In his landmark analysis of the Three Mile Island nuclear accident, sociologist Charles Perrow argued that that meltdown was not caused by any particular component or operator failure. Rather, it was caused by a number of small component failures that interacted in unpredicted ways. Those failures ranged from a pressure-relief valve that didn’t reseat properly to a meter that gave deceptive information to some perceptual errors by operators.
If a system has high interactive complexity, then by definition it is hard to predict the impact of a particular action on other elements within the system. If the system is tightly coupled, to use Perrow’s terminology, an action at one point propagates rapidly throughout. Perrow argued that systems with high interactive complexity and tight coupling are more prone to systems accidents.
The financial sector meltdown in the fall of 2008 was a systems accident. However, rather than failures interacting, the byproducts... To read the complete article, login or sign-up using the form below.
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