Resilience engineering for sociotechnical safety management

Modern societies call for a reconsideration of risk and safety, in light of the increasing complexity of human-made systems. Technological artefacts, and the respective role of humans, as well as the organizational contexts in which they operate, dramatically changed in the last decades with an even more severe transformation expected in the future. Rooted in human factors, ergonomics, cognitive engineering, systems thinking and complexity theory, the discipline of resilience engineering proposes innovative approaches for safety challenges imposed by the dynamic, uncertain, and intertwined nature of modern sociotechnical systems. Resilience engineering aims to provide support means for ensuring that systems can sustain required operations under both expected and unexpected conditions. This chapter aims to provide a summary of the scientific field of resilience engineering, as well as a description of two methods common in the field, the resilience analysis grid and the functional resonance analysis method. Following two examples, the chapter proposes a multidisciplinary research agenda for the field

FRAM for systemic accident analysis: a matrix representation of functional resonance

Due to the inherent complexity of nowadays Air Traffic Management (ATM) system, standard methods looking at an event as a linear sequence of failures might become inappropriate. For this purpose, adopting a systemic perspective, the Functional Resonance Analysis Method (FRAM) originally developed by Hollnagel, helps identifying non-linear combinations of events and interrelationships. This paper aims to enhance the strength of FRAM-based accident analyses, discussing the Resilience Analysis Matrix (RAM), a user-friendly tool that supports the analyst during the analysis, in order to reduce the complexity of representation of FRAM. The RAM offers a two dimensional representation which highlights systematically connections among couplings, and thus even highly connected group of couplings. As an illustrative case study, this paper develops a systemic accident analysis for the runway incursion happened in February 1991 at LAX airport, involving SkyWest Flight 5569 and USAir Flight 1493. FRAM confirms itself a powerful method to characterize the variability of the operational scenario, identifying the dynamic couplings with a critical role during the event and helping discussing the systemic effects of variability at different level of analysis

An analytic framework to assess organizational resilience

Background: Resilience Engineering is a paradigm for safety management that focuses on coping with complexity to achieve success, even considering several conflicting goals. Modern socio-technical systems have to be resilient to comply with the variability of everyday activities, the tight-coupled and underspecified nature of work and the nonlinear interactions among agents. At organizational level, resilience can be described as a combination of four cornerstones: monitoring, responding, learning and anticipating. Methods: Starting from these four categories, this paper aims at defining a semi-quantitative analytic framework to measure organizational resilience in complex socio-technical systems, combining the Resilience Analysis Grid (RAG) and the Analytic Hierarchy Process (AHP). Results: This paper presents an approach for defining resilience abilities of an organization, creating a structured domain-dependent framework to define a resilience profile at different levels of abstraction, to identify weaknesses and strengths of the system and thus potential actions to increase system’s adaptive capacity. An illustrative example in an anaesthesia department clarifies the outcomes of the approach. Conclusions: The outcome of the RAG, i.e. a weighted set of probing questions, can be used in different domains, as a support tool in a wider Safety-II oriented managerial action to bring safety management into the core business of the organization

'Samhandling': On the nuances of resilience through case study research in emergency response operations

Standard emergency-management procedures offer guidance on how organizations can improve their handling of all types of emergencies. However, such a generalization undermines uncertainties and oversimplifies the complexity of real work practices during an emergency response operation (ERO). The handling of the COVID-19 pandemic highlights how uncertainty and escalating consequences reinforce the need for resilience in EROs. To illustrate the key elements of our suggested approach and its practical implications, we discuss the issues in light of a case study related to a COVID-19 outbreak on a floating oil rig in the North Sea. The analysis reveals several instances of creative problem solving, and individual and collective efforts beyond the scope of the standard procedures. It also underlines how the shortcomings of resource allocation and over-planning might lead to inflexibility, thus harming EROs' efficiency. Our analysis highlights that the key to resilient EROs lies in robust coordination, the ability to improvise, transparency, and trusting communication between the actors involved. Greater focus on network building—proactively maintained through regular training and exercise activities—strengthens resilience in emergency-management systems. All these traits link to the Norwegian term “samhandling,” a notion which is here proposed to summarize and connect these resilience capacities.'Samhandling': On the nuances of resilience through case study research in emergency response operationspublishedVersio

A monte carlo evolution of the functional resonance analysis method (FRAM) to assess performance variability in complex systems

Modern trends of socio-technical systems analysis suggest the development of an integrated view on technological, human and organizational system components. The Air Traffic Management (ATM) system can be taken as an example of one of the most critical socio-technical system, deserving particular attention in managing operational risks and safety. In the ATM system environment, the traditional techniques of risk and safety assessment may become ineffective as they miss in identifying the interactions and couplings between the various functional aspects of the system itself: going over the technical analysis, it is necessary to consider the influences between human factors and organizational structure both in everyday work and in abnormal situations. One of the newly introduced methods for understanding these relations is the Functional Resonance Analysis Method (FRAM) which aims to define the couplings among functions in a dynamic way. This paper evolves the traditional FRAM, proposing an innovative semi-quantitative framework based on Monte Carlo simulation. Highlighting critical functions and critical links between functions, this contribution aims to facilitate the safety analysis, taking account of the system response to different operating conditions and different risk state. The paper presents a walk-through section with a general application to an ATM process

Condition-based maintenance—an extensive literature review

This paper presents an extensive literature review on the field of condition-based maintenance (CBM). The paper encompasses over 4000 contributions, analysed through bibliometric indicators and meta-analysis techniques. The review adopts Factor Analysis as a dimensionality reduction, concerning the metric of the co-citations of the papers. Four main research areas have been identified, able to delineate the research field synthetically, from theoretical foundations of CBM; (i) towards more specific implementation strategies (ii) and then specifically focusing on operational aspects related to (iii) inspection and replacement and (iv) prognosis. The data-driven bibliometric results have been combined with an interpretative research to extract both core and detailed concepts related to CBM. This combined analysis allows a critical reflection on the field and the extraction of potential future research directions

Thinking in systems, sifting through simulations: a way ahead for cyber resilience assessment

The interaction between the physical world and information technologies creates advantages and novel emerging threats. Cyber-physical systems (CPSs) result vulnerable to cyber-related disruptive scenarios, and, for some critical systems, cyber failures may have fallouts on society and environment. Traditional risk analysis in no more sufficient to deal with these problems. New techniques are gaining increasing consensus, especially those based on systems theory. In this context, the System-Theoretic Process Analysis for Security (STPA-Sec) extends the Systems-Theoretic Accident Modelling and Processes (STAMP) model considering cyber threats, and identifying unsafe and unsecure controls throughout a cyber socio-technical system. Despite its large usage as a descriptive tool, there is still limited use of STPA-Sec in (semi-)quantitative terms. This article presents System-Theoretic Process Analysis for Security with Simulations (STPA-Sec/S), a methodological interface between STPA-Sec and quantitative resilience assessment based on simulation models. The methodology is instantiated in a demonstrative case study of a water treatment plant, and its critical CPSs which may impact both community health, and environment. The obtained results show how STPA-Sec/S foster systems understanding, allow a systematic identification of its major criticalities, and the respective quantification

functional modeling in safety by means of foundational ontologies

Abstract Modern theory of safety deals with systemic approach to safety, formalized in form of several systemic prediction models or methods such as FRAM (Functional Resonance Analysis Method) or STAMP (System-Theoretic Accident Model and Processes). The theory of each approach emphasizes different viewpoints to be considered in approaching various industrial safety issues. This paper focuses on FRAM and its functional viewpoint for modern complex sociotechnical systems. The methodology in this paper is based on the utilization of foundational ontologies to conceptualize the core ideas of FRAM, with the focus on the concept of functions as used in theory. The outcomes of the case study in the aviation domain provide for what needs to be determined to properly model functions in FRAM and they allow for better utilization of the method in real-case applications. The results also confirm some previous research, suggesting that modern systemic approach to safety is theoretically grounded on common - or at least complementary - tenets, to be prospectively integrated by means of ontology engineering

An update on: molecular genetics of high-risk chronic lymphocytic leukemia

ABSTRACTIntroduction: During the past few years, new genomic approaches have elucidated the molecular genetics of chronic lymphocytic leukemia (CLL) to a large extent. As a consequence, specific hi..