A theory of organizations as contexts frames the kinds of objective and subjective evidence needed for systematic analyses of the conditions under which accidents and incidents occur, are recovered from, or are prevented. Contexts of risk-handling activities in high-hazard produc tion systems are seen as supraindividual and self-governing entities, structured by social and cultural properties such as goals, resources, communication, meanings and categories, and intercontext relation ships. The concept of self-governance equalizes the importance of lateral and executive control for safety management. Actors' access to and degree of perceived and objective control over resources become significant data, as do data relating to communicative, cultural, and coordination issues. Context theory highlights several issues in safety research and practice and organizational studies generally, and it sug gests new approaches to incident investigations and organizational learning.
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References
1.
Barker, R.G. (1968). Ecological psychology: Concepts and methods for studying the environment of human behavior. Stanford, CA : Stanford University Press.
2.
Barley, S.R. (1986). Technology as an occasion for structuring: Evidence from observations of CT scanners and the social order of radiology departments . Administrative Science Quarterly, 31, 61-103.
3.
Bijker, W.E. (1993). Do not despair: There is life after constructivism . Science, Technology, & Human Values, 18, 113-138.
4.
Brehmer, B. (1988). Organization for decision-making in complex systems . In L. R Goodstein, H. B. Andersen, & S. E. Olsen (Eds.), Tasks, errors and mental models (pp. 116-127). New York: Taylor & Francis.
5.
Brehmer, B. (1992). Dynamic decision making: Human control in complex systems. Acta Psychologica, 81, 211-241.
6.
Carroll, J.S. (1995). Incident reviews in high-hazard industries: Sense making and learning under ambiguity and accountability. Industrial & Environmental Crisis Quarterly, 9,175-197.
7.
Carroll, J.S., & Perin, C. (1994). Enhancing and sustaining self-improvement. Mimeo, Massachusetts Institute of Technology, Center for Energy Policy, International Program for Enhanced Nuclear Power Plant Safety.
8.
Carroll, J.S., & Perin, C. (1995). Organizing and managing for safe performance: New frameworks, new questions, new actions (final report. Mimeo, Massachusetts Institute of Technology, Center for Energy Policy, International Program for Enhanced Nuclear Power Plant Safety, Organization and Management Study Group.
9.
Clarke, L. (1992). Context dependency and risk decision making. In J. F. Short, Jr. & L. Clarke (Eds.), Organizations, uncertainties, and risk (pp. 27-53). Boulder, CO: Westview.
10.
Colas, A. (1995). Human factors and safety at Electricite de France . Industrial & Environmental Crisis Quarterly, 9, 213-223.
11.
Dien, Y. (1993, May). The use of rules to achieve safety. Paper presented at 11th Network Workshop, Bad Homburg, Germany
12.
Freudenburg, W.R. (1993). Risk and recreancy: Weber, the division of labor, and the rationality of risk perceptions. Social Forces, 71, 909-932.
13.
Freudenburg, W.R. (1994, August). Strange chemistry: Environmental risk conflicts in a world of science, values, and blind spots. Keynote address at annual meeting of the American Chemical Society, Washington, DC.
14.
Freudenburg, W.R., & Pastor, S.K. (1992). Public responses to technological risks: Toward a sociological perspective. Sociological Quarterly, 33, 389-412.
15.
Gaba, D.M., Fish, K.J., & Howard, S.K. (1994). Crisis management in anesthesiology. New York: Churchill Livingstone.
16.
Galegher, J., Kraut, R.E., & Egido, C. (1990). Intellectual teamwork: Social and technological foundations of cooperative work. Hillsdale, NJ: Lawrence Erlbaum.
17.
Gephart, R.P., Jr. (1993). The textual approach: Risk and blame in disaster sensemaking. Academy of Management Journal, 36,1465-1514.
18.
Giddens, A. (1984). The constitution of society: Outline of the theory of structure. Berkeley: University of California Press.
19.
Helmreich, R.L., Wiener, E.L., & Kanki, B.G. (1993). The future of crew resource management in the cockpit and elsewhere. In E. L. Wiener, B. G. Kanki, & R. L. Helmreich (Eds.), Cockpit resource management (pp. 479-501). New York: Academic Press.
20.
Hidden, A. (1989). Investigation into the Clapham Junction railway accident. London: Her Majesty's Stationery Office, Department of Transport.
21.
International Civil Aviation Organization. ( 1993). Human factors, management and organization (Human Factors Digest, Vol. 10). Montreal: Author.
22.
Jackall, R. (1988). Moral mazes: The world of corporate managers. New York: Oxford University Press.
23.
Lal, B. ( 1992). A framework for incorporating best practices at nuclear power plants. Master's thesis, MIT Technology and Public Policy Program.
24.
LaPorte, T.R. (1994a). Large technical systems, institutional surprises, and challenges to political legitimacy. Technology in Society , 16(3), 269-288.
25.
LaPorte, T.R. (1994b). A strawman speaks up: Comments on The Limits of Safety. Journal of Contingencies and Crisis Management , 2(4), 207-211.
26.
LaPorte, T.R., & Consolini, P.M. (1991). Working in practice but not in theory: Theoretical challenges of "high-reliability" organizations. Journal of Public Administration and Research, 1, 19-47.
27.
LaPorte, T.R., Roberts, K., & Rochlin, G. (1989). High reliability organizations: The research challenge . Berkeley: University of California, Institute of Governmental Studies.
28.
LaPorte, T.R., & Rochlin, G. (1994). Rejoinder to Perrow. Journal of Contingencies and Crisis Management, 2(4), 221-227.
29.
Linde, C. (1988a). The quantitative study of communicative success: Politeness and accidents in aviation discourse. Language in Society, 17, 375-399.
30.
Linde, C. (1988b). Who's in charge here? Cooperative work and authority negotiation in police helicopter missions. Publications of the ACM: Computer Supported Cooperative Work,282, 52-64.
31.
Linde, C. (1993). Life stories: The creation of coherence. New York: Oxford University Press.
32.
Manning, P.K. (1992). Managing risk: Managing uncertainty in the British nuclear installations inspectorate. In J. F. Short, Jr., & L. Clarke (Eds.), Organizations, uncertainties, and risk (pp. 255-273). Boulder, CO: Westview.
33.
Orasanu, J.M. (1990, July). Shared mental models and crew decision making . Paper presented at the 12th annual conference of the Cognitive Science Society, Cambridge, MA.
34.
Pate-Cornell, M.E. (1990). Organizational aspects of engineering system safety: The case of offshore platforms. Science, 250, 1210-1216.
35.
Perin, C. (1970). With man in mind: An interdisciplinary prospectus for environmental design. Cambridge, MA: MIT Press.
36.
Perin, C. (1991). Electronic social fields in bureaucracies. Communications of the ACM,34, 75-82.
37.
Perin, C. (in press). The power of meanings: "Safety" at risk in nuclear power plants. Science, Technology, & Human Values.
38.
Perrow, C. (1983). The organizational context of human factors engineering . Administrative Science Quarterly, 28, 521-541.
39.
Perrow, C. (1984). Normal accidents: Living with high-risk technologies . New York: Basic Books.
40.
Perrow, C. (1994a). Accidents in high risk systems. Technology Studies, 1, 1-19.
41.
Perrow, C. (1994b). The limits of safety: The enhancement of the theory of accidents. Journal of Contingencies and Crisis Management , 2(4), 212-219.
42.
Rasmussen, J. (1988). Human error mechanisms in complex work environments . Reliability Engineering and System Safety, 22,155-169.
43.
Rasmussen, J., & Batstone, R. (1990). Towards improved safety control and risk management . Mimeo, The World Bank, Washington, DC.
44.
Rasmussen, J., & Batstone, R. (1989). Why do complex organizational systems fail? Environment Working Paper No. 20, The World Bank, Washington, DC.
45.
Reason, J. (1990, May). Managing the management risk: New approaches to organisational safety. Draft paper for Workshop on Managing New Technologies, Bad Homburg, Germany
46.
Reason, J. (1991, September). The dimensions of safety: Cognitive science approaches to process control. Paper presented at the Third European Meeting on Safety, Cardiff, Wales.
47.
Rochlin, G.I. (1993). Defining "high reliability" organizations in practice: A taxonomic prologue. In K. Roberts (Ed.), New challenges to understanding organizations (pp. 11-32). New York: Macmillan.
48.
Royal Society. (1992). Risk: Analysis, perception, and management. London: Author.
49.
Sagan, S.D. (1993). The limits of safety: Organizations, accidents, and nuclear weapons. Princeton, NJ: Princeton University Press.
50.
Sagan, S.D. (1994). Toward a political theory of organizational reliability . Journal of Contingencies and Crisis Management, 2(4), 228-240.
51.
Schoggen, P. (1989). Behavior settings: A revision and extension of Roger G. Barker's Ecological Psychology. Stanford, CA: Stanford University Press.
52.
Schulman, P. (1993). Negotiated order of organizational reliability . Administration & Society, 25, 353-372.
53.
Schwartzman, H.B. (1989). The meeting: Gatherings in organizations and communities . New York: Plenum.
54.
Searle, J.R. (1979). Expression and meaning: Studies in the theory of speech acts. Cambridge, UK: Cambridge University Press.
55.
Short, J. F., Jr., & Clarke, L. (Eds.). (1992). Organizations, uncertainties, and risk. Boulder, CO: Westview .
56.
Sommer, R., & Wicker, A.W. (1991). Gas station psychology: The case for specialization in ecological psychology. Environment and Behavior, 23,131-149.
57.
Star, S.L. (1992). Craft vs. commodity, mess vs. transcendence: How the right tool became the wrong one in the case of taxidermy and natural history . In A. E. Clarke & J. H. Fujimura (Eds.), The right tools for the job: At work in twentieth-century life sciences (pp. 257-286). Princeton, NJ: Princeton University Press.
58.
Stinchcombe, A.L. (1990). Information and organizations. Berkeley: University of California Press.
59.
Stodolsky, S.S. (1971). Ecological psychology or what's going on at Kansas ? The School Review, 79, 625-636.
60.
Tasca, L. (1990). The social construction of human error. Ph.D. thesis, State University of New York at Stony Brook, Department of Sociology
61.
Turner, B. (1978). Man-made disasters. London : Wykenham.
62.
Vaughn, D. (1990). Autonomy, interdependence, and social control: NASA and the space shuttle Challenger. Administrative Science Quarterly, 35, 225-233.
63.
Verma, K., & Marcus, A. (1995). Causes and effects of rising production costs in the U.S. nuclear power industry. Industrial & Environmental Crisis Quarterly, 9, 242-258.
64.
Weick, K. (1969). Human behavior in its natural setting: Review of Roger Barker, Ecological Psychology. Science, 166, 856-859.
65.
Weick, K. (1979). Cognitive processes in organizations. Research in Organizational Behavior, 1, 41-74.
66.
Weick, K. (1987). Organizational culture as a source of high reliability . California Management Review, 29(2),112-127.
67.
Weick, K.E. (1990). The vulnerable system: An analysis of the Tenerife air disaster. Journal of Management, 16, 571-593.
68.
Wicker, A.W. (1987). Behavior settings reconsidered: Temporal stages, resources, internal dynamics, context. In D. Stokols & I. Altman (Eds.), Handbook of environmental psychology (pp. 613-654). New York: Wiley.
69.
Wicker, A.W. (1991). Successful revision of an environmental classic . Contemporary Psychology, 36, 298-299.
70.
Woods, D.D. (1988). Coping with complexity: The psychology of human behaviour in complex systems. In L. P Goodstein , H. B. Andersen, & S. E. Olsen (Eds.), Tasks, errors and mental models (pp. 128-148). New York: Taylor & Francis.
71.
Woods, D.D., Johannesen, L.J., Cook, R.I., & Sarter, N.B. (1993). Behind human error: Cognitive systems, computers and hindsight (draft). Columbus: Ohio State University, Cognitive Systems Engineering Laboratory.
