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Understanding Crises:
Investigating Organizational
Safety Culture by Combining
Organizational Ethnography and
Agent Modeling
David
Passenier
Colin
Mols
Jan
Bím
Alexei
Sharpanskykh
Resilient Systems & Safety Culture
Safety Culture Resilient Responses (Weick et al., 1999)
Practices, beliefs, values concerning the safety of a system
Resilient Systems & Safety Culture
Safety Culture Resilient Responses (Weick et al., 1999)
Practices, beliefs, values concerning the safety of a system
 Research:
 Relation cultural properties to safety unclear, complex
 Models linear, based on incidents data
 Practice:
 How to improve safety cultures?
Understand development of safety culture.
Our Approach:
 Social interactions
 Complex dynamics
 Emergent phenomena
ETHNOGRAPHY
• Rich qualitative data
• Natural settings
AGENT MODELLING
• decision making agents
• simulate interactions
Research process
Orientation, research
question, data
gathering strategy
Identification of
involved actors
Identification of
most important
factors
Conceptual
model
Refinement
Formal
model
Implementation Simulations Results
-New questions
-Empirical data
gathering
Research process
Orientation, research
question, data
gathering strategy
Identification of
involved actors
Identification of
most important
factors
Conceptual
model
Refinement
Formal
model
Implementation Simulations Results
-New questions
-Empirical data
gathering
Orientation phase
- Domain: Aircraft maintenance
- Data gathering: Case study (Atak and
Kingma, 2010), interviews with the author.
- Question: How does the commitment to
safety of maintenance technicians emerge and
develop under social and organizational
influences?
- Management, Quality Assurance,
Aircraft Maintenance Technicians
- Power relations, Social influences,
Decision making
Orientation, research
question, data
gathering strategy
Identification of
involved actors
Identification of
most important
factors
Research process
Orientation, research
question, data
gathering strategy
Identification of
involved actors
Identification of
most important
factors.
Conceptual
model
Forma-
lization
Formal
model
Implementation Simulations Results
Conceptual
model
-New questions
-Empirical data
gathering
Conceptual model
Forma-
lization
Formal
model
Implementation Simulations Results
Conceptual
model
• All the ideas put together in a concept of the whole mechanism
• The first one was too detailed
• Specific maintenance tasks taken into account
• Problem accessing organizations
• Refined to higher level of abstraction
• Example: performance delivery of an AMT is influenced by all
other AMTs, QA and management
Formalization
Forma-
lization
Formal
model
Implementation Simulations Results
Conceptual
model
• Translation of all concept into mathematical terms
• Assignment of meaning to values
Formal model
Forma-
lization
Formal
model
Implementation Simulations Results
Conceptual
model
• Set of equations
• Easy to verify
• Easier to implement a formal model than the conceptual
straight away
• Example: Δ𝑝 𝑑 = 𝛼 𝛾𝑒(𝑝 𝑎 − 𝑝𝑒)
𝑒∈𝐺
Implementation
Forma-
lization
Formal
model
Implementation Simulations Results
Conceptual
model
• Translation to a programming language (consequently
running software)
• Discretization
• Selection of the representation (e.g. time step size)
• Java
• Example:
• performanceDiff += Math.pow(newAmts.size(), sizeCoefficient) *
influenceSpeed * influenceWeights.get(a) * (a.performanceDelivery
- performanceDelivery) * a_duration;
Simulations
Forma-
lization
Formal
model
Implementation Simulations Results
Conceptual
model
• Instantiation of the implementation with certain
parameters
• Select what should be the results
• Run
• Results visualization and analysis (Matlab)
-New questions
-Empirical data
gathering
Conclusions
 Emergent phenomena
 Complex not linear
 Based on theory and daily practices
 Practical use: show hidden properties of organizational
culture
Future research:
 Measure for responsibility & commitment
 Idea: Commitment as difference between safety demand
and delivered
 Validation
Questions & comments?
 Atak, A. and Kingma, S. (2010) Safety culture in an
aircraft maintenance organisation: A view from the
inside, Safety Science, 49, 268-278.
 Weick, K. E. , Sutcliffe, K.M., and Obstfeld, D. (1999)
Organizing for High Reliability: Processes of
Collective Mindfulness, in Sutton, R.S. and Staw, B.M.
(eds), Research in Organizational Behavior, Volume 1
(pp. 81–123), Jai Press, Stanford.
References

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Understanding Organizational Safety Culture by Combining Ethnography and Agent Modeling

  • 1. Understanding Crises: Investigating Organizational Safety Culture by Combining Organizational Ethnography and Agent Modeling David Passenier Colin Mols Jan Bím Alexei Sharpanskykh
  • 2. Resilient Systems & Safety Culture Safety Culture Resilient Responses (Weick et al., 1999) Practices, beliefs, values concerning the safety of a system
  • 3. Resilient Systems & Safety Culture Safety Culture Resilient Responses (Weick et al., 1999) Practices, beliefs, values concerning the safety of a system  Research:  Relation cultural properties to safety unclear, complex  Models linear, based on incidents data  Practice:  How to improve safety cultures? Understand development of safety culture.
  • 4. Our Approach:  Social interactions  Complex dynamics  Emergent phenomena ETHNOGRAPHY • Rich qualitative data • Natural settings AGENT MODELLING • decision making agents • simulate interactions
  • 5. Research process Orientation, research question, data gathering strategy Identification of involved actors Identification of most important factors Conceptual model Refinement Formal model Implementation Simulations Results -New questions -Empirical data gathering
  • 6. Research process Orientation, research question, data gathering strategy Identification of involved actors Identification of most important factors Conceptual model Refinement Formal model Implementation Simulations Results -New questions -Empirical data gathering
  • 7. Orientation phase - Domain: Aircraft maintenance - Data gathering: Case study (Atak and Kingma, 2010), interviews with the author. - Question: How does the commitment to safety of maintenance technicians emerge and develop under social and organizational influences? - Management, Quality Assurance, Aircraft Maintenance Technicians - Power relations, Social influences, Decision making Orientation, research question, data gathering strategy Identification of involved actors Identification of most important factors
  • 8. Research process Orientation, research question, data gathering strategy Identification of involved actors Identification of most important factors. Conceptual model Forma- lization Formal model Implementation Simulations Results Conceptual model -New questions -Empirical data gathering
  • 9. Conceptual model Forma- lization Formal model Implementation Simulations Results Conceptual model • All the ideas put together in a concept of the whole mechanism • The first one was too detailed • Specific maintenance tasks taken into account • Problem accessing organizations • Refined to higher level of abstraction • Example: performance delivery of an AMT is influenced by all other AMTs, QA and management
  • 10. Formalization Forma- lization Formal model Implementation Simulations Results Conceptual model • Translation of all concept into mathematical terms • Assignment of meaning to values
  • 11. Formal model Forma- lization Formal model Implementation Simulations Results Conceptual model • Set of equations • Easy to verify • Easier to implement a formal model than the conceptual straight away • Example: Δ𝑝 𝑑 = 𝛼 𝛾𝑒(𝑝 𝑎 − 𝑝𝑒) 𝑒∈𝐺
  • 12. Implementation Forma- lization Formal model Implementation Simulations Results Conceptual model • Translation to a programming language (consequently running software) • Discretization • Selection of the representation (e.g. time step size) • Java • Example: • performanceDiff += Math.pow(newAmts.size(), sizeCoefficient) * influenceSpeed * influenceWeights.get(a) * (a.performanceDelivery - performanceDelivery) * a_duration;
  • 13. Simulations Forma- lization Formal model Implementation Simulations Results Conceptual model • Instantiation of the implementation with certain parameters • Select what should be the results • Run • Results visualization and analysis (Matlab) -New questions -Empirical data gathering
  • 14. Conclusions  Emergent phenomena  Complex not linear  Based on theory and daily practices  Practical use: show hidden properties of organizational culture Future research:  Measure for responsibility & commitment  Idea: Commitment as difference between safety demand and delivered  Validation
  • 15. Questions & comments?  Atak, A. and Kingma, S. (2010) Safety culture in an aircraft maintenance organisation: A view from the inside, Safety Science, 49, 268-278.  Weick, K. E. , Sutcliffe, K.M., and Obstfeld, D. (1999) Organizing for High Reliability: Processes of Collective Mindfulness, in Sutton, R.S. and Staw, B.M. (eds), Research in Organizational Behavior, Volume 1 (pp. 81–123), Jai Press, Stanford. References