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Organization AT THE LIMIT

Lessons from the Columbia Disaster Contents

Part I Introduction

1. Introduction: Organizational Aspects of the Columbia Disaster
Moshe Farjoun and William H. Starbuck
Synopsis: NASA, the CAIB Report, and the Columbia Disaster
Moshe Farjoun and William H. Starbuck 

Part II The Context of the Disaster

2. History and Policy at the Space Shuttle Program
Moshe Farjoun
3. System Effects: On Slippery Slopes, Repeating Negative Patterns, and Learning from Mistake?
Diane Vaughan
4. Organizational Learning and Action in the Midst of Safety Drift: Revisiting the Space Shuttle Program’s Recent History
Moshe Farjoun
5. The Space Between in Space Transportation: A Relational Analysis of the Failure of STS-107
Karlene H. Roberts, Peter M. Madsen, and Vinit M. Desai

Part III Influences on Decision-Making

6. The Opacity of Risk: Language and the Culture of Safety in NASA’s Space Shuttle Program
William Ocasio
7. Coping with Temporal Uncertainty: When Rigid, Ambitious Deadlines Don’t Make Sense
Sally Blount, Mary J. Waller, and Sophie Leroy
8. Attention to Production Schedule and Safety as Determinants of Risk-Taking in NASA’s Decision to Launch the Columbia Shuttle
Angela Buljan and Zur Shapira 

Part IV The Imaging Debate

9. Making Sense of Blurred Images: Mindful Organizing in Mission STS-107
Karl E. Weick
10. The Price of Progress: Structurally Induced Inaction
Scott A. Snook and Jeffrey C. Connor
11. Data Indeterminacy: One NASA, Two Modes
Roger Dunbar and Raghu Garud
12. The Recovery Window: Organizational Learning Following Ambiguous Threats
Amy C. Edmondson, Michael A. Roberto, Richard M.J. Bohmer, Erika M. Ferlins, and Laura R. Feldman
13. Barriers to the Interpretation and Diffusion of Information about Potential Problems in Organizations: Lessons from the Space Shuttle Columbia
Frances J. Milliken, Theresa K. Lant, and Ebony N. Bridwell-Mitchell

Part V Beyond Explanation

14. Systems Approaches to Safety: NASA and the Space Shuttle Disasters
Nancy Leveson, Joel Cutcher-Gershenfeld, John S. Carroll, Betty Barrett, Alexander Brown, Nicolas Dulac, and Karen Marais
15. Creating Foresight: Lessons for Enhancing Resilience from Columbia
David D. Woods
16. Making NASA More Effective
William H. Starbuck and Johnny Stephenson
17. Observations on the Columbia Accident
Henry McDonald

Part VI Conclusion

18. Lessons from the Columbia Disaster
Moshe Farjoun and William H. Starbuck

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