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2 - Organizational rituals of risk and error

Published online by Cambridge University Press:  22 September 2009

Diane Vaughan
Affiliation:
Professor of Sociology and International and Public Affairs Columbia University
Bridget Hutter
Affiliation:
London School of Economics and Political Science
Michael Power
Affiliation:
London School of Economics and Political Science
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Summary

Organizational encounters with risk and error are not restricted to the sensational cases that draw media coverage when mistakes, near misses and accidents become public. They are, instead, a routine and systematic part of daily organizational life that only occasionally become visible to outsiders.

Merton was the first to observe that any system of action can generate unexpected consequences that are in contradiction to its goals and objectives (1936, 1940, 1968). Recent research affirms his observation: unanticipated events that deviate from organizational expectations are so typical that they are ‘routine non-conformity’ – a regular by-product of the characteristics of the system itself (Vaughan 1999). The public learns about only the most egregious of these. Because routine non-conformity is a regular system consequence, complex organizations that use or produce risky technologies may have encounters with risk daily.

In this chapter, I compare daily encounters with risk for two organizations for which mistakes result in public failures and have high costs: the Federal Aviation Administration's National Air Transportation System (NATS) and the National Aeronautics and Space Administration's (NASA) Space Shuttle Program (SSP). My logic for comparing these two agencies is grounded in two related strands of research. Barry Turner investigated the causes of eighty-five different ‘man-made disasters’. He found an alarming pattern: after a disaster, investigators typically found a history of early-warning signs that were misinterpreted or ignored. A problem that seemed well structured in retrospect was ill structured at the time decisions were being made (Turner 1978; Turner and Pidgeon 1997).

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Publisher: Cambridge University Press
Print publication year: 2005

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  • Organizational rituals of risk and error
    • By Diane Vaughan, Professor of Sociology and International and Public Affairs Columbia University
  • Edited by Bridget Hutter, London School of Economics and Political Science, Michael Power, London School of Economics and Political Science
  • Book: Organizational Encounters with Risk
  • Online publication: 22 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511488580.002
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  • Organizational rituals of risk and error
    • By Diane Vaughan, Professor of Sociology and International and Public Affairs Columbia University
  • Edited by Bridget Hutter, London School of Economics and Political Science, Michael Power, London School of Economics and Political Science
  • Book: Organizational Encounters with Risk
  • Online publication: 22 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511488580.002
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Organizational rituals of risk and error
    • By Diane Vaughan, Professor of Sociology and International and Public Affairs Columbia University
  • Edited by Bridget Hutter, London School of Economics and Political Science, Michael Power, London School of Economics and Political Science
  • Book: Organizational Encounters with Risk
  • Online publication: 22 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511488580.002
Available formats
×