Causes of catastrophic failure in complex systems

被引：1
|
作者：
Thomas, David A. [1 ]
机构：
[1] Aerosp Corp, El Segundo, CA 90245 USA
来源：
AN OPTICAL BELIEVE IT OR NOT: KEY LESSONS LEARNED II | 2010年 / 7796卷
关键词：
Lessons learned; Hubble Space Telescope; cognitive biases; concurrent engineering; mission assurance; acquisition reform;
D O I：
10.1117/12.859906
中图分类号：
T [工业技术];
学科分类号：
08 ;
摘要：
Root causes of mission critical failures and major cost and schedule overruns in complex systems and programs are studied through the post-mortem analyses compiled for several examples, including the Hubble Space Telescope, the Challenger and Columbia Shuttle accidents, and the Three Mile Island nuclear power plant accident. The roles of organizational complexity, cognitive biases in decision making, the display of quantitative data, and cost and schedule pressure are all considered. Recommendations for mitigating the risk of similar failures in future programs are also provided.
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页数：12
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