• Medientyp: E-Artikel
  • Titel: Confronting Functional Complexity Failures: The Case of a Runway Excursion in Munich
  • Beteiligte: Mauro, Robert; Sherry, Lance
  • Erschienen: SAGE Publications, 2019
  • Erschienen in: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 63 (2019) 1, Seite 116-120
  • Sprache: Englisch
  • DOI: 10.1177/1071181319631486
  • ISSN: 2169-5067; 1071-1813
  • Schlagwörter: General Medicine
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  • Beschreibung: <jats:p> Complex systems often produce unanticipated emergent behavior as a result of the interactions between behaviorally complex sub-systems or agents. The sub-systems may be human or artificial. They may be co-located or geographically distributed and operate autonomously. Although the individual sub-systems may be tested and certified for high levels of reliability (e.g. 10<jats:sup>-7</jats:sup>), interactions between the sub-systems may occur so that emergent behaviors allow the system to migrate into an unsafe operating region. This may occur even when all of the sub-systems are behaving nominally and no equipment has failed. This phenomenon is called a “functional complexity failure.” In this paper, we present an analysis of a functional complexity failure that resulted in a runway excursion and discuss the options for detecting and mitigating the conditions for these “normal accidents” before the accident occurs. </jats:p>