Diane Vaughan studied the culture at NASA to identify the organizational factors which contributed to the loss of space shuttle Challenger. She coined the phrase “normalization of deviance” to describe “the gradual process through which unacceptable practice or standards become … the social norm for the organization.” This is essential reading for anyone concerned with effective organizational decision-making, especially for high-risk industries like aerospace and defense.
Charles Perrow explores the emergent interactions inherent in complex and tightly-coupled systems, and how these contribute to catastrophic failures. This understanding can help systems engineers make better design decisions.
In a follow-up to the acclaimed Set Phasers on Stun, Steven Casey presents twenty true stories of “human error” that illustrate how poor design can result in catastrophe. Learn from these mistakes to improve your own designs.
Inspired by the classic business novel The Goal, Gene Kim, Kevin Behr, and George Spafford tell the story of one company’s transformation through the application of lean principles. Though it’s centered on information systems (i.e. IT), the concepts translate into all types of systems developed with lean or agile principles.
“Undercover Economist” Tim Harford presents this series about human psychology, design, and error. As with many of the books linked above, these stories provide an opportunity to learn from others’ mistakes.