24th Annual HPRCT Conference
June 19-22, 2018
Marriott Riverwalk
San Antonio, Texas
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Friday, June 22 • 1:00pm - 5:00pm
Sacrifice Decisions (Resilience Engineering Event Analysis)

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(Note: This workshop complements the HRO staff ride workshop; both offer a different way of looking at and learning from events. ) 
This workshop was developed by Dave Wood’s Cognitive System’s Engineering lab at Ohio State.   We will demonstrate how to look at an event from a Resilience Engineering/complex system perspective, using a simulation inspired by a 2013 NASA incident in which an astronaut almost drowned during a spacewalk. Participants will assume multiple roles in carrying out and directing the spacewalk amid goals and constraints exploring how people make sacrifice decisions under messy conditions.  We will discuss how organizations can improve sense-making and decision making. 
Background: To fully understand system performance and how it degrades before and during an accident, it is crucial to be able to rationalize the small-scale behaviors of the practitioners closest to the accident in time and space (i.e., the sharp end). This is only possible by understanding how these behaviors are shaped by the pressures and constraints resulting from larger-scale decisions and actions of the blunt end. Chief among these is increased production pressure. Whether it is due to exploiting new technologies, creating more prescriptive policies and procedures, or leveraging past efficiencies to increase present and future throughput, this invisible force predictably contributes to changes in mindset, activation of buggy knowledge, changes in goal priorities, and changes in authority that can interact to degrade event detection, sensemaking, re-planning, and other macro-cognitive functions. But how can you see an invisible force?  We identify the most common ways that production pressure is expressed in the seemingly irrational adaptations of people throughout the system.  We will teach how these adaptations can be reconceptualized in terms of how sense-making and decision making occurred, which can then be traced back to the more global pressures and constraints. 
This workshop will be valuable for anyone interested in better managing complex system performance through applying the concepts of resilience engineering.     

avatar for Asher Balkin

Asher Balkin

Research Engineer and Laboratory Manager at the Cognitive Systems Engineering Laboratory (C/S/E/L) at Ohio State University, Ohio State University
An interdisciplinary researcher who has worked in fields as diverse as public health, international security, surgical research, and human/automation interaction, Asher is known equally well for the quality of his research as for his sardonic wit. He is currently a Research Engineer... Read More →
avatar for Beth Lay

Beth Lay

Founder and Principal, Applied Resilience, LLC.
An experienced leader who helps develop resilient, reliable organizations. Four years experience as Director of Human Performance at Calpine Corp – an owner/operator of 80+ electric utility power plants. Seven years experience as the leader of Siemens Energy Field Service Risk Management... Read More →

Friday June 22, 2018 1:00pm - 5:00pm CDT

Attendees (3)