain a retrospective linear focus on errors and are highly influenced by hindsight and outcome biases. Results: An argument that a Restorative Just Culture should be implemented alongside a Zero Suicide Framework is developed. Conclusions: The current use of algorithms to determine culpability following adverse incidents, and a linear approach to learning ignores the complexity of the healthcare sett...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0338141b9e6db3f02eb2cb9388ac9874" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":95998875,"asset_id":93194412,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/95998875/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="93194412"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="93194412"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 93194412; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="93194203"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/93194203/Repentance_as_Rebuke_Betrayal_and_Moral_Injury_in_Safety_Engineering"><img alt="Research paper thumbnail of Repentance as Rebuke: Betrayal and Moral Injury in Safety Engineering" class="work-thumbnail" src="https://attachments.academia-assets.com/95998730/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/93194203/Repentance_as_Rebuke_Betrayal_and_Moral_Injury_in_Safety_Engineering">Repentance as Rebuke: Betrayal and Moral Injury in Safety Engineering</a></div><div class="wp-workCard_item"><span>Science and Engineering Ethics</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Following other contributions about the MAX accidents to this journal, this paper explores the ro...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Following other contributions about the MAX accidents to this journal, this paper explores the role of betrayal and moral injury in safety engineering related to the U.S. federal regulator’s role in approving the Boeing 737MAX—a plane involved in two crashes that together killed 346 people. It discusses the tension between humility and hubris when engineers are faced with complex systems that create ambiguity, uncertain judgements, and equivocal test results from unstructured situations. It considers the relationship between moral injury, principled outrage and rebuke when the technology ends up involved in disasters. It examines the corporate backdrop against which calls for enhanced employee voice are typically made, and argues that when engineers need to rely on various protections and moral inducements to ‘speak up,’ then the ethical essence of engineering—skepticism, testing, checking, and questioning—has already failed.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="560ca4426da6879fbe5634d41be9661a" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":95998730,"asset_id":93194203,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/95998730/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="93194203"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="93194203"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 93194203; 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "560ca4426da6879fbe5634d41be9661a" } } $('.js-work-strip[data-work-id=93194203]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":93194203,"title":"Repentance as Rebuke: Betrayal and Moral Injury in Safety Engineering","internal_url":"https://www.academia.edu/93194203/Repentance_as_Rebuke_Betrayal_and_Moral_Injury_in_Safety_Engineering","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[{"id":95998730,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/95998730/thumbnails/1.jpg","file_name":"s11948-022-00412-2.pdf","download_url":"https://www.academia.edu/attachments/95998730/download_file","bulk_download_file_name":"Repentance_as_Rebuke_Betrayal_and_Moral.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/95998730/s11948-022-00412-2-libre.pdf?1671410119=\u0026response-content-disposition=attachment%3B+filename%3DRepentance_as_Rebuke_Betrayal_and_Moral.pdf\u0026Expires=1739844980\u0026Signature=gR79VcN~QiBFBzF1-7kfWnCHRa-DEc4aMjfyDDjNDuCXNI1NcPh~SDORa858-coJAcMCfI0gFnCeZsuc6mXt91G7GHsTUucg9yDjDglslHMZbPbMVeU-8AJXqOSu4ZzGtEXrmbAGPXU1kl2lZdBN1quN88CSJn~tALzZiVSSbRo-RQWlMcspk5pnjlpTGJ14p92VAuzFeHn9SiyLP3QKA26TSKx64VQnLs0CUmEBBrRMY6C~1e9V6owQ4IsZYBB1Pne1n~zVkW~LpxBOJG0fCw9M9xKojH5ZGCRqF42~glMwa~U-mGnzlL58IP8EO~88Elqm-lCmT3YpvD0KUo0Chg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"},{"id":95998729,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/95998729/thumbnails/1.jpg","file_name":"s11948-022-00412-2.pdf","download_url":"https://www.academia.edu/attachments/95998729/download_file","bulk_download_file_name":"Repentance_as_Rebuke_Betrayal_and_Moral.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/95998729/s11948-022-00412-2-libre.pdf?1671410119=\u0026response-content-disposition=attachment%3B+filename%3DRepentance_as_Rebuke_Betrayal_and_Moral.pdf\u0026Expires=1739844980\u0026Signature=HcZRbbdujWc3Tn2gmyT5gUbuf0bm25cMirdIbNUYrohnAnFeUA~qqBZrErCTXAD8ioqk89ZSVjzWqbjO7u9yzy2gbBW9YDBpC8sXWroGd9EYfi52i3B8SlGtXy59o2gUZvFFfD~edaeefwgLM7df4TJRtFGp2F6m-kkkUTWToHXguEkwLCB2P4YGqC7-c0bMabrRc-jd96hB4BHxJsPsp7s-6O0Almfss0XtgFySMcCqdL0xUPadOC2icOAcn3mJEyTj37M1ClCCtKqWuNA5lz3u1ePaAiDBeni4D7pn1yXfb3Cr-OIyiMmm-jIxL7IOJ3qjGmhTWdIO4jr4gjaqaA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="81042766"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/81042766/Goal_Conflicts_Classical_Management_and_Constructivism_How_Operators_Get_Things_Done"><img alt="Research paper thumbnail of Goal Conflicts, Classical Management and Constructivism: How Operators Get Things Done" class="work-thumbnail" src="https://attachments.academia-assets.com/87224051/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/81042766/Goal_Conflicts_Classical_Management_and_Constructivism_How_Operators_Get_Things_Done">Goal Conflicts, Classical Management and Constructivism: How Operators Get Things Done</a></div><div class="wp-workCard_item"><span>Safety</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">In this study we identify the differences in goal realisation when applying two conflicting parad...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">In this study we identify the differences in goal realisation when applying two conflicting paradigms regarding rule perception and management. We gathered more than 30 scenarios where goal conflicts were apparent in a military operational unit. We found that operators repetitively utilized certain routines in executing their tasks in an effort to realize several conflicting goals. These routines were not originally intended nor designed into the rules and not explicitly included in documentation. They were not necessarily at odds with the literal wording and/or the intent of rules and regulations, although we did find examples of this. Our data showed that local ingenuity was created innovatively within the frame of existing rules or kept invisible to those outside the unit. The routines were introduced and passed on informally, and we found no evidence of testing for the introduction of new risks, no migration into the knowledge base of the organisation, and no dissemination as ne...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="c189cc08e19eb0257972fe1f1a512fa2" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":87224051,"asset_id":81042766,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/87224051/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="81042766"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="81042766"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 81042766; 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=77125593]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":77125593,"title":"An Initial Comparison of Selected Models of System Resilience","internal_url":"https://www.academia.edu/77125593/An_Initial_Comparison_of_Selected_Models_of_System_Resilience","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="77125592"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/77125592/CURRENT_DEBATE_AND_PRACTICE_CENTRED_ON_VISION_ZERO_Zero_commitment_commentary_on_Zwetsloot_et_al_and_Sherratt_and"><img alt="Research paper thumbnail of CURRENT DEBATE AND PRACTICE CENTRED ON ‘ VISION ZERO ’ Zero commitment : commentary on Zwetsloot et al . , and Sherratt and" class="work-thumbnail" src="https://attachments.academia-assets.com/84581282/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/77125592/CURRENT_DEBATE_AND_PRACTICE_CENTRED_ON_VISION_ZERO_Zero_commitment_commentary_on_Zwetsloot_et_al_and_Sherratt_and">CURRENT DEBATE AND PRACTICE CENTRED ON ‘ VISION ZERO ’ Zero commitment : commentary on Zwetsloot et al . , and Sherratt and</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This paper discusses the literature that shows that declaring a zero vision for everything bad (i...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This paper discusses the literature that shows that declaring a zero vision for everything bad (including unsafe behaviours, incidents, injuries) does not prevent fatalities or major accidents. In fact, parts of the literature show that a reduction in minor badness increases the risk of major accidents and fatalities. This is true in several industries. Two families of explanations are discussed. The first is the concern that declaring a zero vision can reduce operational knowledge. The second is the unsubstantiated assumption that minor injuries and fatalities have the same causal pattern. 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=77125591]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":77125591,"title":"Resilience Engineering: Remaining sensitive to the possibility of failure","internal_url":"https://www.academia.edu/77125591/Resilience_Engineering_Remaining_sensitive_to_the_possibility_of_failure","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="77125590"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/77125590/Human_error_after_all"><img alt="Research paper thumbnail of Human error after all" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/77125590/Human_error_after_all">Human error after all</a></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77125590"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77125590"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77125590; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=77125590]").text(description); $(".js-view-count[data-work-id=77125590]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 77125590; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='77125590']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=77125590]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":77125590,"title":"Human error after all","internal_url":"https://www.academia.edu/77125590/Human_error_after_all","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="77125589"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/77125589/Loss_of_situation_awareness_by_medical_staff_reflecting_on_the_moral_and_legal_status_of_a_psychological_concept"><img alt="Research paper thumbnail of Loss of situation awareness" by medical staff: reflecting on the moral and legal status of a psychological concept" class="work-thumbnail" src="https://attachments.academia-assets.com/84606977/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/77125589/Loss_of_situation_awareness_by_medical_staff_reflecting_on_the_moral_and_legal_status_of_a_psychological_concept">Loss of situation awareness" by medical staff: reflecting on the moral and legal status of a psychological concept</a></div><div class="wp-workCard_item"><span>Journal of law and medicine</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This article examines the emergence of &quot;accurate situation awareness (SA)&quot; as a legal a...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This article examines the emergence of &quot;accurate situation awareness (SA)&quot; as a legal and moral standard for judging professional negligence in medicine. It argues that SA constitutes a status, an outcome resulting from the confluence of a wide array of factors, some originating inside and others outside the agent. SA does not connote an action, a practice, a role, a task, a virtue, or a disposition--the familiar objects of moral and legal appraisal. The argument contends that invoking SA becomes problematic when its use broadens to include professional or legally appraisable norms for behaviour, which expect a certain state of awareness from practitioners.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="e454eedcfc956d6ee52663a61961ff8b" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":84606977,"asset_id":77125589,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/84606977/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77125589"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77125589"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77125589; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=77125589]").text(description); $(".js-view-count[data-work-id=77125589]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 77125589; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='77125589']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "e454eedcfc956d6ee52663a61961ff8b" } } $('.js-work-strip[data-work-id=77125589]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":77125589,"title":"Loss of situation awareness\" by medical staff: reflecting on the moral and legal status of a psychological concept","internal_url":"https://www.academia.edu/77125589/Loss_of_situation_awareness_by_medical_staff_reflecting_on_the_moral_and_legal_status_of_a_psychological_concept","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[{"id":84606977,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/84606977/thumbnails/1.jpg","file_name":"BreakeyPUB102.pdf","download_url":"https://www.academia.edu/attachments/84606977/download_file","bulk_download_file_name":"Loss_of_situation_awareness_by_medical_s.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/84606977/BreakeyPUB102-libre.pdf?1650544261=\u0026response-content-disposition=attachment%3B+filename%3DLoss_of_situation_awareness_by_medical_s.pdf\u0026Expires=1739844981\u0026Signature=c8ku0JXyh7aEX4yCYjZRTLBDHvwwoCvo6dkZKowtSmcVALku8nGvyXlCXrX4qD3jn9vNQZQLTjwvpwPplv9hr2GKsEG2ZOVBL5VEawENiSGYruUWNYF262b375IJA6Ewe5M~ScygVA8Q-cnYT3kpiNB51zXENGY46b4MZz9W1w2G8FSHtnf0UprVLjvg~sTF2OMHucCO~gcPqDRzNPmmjImrNzjzLc0tXqGcCXXTPnxNP9E97EpTtYuP0wlswOz5uNJZHLkLPlq3cF~lsLrZ8IGb3uqlz13lvyeMQw~acbZkl8-nvXAf-mas2SSKGxXTh7nJ4D6iqzVfkmdux7Rfwg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="77125273"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/77125273/How_the_cockpit_manages_anomalies_revisiting_the_dynamic_fault_management_model_for_aviation"><img alt="Research paper thumbnail of How the cockpit manages anomalies: revisiting the dynamic fault management model for aviation" class="work-thumbnail" src="https://attachments.academia-assets.com/84596045/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/77125273/How_the_cockpit_manages_anomalies_revisiting_the_dynamic_fault_management_model_for_aviation">How the cockpit manages anomalies: revisiting the dynamic fault management model for aviation</a></div><div class="wp-workCard_item"><span>Cognition, Technology & Work</span><span>, 2019</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">More than 20 years ago, Woods proposed a model that accounts for the inherent complexity faced by...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">More than 20 years ago, Woods proposed a model that accounts for the inherent complexity faced by operators when managing abnormal and emergency situations in highly complex sociotechnical systems. The model was reviewed a decade later and only a few studies have applied it to aviation. This paper proposes adjustments to the original model, based on recent theoretical developments and empirical evidence on the anomaly management activity in aviation. The model was divided into five components; three of which-activity, types of reasoning involved, and resources-were revisited and further developed. The two other components-fault behaviour and unit of analysis-were not updated and only dicussed in the aviation context. As a result, the revisited model descriptively clarifies how the activity of anomaly management emerges from the use of a wide repertoire of strategies, involving a spectrum of types of reasoning and a set of resources for action, which are not limited to those anticipated by designers, such as checklsits and the warning system. An instantiation of the revisited model highligths the implications of false alarms, which trigger a cascade of disturbances that, in turn, requires adaptive strategies based on heuristics and analogies and supported by pilot's experience. The revisited model can support a more accurate analysis of anomalous situations and the redesign of work systems to achieve a better performance.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="7eba41055a7965d1e127c93b0b9414c0" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":84596045,"asset_id":77125273,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/84596045/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77125273"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77125273"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77125273; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=77125273]").text(description); $(".js-view-count[data-work-id=77125273]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 77125273; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='77125273']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "7eba41055a7965d1e127c93b0b9414c0" } } $('.js-work-strip[data-work-id=77125273]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":77125273,"title":"How the cockpit manages anomalies: revisiting the dynamic fault management model for aviation","internal_url":"https://www.academia.edu/77125273/How_the_cockpit_manages_anomalies_revisiting_the_dynamic_fault_management_model_for_aviation","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[{"id":84596045,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/84596045/thumbnails/1.jpg","file_name":"Carim217621Accepted.pdf","download_url":"https://www.academia.edu/attachments/84596045/download_file","bulk_download_file_name":"How_the_cockpit_manages_anomalies_revisi.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/84596045/Carim217621Accepted-libre.pdf?1650527521=\u0026response-content-disposition=attachment%3B+filename%3DHow_the_cockpit_manages_anomalies_revisi.pdf\u0026Expires=1739844981\u0026Signature=X896p8tl58TbG~KYBI~jvJhm9n0~cbkOMIhUA1uYu1yO56tmDcsmEm5dijRk0ZxmqaqhwJFS0DTcCiSr0uACquYURmCN9uLov2mexLKF7WavofJk7BDxa9SP32tfYHmjWQ7Z~zhy~bRTDZqbhjkR1NrEVmLtjFMGm7Xr-CLnBaIgap3zX0qqq8yefsaD1CV~gy0xYQpyLrZMpsn5Dxv07gjJbu2nCuj9wfmU31Ih3~zcBUIWG180xO93ACLFo-fqymU5uRIW6XqXfOwYqYJOrI3v4ogp~C9UktZ3cQvWMMge6nFazeo2lodCsRxpx7Q2PbaBCNVx8f3KJ5yoqT2AoA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="74193147"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/74193147/Investigating_Assessors_Scoring_and_Reasoning_of_Safety_Critical_Crew_Performance_and_Collaboration"><img alt="Research paper thumbnail of Investigating Assessors' Scoring and Reasoning of Safety-Critical Crew Performance and Collaboration" class="work-thumbnail" src="https://attachments.academia-assets.com/82430127/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/74193147/Investigating_Assessors_Scoring_and_Reasoning_of_Safety_Critical_Crew_Performance_and_Collaboration">Investigating Assessors' Scoring and Reasoning of Safety-Critical Crew Performance and Collaboration</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The use of an assessment model has shown large variation (disagreement) in the scoring of airline...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The use of an assessment model has shown large variation (disagreement) in the scoring of airline professionals who judged the performance of a captain and first officer in multiple video scenarios. A better understanding was thus required of the source of assessors&#39; disagreement in terms of both the scoring and reasoning of safety-critical crew performance and collaboration. In the first study, the present thesis quantitatively compared the scoring and assessment time of airline professionals (first officers, captains, and flight examiners) from two different airlines who were given versus not given an assessment model to judge performance. The demographics of the participants were compared in terms of their age, total flight hours, and years flown as commercial pilot. In contrast, the second and third studies qualitatively investigated and analysed assessors&#39; reasoning further. The second study closely examined the reasoning of captain assessor pairs who assessed the perfo...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="22e806b4833843425217060630f5546d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":82430127,"asset_id":74193147,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/82430127/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="74193147"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="74193147"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 74193147; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=74193147]").text(description); $(".js-view-count[data-work-id=74193147]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 74193147; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='74193147']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="74193142"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/74193142/Systems_Thinking_1_0_and_Systems_Thinking_2_0_Complexity_science_and_a_new_conception_of_cause_"><img alt="Research paper thumbnail of Systems Thinking 1.0 and Systems Thinking 2.0: Complexity science and a new conception of “cause”" class="work-thumbnail" src="https://attachments.academia-assets.com/82430181/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/74193142/Systems_Thinking_1_0_and_Systems_Thinking_2_0_Complexity_science_and_a_new_conception_of_cause_">Systems Thinking 1.0 and Systems Thinking 2.0: Complexity science and a new conception of “cause”</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">ABSTRACT: Our understanding and investigation of accidents in aviation is dominated by a mechanis...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">ABSTRACT: Our understanding and investigation of accidents in aviation is dominated by a mechanistic worldview that seeks to find and fix broken parts. Even though “systems thinking ” has become quite fashionable over the past two decades, this still often reduces to finding broken parts further away in space and time from the accident. This is Systems Thinking 1.0. In contrast, complexity science, and its new conception of “cause, ” offers a route to Systems Thinking 2.0. In this, investigators and managers can be made aware of the consequences of path-dependence, open systems, the asymmetry between small inputs and large effects, and the unpredictability of efforts to control or regulate complexity. This paper uses a case study to compare Systems Thinking 1.0 and 2.0 and develop the latter.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="726d9156a04649907731eb8ac65273fa" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":82430181,"asset_id":74193142,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/82430181/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="74193142"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="74193142"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 74193142; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="74193133"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/74193133/Chapter_5_Human_Factors_and_the_Ethics_of_Explaining_Failure"><img alt="Research paper thumbnail of Chapter 5 Human Factors and the Ethics of Explaining Failure" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/74193133/Chapter_5_Human_Factors_and_the_Ethics_of_Explaining_Failure">Chapter 5 Human Factors and the Ethics of Explaining Failure</a></div><div class="wp-workCard_item"><span>Human Factors and Ergonomics in Practice</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="74193133"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="74193133"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 74193133; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=74193133]").text(description); $(".js-view-count[data-work-id=74193133]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 74193133; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='74193133']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=74193133]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":74193133,"title":"Chapter 5 Human Factors and the Ethics of Explaining Failure","internal_url":"https://www.academia.edu/74193133/Chapter_5_Human_Factors_and_the_Ethics_of_Explaining_Failure","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="74193130"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/74193130/Rasmussens_legacy_and_the_long_arm_of_rational_choice"><img alt="Research paper thumbnail of Rasmussen's legacy and the long arm of rational choice" class="work-thumbnail" src="https://attachments.academia-assets.com/82430169/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/74193130/Rasmussens_legacy_and_the_long_arm_of_rational_choice">Rasmussen's legacy and the long arm of rational choice</a></div><div class="wp-workCard_item"><span>Applied Ergonomics</span><span>, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Rational choice theory says that operators and others make decisions by systematically and consci...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Rational choice theory says that operators and others make decisions by systematically and consciously weighing all possible outcomes along all relevant criteria. This paper first traces the long historical arm of rational choice thinking in the West to Judeo-Christian thinking, Calvin and Weber. It then presents a case study that illustrates the consequences of the ethic of rational choice and individual responsibility. It subsequently examines and contextualizes Rasmussen's legacy of pushing back against the long historical arm of rational choice, showing that bad outcomes are not the result of human immoral choice, but the product of normal interactions between people and systems. If we don't understand why people did what they did, Rasmussen suggested, it is not because people behaved inexplicably, but because we took the wrong perspective.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="d281469cad078513ddd9d4dbbfaa42db" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":82430169,"asset_id":74193130,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/82430169/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="74193130"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="74193130"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 74193130; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> </div><div class="profile--tab_content_container js-tab-pane tab-pane" data-section-id="8498096" id="papers"><div class="js-work-strip profile--work_container" data-work-id="93194414"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/93194414/Just_Culture"><img alt="Research paper thumbnail of Just Culture" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/93194414/Just_Culture">Just Culture</a></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="93194414"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="93194414"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 93194414; 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=93194414]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":93194414,"title":"Just Culture","internal_url":"https://www.academia.edu/93194414/Just_Culture","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="93194413"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/93194413/Human_Error_in_the_Head_or_in_the_World"><img alt="Research paper thumbnail of Human Error—in the Head or in the World?" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/93194413/Human_Error_in_the_Head_or_in_the_World">Human Error—in the Head or in the World?</a></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="93194413"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="93194413"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 93194413; 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=93194413]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":93194413,"title":"Human Error—in the Head or in the World?","internal_url":"https://www.academia.edu/93194413/Human_Error_in_the_Head_or_in_the_World","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="93194412"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/93194412/Inconvenient_truths_in_suicide_prevention_Why_a_Restorative_Just_Culture_should_be_implemented_alongside_a_Zero_Suicide_Framework"><img alt="Research paper thumbnail of Inconvenient truths in suicide prevention: Why a Restorative Just Culture should be implemented alongside a Zero Suicide Framework" class="work-thumbnail" src="https://attachments.academia-assets.com/95998875/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/93194412/Inconvenient_truths_in_suicide_prevention_Why_a_Restorative_Just_Culture_should_be_implemented_alongside_a_Zero_Suicide_Framework">Inconvenient truths in suicide prevention: Why a Restorative Just Culture should be implemented alongside a Zero Suicide Framework</a></div><div class="wp-workCard_item"><span>Australian &amp; New Zealand Journal of Psychiatry</span><span>, 2020</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Objective: The prevailing paradigm in suicide prevention continues to contribute to the nihilism ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Objective: The prevailing paradigm in suicide prevention continues to contribute to the nihilism regarding the ability to prevent suicides in healthcare settings and a sense of blame following adverse incidents. In this paper, these issues are discussed through the lens of clinicians’ experiences as second victims following a loss of a consumer to suicide, and the lens of health care organisations. Method: We discuss challenges related to the fallacy of risk prediction (erroneous belief that risk screening can be used to predict risk or allocate resources), and incident reviews that maintain a retrospective linear focus on errors and are highly influenced by hindsight and outcome biases. Results: An argument that a Restorative Just Culture should be implemented alongside a Zero Suicide Framework is developed. Conclusions: The current use of algorithms to determine culpability following adverse incidents, and a linear approach to learning ignores the complexity of the healthcare sett...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0338141b9e6db3f02eb2cb9388ac9874" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":95998875,"asset_id":93194412,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/95998875/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="93194412"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="93194412"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 93194412; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="93194203"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/93194203/Repentance_as_Rebuke_Betrayal_and_Moral_Injury_in_Safety_Engineering"><img alt="Research paper thumbnail of Repentance as Rebuke: Betrayal and Moral Injury in Safety Engineering" class="work-thumbnail" src="https://attachments.academia-assets.com/95998730/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/93194203/Repentance_as_Rebuke_Betrayal_and_Moral_Injury_in_Safety_Engineering">Repentance as Rebuke: Betrayal and Moral Injury in Safety Engineering</a></div><div class="wp-workCard_item"><span>Science and Engineering Ethics</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Following other contributions about the MAX accidents to this journal, this paper explores the ro...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Following other contributions about the MAX accidents to this journal, this paper explores the role of betrayal and moral injury in safety engineering related to the U.S. federal regulator’s role in approving the Boeing 737MAX—a plane involved in two crashes that together killed 346 people. It discusses the tension between humility and hubris when engineers are faced with complex systems that create ambiguity, uncertain judgements, and equivocal test results from unstructured situations. It considers the relationship between moral injury, principled outrage and rebuke when the technology ends up involved in disasters. It examines the corporate backdrop against which calls for enhanced employee voice are typically made, and argues that when engineers need to rely on various protections and moral inducements to ‘speak up,’ then the ethical essence of engineering—skepticism, testing, checking, and questioning—has already failed.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="560ca4426da6879fbe5634d41be9661a" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":95998730,"asset_id":93194203,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/95998730/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="93194203"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="93194203"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 93194203; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="81042766"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/81042766/Goal_Conflicts_Classical_Management_and_Constructivism_How_Operators_Get_Things_Done"><img alt="Research paper thumbnail of Goal Conflicts, Classical Management and Constructivism: How Operators Get Things Done" class="work-thumbnail" src="https://attachments.academia-assets.com/87224051/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/81042766/Goal_Conflicts_Classical_Management_and_Constructivism_How_Operators_Get_Things_Done">Goal Conflicts, Classical Management and Constructivism: How Operators Get Things Done</a></div><div class="wp-workCard_item"><span>Safety</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">In this study we identify the differences in goal realisation when applying two conflicting parad...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">In this study we identify the differences in goal realisation when applying two conflicting paradigms regarding rule perception and management. We gathered more than 30 scenarios where goal conflicts were apparent in a military operational unit. We found that operators repetitively utilized certain routines in executing their tasks in an effort to realize several conflicting goals. These routines were not originally intended nor designed into the rules and not explicitly included in documentation. They were not necessarily at odds with the literal wording and/or the intent of rules and regulations, although we did find examples of this. Our data showed that local ingenuity was created innovatively within the frame of existing rules or kept invisible to those outside the unit. The routines were introduced and passed on informally, and we found no evidence of testing for the introduction of new risks, no migration into the knowledge base of the organisation, and no dissemination as ne...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="c189cc08e19eb0257972fe1f1a512fa2" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":87224051,"asset_id":81042766,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/87224051/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="81042766"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="81042766"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 81042766; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="77125598"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/77125598/Building_a_Safety_Culture"><img alt="Research paper thumbnail of Building a Safety Culture" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/77125598/Building_a_Safety_Culture">Building a Safety Culture</a></div><div class="wp-workCard_item"><span>The Field Guide to Understanding ‘Human Error’</span><span>, 2017</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77125598"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77125598"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77125598; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="77125594"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" rel="nofollow" href="https://www.academia.edu/77125594/Why_Do_We_Blame"><img alt="Research paper thumbnail of Why Do We Blame" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" rel="nofollow" href="https://www.academia.edu/77125594/Why_Do_We_Blame">Why Do We Blame</a></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77125594"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77125594"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77125594; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=77125594]").text(description); $(".js-view-count[data-work-id=77125594]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 77125594; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='77125594']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); 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window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=77125593]").text(description); $(".js-view-count[data-work-id=77125593]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 77125593; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='77125593']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-a9bf3a2bc8c89fa2a77156577594264ee8a0f214d74241bc0fcd3f69f8d107ac.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=77125593]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":77125593,"title":"An Initial Comparison of Selected Models of System Resilience","internal_url":"https://www.academia.edu/77125593/An_Initial_Comparison_of_Selected_Models_of_System_Resilience","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="77125592"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/77125592/CURRENT_DEBATE_AND_PRACTICE_CENTRED_ON_VISION_ZERO_Zero_commitment_commentary_on_Zwetsloot_et_al_and_Sherratt_and"><img alt="Research paper thumbnail of CURRENT DEBATE AND PRACTICE CENTRED ON ‘ VISION ZERO ’ Zero commitment : commentary on Zwetsloot et al . , and Sherratt and" class="work-thumbnail" src="https://attachments.academia-assets.com/84581282/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/77125592/CURRENT_DEBATE_AND_PRACTICE_CENTRED_ON_VISION_ZERO_Zero_commitment_commentary_on_Zwetsloot_et_al_and_Sherratt_and">CURRENT DEBATE AND PRACTICE CENTRED ON ‘ VISION ZERO ’ Zero commitment : commentary on Zwetsloot et al . , and Sherratt and</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This paper discusses the literature that shows that declaring a zero vision for everything bad (i...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This paper discusses the literature that shows that declaring a zero vision for everything bad (including unsafe behaviours, incidents, injuries) does not prevent fatalities or major accidents. In fact, parts of the literature show that a reduction in minor badness increases the risk of major accidents and fatalities. This is true in several industries. Two families of explanations are discussed. The first is the concern that declaring a zero vision can reduce operational knowledge. The second is the unsubstantiated assumption that minor injuries and fatalities have the same causal pattern. In general, evidence for or against the utility of a zero vision is dogged by confouding factors (other variables responsible for changes in safety outcomes) and what Giddens called the double hermeneutic, where the results of such studies are only as stable as the attributions the original reporter (e.g. OHS official, case worker) and the subsequent analyst (e.g. researcher) made about a particu...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="a41385fd474d8295488838c482fda188" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":84581282,"asset_id":77125592,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/84581282/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77125592"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77125592"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77125592; 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dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=77125590]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":77125590,"title":"Human error after all","internal_url":"https://www.academia.edu/77125590/Human_error_after_all","owner_id":87846573,"coauthors_can_edit":true,"owner":{"id":87846573,"first_name":"Sidney","middle_initials":null,"last_name":"Dekker","page_name":"SDekker","domain_name":"griffith","created_at":"2018-07-24T23:35:42.527-07:00","display_name":"Sidney Dekker","url":"https://griffith.academia.edu/SDekker"},"attachments":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="77125589"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/77125589/Loss_of_situation_awareness_by_medical_staff_reflecting_on_the_moral_and_legal_status_of_a_psychological_concept"><img alt="Research paper thumbnail of Loss of situation awareness" by medical staff: reflecting on the moral and legal status of a psychological concept" class="work-thumbnail" src="https://attachments.academia-assets.com/84606977/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/77125589/Loss_of_situation_awareness_by_medical_staff_reflecting_on_the_moral_and_legal_status_of_a_psychological_concept">Loss of situation awareness" by medical staff: reflecting on the moral and legal status of a psychological concept</a></div><div class="wp-workCard_item"><span>Journal of law and medicine</span><span>, 2015</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This article examines the emergence of &quot;accurate situation awareness (SA)&quot; as a legal a...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This article examines the emergence of &quot;accurate situation awareness (SA)&quot; as a legal and moral standard for judging professional negligence in medicine. It argues that SA constitutes a status, an outcome resulting from the confluence of a wide array of factors, some originating inside and others outside the agent. SA does not connote an action, a practice, a role, a task, a virtue, or a disposition--the familiar objects of moral and legal appraisal. The argument contends that invoking SA becomes problematic when its use broadens to include professional or legally appraisable norms for behaviour, which expect a certain state of awareness from practitioners.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="e454eedcfc956d6ee52663a61961ff8b" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":84606977,"asset_id":77125589,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/84606977/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77125589"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77125589"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77125589; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="77125273"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/77125273/How_the_cockpit_manages_anomalies_revisiting_the_dynamic_fault_management_model_for_aviation"><img alt="Research paper thumbnail of How the cockpit manages anomalies: revisiting the dynamic fault management model for aviation" class="work-thumbnail" src="https://attachments.academia-assets.com/84596045/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/77125273/How_the_cockpit_manages_anomalies_revisiting_the_dynamic_fault_management_model_for_aviation">How the cockpit manages anomalies: revisiting the dynamic fault management model for aviation</a></div><div class="wp-workCard_item"><span>Cognition, Technology & Work</span><span>, 2019</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">More than 20 years ago, Woods proposed a model that accounts for the inherent complexity faced by...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">More than 20 years ago, Woods proposed a model that accounts for the inherent complexity faced by operators when managing abnormal and emergency situations in highly complex sociotechnical systems. The model was reviewed a decade later and only a few studies have applied it to aviation. This paper proposes adjustments to the original model, based on recent theoretical developments and empirical evidence on the anomaly management activity in aviation. The model was divided into five components; three of which-activity, types of reasoning involved, and resources-were revisited and further developed. The two other components-fault behaviour and unit of analysis-were not updated and only dicussed in the aviation context. As a result, the revisited model descriptively clarifies how the activity of anomaly management emerges from the use of a wide repertoire of strategies, involving a spectrum of types of reasoning and a set of resources for action, which are not limited to those anticipated by designers, such as checklsits and the warning system. An instantiation of the revisited model highligths the implications of false alarms, which trigger a cascade of disturbances that, in turn, requires adaptive strategies based on heuristics and analogies and supported by pilot's experience. The revisited model can support a more accurate analysis of anomalous situations and the redesign of work systems to achieve a better performance.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="7eba41055a7965d1e127c93b0b9414c0" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":84596045,"asset_id":77125273,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/84596045/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="77125273"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="77125273"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 77125273; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="74193147"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/74193147/Investigating_Assessors_Scoring_and_Reasoning_of_Safety_Critical_Crew_Performance_and_Collaboration"><img alt="Research paper thumbnail of Investigating Assessors' Scoring and Reasoning of Safety-Critical Crew Performance and Collaboration" class="work-thumbnail" src="https://attachments.academia-assets.com/82430127/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/74193147/Investigating_Assessors_Scoring_and_Reasoning_of_Safety_Critical_Crew_Performance_and_Collaboration">Investigating Assessors' Scoring and Reasoning of Safety-Critical Crew Performance and Collaboration</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The use of an assessment model has shown large variation (disagreement) in the scoring of airline...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The use of an assessment model has shown large variation (disagreement) in the scoring of airline professionals who judged the performance of a captain and first officer in multiple video scenarios. A better understanding was thus required of the source of assessors&#39; disagreement in terms of both the scoring and reasoning of safety-critical crew performance and collaboration. In the first study, the present thesis quantitatively compared the scoring and assessment time of airline professionals (first officers, captains, and flight examiners) from two different airlines who were given versus not given an assessment model to judge performance. The demographics of the participants were compared in terms of their age, total flight hours, and years flown as commercial pilot. In contrast, the second and third studies qualitatively investigated and analysed assessors&#39; reasoning further. The second study closely examined the reasoning of captain assessor pairs who assessed the perfo...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="22e806b4833843425217060630f5546d" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":82430127,"asset_id":74193147,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/82430127/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="74193147"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="74193147"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 74193147; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="74193142"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/74193142/Systems_Thinking_1_0_and_Systems_Thinking_2_0_Complexity_science_and_a_new_conception_of_cause_"><img alt="Research paper thumbnail of Systems Thinking 1.0 and Systems Thinking 2.0: Complexity science and a new conception of “cause”" class="work-thumbnail" src="https://attachments.academia-assets.com/82430181/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/74193142/Systems_Thinking_1_0_and_Systems_Thinking_2_0_Complexity_science_and_a_new_conception_of_cause_">Systems Thinking 1.0 and Systems Thinking 2.0: Complexity science and a new conception of “cause”</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">ABSTRACT: Our understanding and investigation of accidents in aviation is dominated by a mechanis...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">ABSTRACT: Our understanding and investigation of accidents in aviation is dominated by a mechanistic worldview that seeks to find and fix broken parts. Even though “systems thinking ” has become quite fashionable over the past two decades, this still often reduces to finding broken parts further away in space and time from the accident. This is Systems Thinking 1.0. In contrast, complexity science, and its new conception of “cause, ” offers a route to Systems Thinking 2.0. In this, investigators and managers can be made aware of the consequences of path-dependence, open systems, the asymmetry between small inputs and large effects, and the unpredictability of efforts to control or regulate complexity. This paper uses a case study to compare Systems Thinking 1.0 and 2.0 and develop the latter.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="726d9156a04649907731eb8ac65273fa" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":82430181,"asset_id":74193142,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/82430181/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="74193142"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="74193142"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 74193142; 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This paper first traces the long historical arm of rational choice thinking in the West to Judeo-Christian thinking, Calvin and Weber. It then presents a case study that illustrates the consequences of the ethic of rational choice and individual responsibility. It subsequently examines and contextualizes Rasmussen's legacy of pushing back against the long historical arm of rational choice, showing that bad outcomes are not the result of human immoral choice, but the product of normal interactions between people and systems. If we don't understand why people did what they did, Rasmussen suggested, it is not because people behaved inexplicably, but because we took the wrong perspective.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="d281469cad078513ddd9d4dbbfaa42db" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":82430169,"asset_id":74193130,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/82430169/download_file?s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="74193130"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="74193130"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 74193130; 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