9 Matching Annotations
  1. Dec 2022
    1. Perrow argued that “normal accidents” were nearly inevitable in a complex, tightly coupled system. To resist such an outcome, systems designers needed to have backups and redundancy, safety checks and maintenance.
    2. One interesting concept in organizational sociology is “normal accidents theory.” Studying Three Mile Island, Charles Perrow created a 2x2 grid
  2. Aug 2022
  3. washburnmail-my.sharepoint.com washburnmail-my.sharepoint.com
    1. found via:

      Niklas Luhmann rejected out of town teaching positions for fear that his hard copy / analog zettelkasten might get destroyed in the moving process 🧵

      — Bob Doto (@thehighpony) August 19, 2022
      <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

      "He rejected a number of other universities' interests in hiring him...at an early stage, arguing that he couldn't risk taking his Zettelkasten with him in the event of an accident to lose by car, ship, train or plane." https://t.co/SmK2gLJpQ0

      — Bob Doto (@thehighpony) August 19, 2022
      <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

      reference ostensibly in this text, but may need to hunt it down.

  4. Apr 2022
    1. In her 2002 dissertation, and then in a series of articles published in medicaljournals, Pape made a case for imitating this practice. “The key to preventingmedication errors lies with adopting protocols from other safety-focusedindustries,” Pape wrote in the journal MEDSURG Nursing in 2003. “The airlineindustry, for example, has methods in place that improve pilots’ focus andprovide a milieu of safety when human life is at stake.”

      In a 2002 dissertation and subsequent articles, Tess Pape proposed imitating solutions proposed by the FAA in airline accidents as a means of limiting distractions during medicine dispensing by nurses and medical staff to limit preventable medical errors.

    2. aviation experts haddevised a solution to the problem of pilot interruption: the “sterile cockpit rule.”Instituted by the Federal Aviation Administration in 1981, the rule forbids pilotsfrom engaging in conversation unrelated to the immediate business of flyingwhen the plane is below ten thousand feet.

      The "sterile cockpit rule" was instituted by the FAA in 1981 as a solution to cut down on the high proportion of airborne accidents during take-off and landing. The rule forbids pilots from engaging in any conversations unrelated to the flight of the plane, which has the effect of removing any distracting stimuli which may otherwise cascade into an accident.

  5. Jan 2022
    1. He also quotes another scientist, who speaks of "controlled sloppiness" as a principle that "permits the occurrence of fruitful accidents", tracing this idea to the fact that scientific work is never without loose ends and that in the absence of a rigid plan it is possible to pay attention to the untidy ends, which ultimately "may turn out to be of considerable importance." Indeed, "compulsive tidiness in experimentation" may be even more crippling than in other areas of life (193).

      Merton, Robert King and Barber, Elinor (2004) The Travels And Adventures Of Serendipity : A Study In Sociological Semantics And The Sociology Of Science Princeton, N.J. : Princeton University Press, 2004

  6. Dec 2021
    1. The role of accidents in the theory of science is not disputed, If you employ evolutionary models, accidents assume a most important role. Without them, nothing happens, no progress is made. Without variation in the given material of ideas, there are no possibilities of examining and selecting novelties. The real problem thus becomes therefore one of producing accidents with sufficiently enhanced probabilities for selection.
  7. Mar 2021
  8. robotics.ricopic.one robotics.ricopic.one
    1. person.

      Most accidents are between robot and programmer. People who should know better but cut a corner

      https://www.bbc.com/news/newsbeat-33359005

  9. Dec 2015