• Engineering
  • Published 2008

Failure of foresight: Learning from system failures through dynamic model

@inproceedings{Nakamura2008FailureOF,
  title={Failure of foresight: Learning from system failures through dynamic model},
  author={Takafumi Nakamura and Kyoichi Kijima},
  year={2008}
}
A dynamic model for holistically examining system failures is proposed, for the purpose of preventing further occurrence of these failures. An understanding system failure correctly is crucial to preventing further occurrence of system failures. Quick fixes can even damage organizational performance to a level worse than the original state. There is well known side effect of “normalized deviance” which leads NASA’s Challenger and Columbia space shuttle disasters. And there is so called… CONTINUE READING