8GOAL CONFLICTS
STRATEGIC FACTORS
A third set of factors at work in distributed cognitive systems is strategic in nature. People have to make tradeoffs between different but interacting or conflicting goals, between values or costs placed on different possible outcomes or courses of action, or between the risks of different errors (Brown, 2005a, 2005b; Woods, 2006; Hollnagel, 2009). They must make these tradeoffs while facing uncertainty, risk, and the pressure of limited resources (e.g., time pressure; opportunity costs).
On a weekend in a large tertiary care hospital, the anesthesiology team (consisting of four physicians, three of whom are residents in training) was called on to perform anesthetics ...
Get Behind Human Error, 2nd Edition now with the O’Reilly learning platform.
O’Reilly members experience books, live events, courses curated by job role, and more from O’Reilly and nearly 200 top publishers.
