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Failure informs more generously and reliably than success. Failure
is the best indicator of what's working and what's not in any
complex system or enterprise. All failures will inevitably reveal
latent defects and/or failure modes that are invariably buried
within the people, processes, materials, design, manufacturing, and
management that comprise the complex system. In this new framework
from former NASA aerospace professionals, Newman and Wander employ
a unique system failure case study (SFCS) paradigm, originally
developed to stimulate systems thinking and lessons learning at
NASA, that combines storytelling and systems engineering designed
to enhance organizational learning. The authors employ the SFCS
approach to explore a vast array of failure events in multiple
sectors of transportation, industry, aerospace, construction, and
critical infrastructure. They provide an Integrated Analysis
seeking trends, patterns, and universally applicable insights that
readers can use to recognize areas of potential vulnerability
within their own activities. The authors then identify specific
actions within the span of control of enterprise leaders, project
managers, process owners and operators which can be implemented to
manage risk in high consequence, high risk activities.
Failure informs more generously and reliably than success. Failure
is the best indicator of what's working and what's not in any
complex system or enterprise. All failures will inevitably reveal
latent defects and/or failure modes that are invariably buried
within the people, processes, materials, design, manufacturing, and
management that comprise the complex system. In this new framework
from former NASA aerospace professionals, Newman and Wander employ
a unique system failure case study (SFCS) paradigm, originally
developed to stimulate systems thinking and lessons learning at
NASA, that combines storytelling and systems engineering designed
to enhance organizational learning. The authors employ the SFCS
approach to explore a vast array of failure events in multiple
sectors of transportation, industry, aerospace, construction, and
critical infrastructure. They provide an Integrated Analysis
seeking trends, patterns, and universally applicable insights that
readers can use to recognize areas of potential vulnerability
within their own activities. The authors then identify specific
actions within the span of control of enterprise leaders, project
managers, process owners and operators which can be implemented to
manage risk in high consequence, high risk activities.
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