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Sidney Dekker [email protected] 26 Gardenvale Street Holland Park West, 4121 QLD 0410B878002 Summary Safety leadership experience in aviation, healthcare, rail, oil & gas, nuclear, shipping, military, emergency management. BestBselling author in system safety, failure, human error. Ph.D. (Cognitive Systems Engineering), M.Sc. (Exp. Psych), M.A. (Org. Psych). Nationality: Dutch. Permanent residency in Australia. Lived in Brisbane since January 2011. Lived and worked in USA, UK, Sweden, the Netherlands, Singapore, Denmark, Australia, New Zealand. Consulted in Brazil, South Africa, Norway, Canada, Belgium, Germany, Switzerland. Languages: English, Dutch, Swedish, German, French Licensed and professional experience as pilot on Boeing 737 after becoming full professor $5,5M in external research grants since ’98, 9 authored books, ≈100 papers. Education 1996 Ph.D. Cognitive Systems Engineering, Dept. of Industrial & Systems Engineering, Ohio State University, USA. Topics: Safety, human performance, automation, supervision & intervention. 1992 M.Sc. Experimental Psychology, Leiden University, the Netherlands. Topic: safety, procedures. 1991 M.A. Industrial and Organizational Psychology, University of Nijmegen, the Netherlands. Topic: psychological and industrial consequences of organizational change. 2007G2008 JAR CPLBIR ME, ATPL theory, Boeing 737 300B900 type rating (coBpilot). Senior Administrative Positions 2011— 2012 Griffith University, Australia Director, Key Centre for Ethics, Law, Justice and Governance, ≈ $3,6M budget, 100 members, incl. PhD students. Management responsibility for Centre staff. Reporting directly to Pro ViceBChancellor 2005—2010 Lund University, Sweden Director of Research, School of Aviation, reporting to Dean; Director, Leonardo da Vinci Laboratory for Complexity and Systems Thinking (External budget $550.000/year)

Sidney Dekker - Safemap Dekker [email protected] 261Gardenvale1Street1 Holland1Park1West,141211QLD1 0410B8780021 Summary • Safety1leadership1experience1in1aviation,1healthcare,1rail,1oil1&1gas,1nuclear,1shipping,1military,1

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Sidney Dekker [email protected],141211QLD10410B8780021

Summary • Safety1leadership1experience1in1aviation,1healthcare,1rail,1oil1&1gas,1nuclear,1shipping,1military,1

emergency1management.1BestBselling1author1in1system1safety,1failure,1human1error.1• Ph.D.1(Cognitive1Systems1Engineering),1M.Sc.1(Exp.1Psych),1M.A.1(Org.1Psych).11• Nationality:1Dutch.1Permanent1residency1in1Australia.1Lived1in1Brisbane1since1January12011.1• Lived1and1worked1in1USA,1UK,1Sweden,1the1Netherlands,1Singapore,1Denmark,1Australia,1New1

Zealand.1Consulted1in1Brazil,1South1Africa,1Norway,1Canada,1Belgium,1Germany,1Switzerland.1• Languages:1English,1Dutch,1Swedish,1German,1French1• Licensed1and1professional1experience1as1pilot1on1Boeing17371after1becoming1full1professor1• $5,5M1in1external1research1grants1since1’98,191authored1books,1≈1001papers.1 1

Education 1996$$Ph.D.$$Cognitive$Systems$Engineering,$Dept.1of1Industrial1&1Systems1Engineering,1Ohio1State11

University,1USA.1Topics:1Safety,1human1performance,1automation,1supervision1&1intervention.11992$$M.Sc.$$Experimental$Psychology,$Leiden1University,1the1Netherlands.1Topic:1safety,1procedures.$1991$$M.A.$$$Industrial$and$Organizational$Psychology,$University1of1Nijmegen,1the1Netherlands.111 Topic:1psychological1and1industrial1consequences1of1organizational1change.12007G2008111JAR1CPLBIR1ME,1ATPL1theory,1Boeing17371300B9001type1rating1(coBpilot).1

Senior Administrative Positions 2011—$2012$ Griffith$University,$Australia$ $ Director,1Key$Centre$for$Ethics,$Law,$Justice$

and$Governance,1≈1$3,6M1budget,11001members,1incl.1PhD1students.1Management1responsibility1for1Centre1staff.1Reporting1directly1to1Pro1ViceBChancellor1

$

2005—2010$ Lund$University,$Sweden$ $ Director$of$Research,1School1of1Aviation,1reporting1to1Dean;1Director,1Leonardo$da$Vinci$Laboratory$for1Complexity$and$Systems$Thinking1(External1budget1$550.000/year)1

Industry Experience 2012$G$ $ Caltex1Australia11 1 1 Operational$Excellence$Developing1and1$

Lytton1Refinery,1Brisbane1 1 implementing1HSE1gap1closure1plan1with11 1 1 1 1 refinery1HSE1manager,1OE1system1manager1

and115Bperson1team,1reporting1to1refinery1manager1

$

2009G2011$$ Cimber1Airlines11 1 $ First$Officer$Boeing$737,$CPH1base,1Copenhagen,1Denmark1 member1of1airline1safety1team,1developed1

and1rolled1out1new1checkBlists1for1various11operational1phases!

$

2007G2008$$ Sterling1Airlines11 1 $ First$Officer$Boeing$737,$CPH1base,1Copenhagen,1Denmark1 1 1 !

$

2007G2010$ Winnipeg1Regional1Health1Authority,$ Scientific$Advisor1on1Healthcare$Canada1 System1Safety1to1the1CEO1and1board.1

Developed1and1helped1roll1out1new1adverse1event1investigation1system1and1just1culture

1

1996G2012$ I1have1helped1management1of1the1following1companies1and1authorities1deal1with1issues1of1human1error,1safety1culture,1normative1drift,1and1event1reporting1systems1as1well1as1handling1the1aftermath1of1incidents1and1accidents1—11US1Forest1Service,1Royal1College1of1Physicians1and1Surgeons1of1Canada,1Winter1Haven1Hospital1(Florida),1Baycare1Health1Tampa,1Alfred1Hospital1(Melbourne),1Vrinnevi1Hospital1(Norrköping,1Sweden),1DFS1Deutsche1Flugsicherung,1Germany,1Viking1Airlines,1American1Airlines,1Swedish1Accident1Investigation1Board,1Dutch1Safety1Board,1Air1Transat,1skyguide1Swiss1Air1Navigation1Services,1Aerocontrol1Swiss1Air1Traffic1Controllers1Union,1Singapore1Airlines,1Eurocontrol,1Scandinavian1Airlines,1KLM1Royal1Dutch1Airlines,1Delta1Airlines,1Air1Line1Pilots1Association,1SAS1Flight1Academy,1Lufthansa,1Condor1Flugdienst,1ATNS1(South1Africa).11

1

1995/2012$ Elected1as1Chief$Flight$Instructor1for1Caesar1Creek1Soaring1Club1in1USA1in11995,1and1for1Warwick1Gliding1Club,1QLD,1in12012.1Responsibility1for1operational1safety,1management1of1instructor1panel,1standardization,1regulatory1compliance.1

Employment History 2011—$$ Griffith$University,$Australia$ $ Professor,1founded1the1

safety$science$innovation$programme$$$

2005—2010$ Lund$University,$Sweden$ $ Professor,1Human1Factors1and1System11Safety,1Lund1University1School1of1Aviation11

$

1997G2004$$ Linköping$University$ $ $ Professor,1Division1of1Industrial1Ergonomics1$ $ Sweden$ $ $ $ Associate$Professor$1999B200311 1 1 1 1 1 $ Assistant$Professor11997B19991$ $ $ $ $ $ $ Helped1build1Aviation1Human1Factors1Center1

on1industry/external1funding1(including1EU)1$

1996G1997$ British$Aerospace$Dependable$ $ PostGDoc,1Dept.1of1Computer1Science1$ $ Computing$Systems$Centre$ $ Worked1on1Human1error1analysis1methods1in111 1 York$University,$UK1 1 1 aircraft/technology1development$$

1992G1996$ The$Ohio$State$University$ $ Graduate$Research$Assistant,$Dept.1of1

Columbus,$OH,$USA1 1 1 Industrial1and1Systems1Engineering11$ $ $ $ $ $ $ Human1performance1impact1of1automation$$

1990G1991$$ Public$Transport$Corporation$ $ PostGgrad$organizational1psychologist1$ $ Melbourne$Australia$ $ $ Studied1impact1of1org.1change,1job1insecurity1

Visiting Appointments $

2007G2010$$ Faculty1of1Medicine$ $ $ Professor$$Department$of$Community$Health$$$ $ University1of1Manitoba,1Canada$$ Sciences.1Lectures/research1on1patient1safety1 $

2007G2008$$$ Alfred1Hospital1/1Monash1University$$ Honorary$Professor$Centre$for$Research$$ $ Melbourne1Australia$1 1 1 Excellence$in$Patient$Safety.1Advised1clinical11 1 1 1 1 1 1 departments,1conducted1lecture1series1$

2002$$$ $ Nanyang1Technological1University$ Senior$Fellow,$Department$of$Mechanical$$ $ Singapore$$ $ $ $ and$Aerospace$Engineering.1Helped1develop11 1 1 1 1 1 1 and1taught1in1new1MSc1program1$

1992111 1 Massey1University,1New1Zealand1 Research$Intern,1School$of$Aviation.11

Awards Eminent$scientist$of$the$year$2008$in$Surgery$and$Medical$Ethics,1Nominated1by1International$Research$Promotion$Council, India.11$

Hodgson$Prize1for1best1paper12006,1Royal$Aeronautical$Society, London11$

Citation$of$Excellence,1Emerald1Management1Reviews1for1one1of1top1fifty1management1papers12003.11$

Bronze$Medal1for1best1paper1of12002,1Royal$Institute$of$Navigation,1London11$

The1Oklahoma1State1University1Foundation1offered1an1annual11000USD1Sidney$Dekker$Critical$Thinking$Award1to1students1with1particularly1innovative1ideas1for1a1number1of1years1from12005.1

Grants (≈$5,5M since 1998) $

2012$$$Caltex$Australia$—$$$27,850$Assessing1deBmanning1and1role1of1OE1for1safety1and1resilience1at1Lytton1Refinery1operations1$

2009G2011$$$Swedish$Emergency$Management$Agency$—$$$451,000$Organizational1resilience1in1escalating1situations:1Testing1and1validating1theory1and1training1methods1(project1number1MSB1DNR12009B11497).1$

2007G2009$$$Swedish$Emergency$Management$Agency$—$$$655,000$Studying1human1factors1and1team1behavior1in1escalating1situations1(rise1in1cognitive,1coordinative1demands),1field1studies1in1healthcare1(Obstetrics,1Vrinnevi1Hospital,1Sweden).1$

2006G2008$$$Swedish$Rescue$Services$Agency$—$$$506,000$Studying1failure1and1developing1new1indicators1for1organizational1resilience1in1safetyBcritical1worlds1—1variety1of1field1work1in1healthcare,1aviation,1explosives1industry.1$

2007G2008$$$Saab$Aerospace$—$$$165,000$Human1factors1guidance1for1the1interface1design1of1UAV1(Unmanned1Aerial1Vehicle)1stations.1$

2006G2008$$$Vinnova$(Swedish$Agency$for$innovation$systems)$—$$$223,000$Developed1midBfidelity1simulation1protocols1for1management1of1emergency1situations1and1methods1for1tracking1human1factors1in1escalation1and1intervention.1$

2006G2007$$$National$Center$for$Learning$from$Accidents$—$$$126,000$

Studying1organizational1learning1from1failure/incidents1in1firefighter1communities1in1Sweden.1$

2007$$$Nuclear$Safety$Inspectorate$—$$$117,000$Studied1nuclear1powerplant1management,1safety1leadership,1made1recommendations1in1aftermath1of1nuclear1plant1incidents.11$

Grants$1998—2008$(>$3mil.):1Nutek1($33,000),1KFB1($50,000),1VINNOVA1($500,000),1European1Union1($275,000),1Swedish1Flight1Safety1Inspectorate1($555,000),1Swedish1Maritime1Safety1Inspectorate1($165,000),1Stiftelsen1Sveriges1Sjömanshus1($165,000),1Scandinavian1Airlines1($11,000),1SAS1Flight1Academy1($22,000),1Rescue1Services1Agency1($525,000),1Emergency1Management1Agency1($500,000),1National1Center1for1learning1from1accidents1($130,000)1and1the1Swedish1Nuclear1Safety1Inspectorate1($120,000).1

Editorial Responsibilities

Member$of$the$Editorial$boards$of1—1Cognition,1Technology1and1Work,1International1Journal1of1Aviation1Psychology;1Journal1of1Human1Factors1and1Aerospace1Safety;1Open1Ergonomics1Journal;1International1Journal1of1Applied1Aviation1Studies;1Ashgate1book1series1on1Aviation1Psychology1and1on1Resilience1Engineering.11Papers$reviewed$for1—1Safety1Science;1Human1Factors;1Ergonomics;1Applied1Ergonomics;1International1Journal1of1Human1Factors1&1Ergonomics;1Theoretical1Issues1in1Ergonomics1Science;1Cognition,1Technology1and1Work;1IEA1Journal1of1Ergonomics1Research;1Psychological1Reports—Perceptual1&1Motor1Skills;1Accident1Analysis1and1Prevention;1Brain,1Behavior1and1Information1Technology;1International1Journal1of1Transportation–f;1Joint1Commission1Journal1on1Quality1and1Patient1Safety;1ANZ1Journal1of1Surgery;1Annals1of1Emergency1Medicine.11Grant$proposals$reviewed$for1—1EPSRC1(UK1Engineering1and1Physical1Sciences1Research1Council),11VINNOVA1(Swedish1Agency1for1Innovation1Systems),1Norges1forskningsråd1(Norwegian1National1Research1Council),1MSB1(Swedish1Civil1Contingencies1Agency).1

Participated in Accident/Incident Investigations Netherlands,120091—1Fatal1accident1of1Turkish1B737,1TK19511at1SPL1Amsterdam1Airport.1Conducted1and1wrote1the1Human1Factors1analysis.1Italy,119991—1Mode1confusion,1engine1surge/stall1incident1of1MDB801at1FL3001Denmark,119991—1Departure1from1hard1surface1(high1speed1taxiway)1after1landing1of1MDB801Sweden,120041—1Impact1with1water1night1rescue1operation1of1Super1Puma1H99,1Göteborg1$

Expert Witness testimony 1I1have1helped1defendants,1and1in1cases1been1appointed1as1expert1witness,1in1(criminal1and1civil)1trials1resulting1from1the1following1incidents1and1accidents:1B1Intensive1Care1nurse,1Kalmar1Hospital1Sweden,1manslaughter,1medication1death1of13Bmonth1old1B1Helios1HCY5221(fatal1accident,1manslaughter1charges1on1various1managers1and1directors)1B1Transavia1HV12771(nonBfatal1tailstrike,1B737,1Netherlands,12003,1criminal1trial1against1Captain)1B1Singapore1Airlines10061(fatal1takeBoff1accident1B747,1criminal1trial1against1pilots1in1Taiwan,12000,1as1well1as1civil1case1against1airline1in1the1US)1

B1LAPA1Lineas1Aéreas1de1Argentina131421(fatal1takeBoff1accident1B7371Buenos1Aires,11999,1civil1case1against1the1airline)1

B1American1Airlines114201(fatal1accident,1MDB801Little1Rock,1Arkansas,11998,11civil1case1against1the1airline)1

B1American1Airlines19651(fatal1accident1Cali,1B757,1Colombia,11995,11civil1case1against1the1airline)1

Ph.D. supervision Roel1van1Winsen1 Foucauldian$approaches$to$safety$science$ 1st1yr1 Griffith1University$David1Weber1 1 NonPtechnical$skill$assessment$in$aviation$ 1st1yr1 Griffith1University1Monique1Mann11 Organized$crime$and$complexity$science1 1st1yr1 Griffith1University1Jaco1vd1Westhuizen1 Air$Traffic$Control$safety$management$ 1 1st1yr1 Stellenbosch1Uni1Ivan1Pupulidy1 1 Forest$service,$just/fair$accident$responses1 2nd1yr1 Lund1University1Arthur1Dijkstra1 1 Complexity$science,$safety1 1 1 ABD1 Delft1University,1NL1Johan1Bergström1 Escalation,$healthcare$clinical$teamwork1 20121 Lund1University1Nicklas1Dahlström1 Improving$basic$civil$aviation$training1 1 20071 Lund1University1Örjan1Goteman11 Airborne$cognitive$systems$&$context1 1 20061 Lund1University1Margareta1Lützhöft1 Automation$on$ship’s$bridges1 1 1 20041 Linköping1University1Nalini1Suparamaniam1 Authority$and$surprise$in$rescue$relief$work1 20031 Linköping1University1Peter1Svenmarck1 Human$engineering$of$sensor$fusion$systems1 20011 Linköping1University1Martin1Howard11 Visualization$design$of$temporal$data1 1 19991 Linköping1University1

Member of Dissertation committees 201211Christine1Teague,1Edith1Cowan1University,1Perth,1WA11(Examiner)1Reducing$risk$and$injury$to$transit$officers$1

201211Mark1Fulloon,1Griffith1University1(Chairman1of1the1Examiners)1The$postPFordist$military:$An$inquiry$into$the$political$economy$of$private$military$companies$1

201111Monique1Heijligers,1Delft1University1of1Technology,1NL1Aircraft$maintenance$and$safety$systems$1

201111Sven1Ternov,1Lund1University1Learning$from$failure$in$aviation$and$healthcare$1

201011Kerstin1Eriksson,1Lund1University,1Sweden1Preparing$for$preparedness:$shaping$crisis$planning$processes$in$local$authorities.$1

201011Margaret1Stringfellow,1MIT,1USA1Accident$analysis$and$hazard$analysis$for$human$and$organizational$factors$1

201011Eder1Henriqson,1Federal1University1Rio1Grande1de1Sul,1Brazil1Analysis$of$joint$cognitive$systems:$a$study$of$commercial$aviation$1

200711Cato1Alexander1Bjorkli,1Norwegian1University1of1Science1and1Technology1(NTNU)1Joint$cognitive$systems$at$sea:$a$study$of$high$speed$craft$operation$1

200711YuBHsing1Huang,1Linköping1University,1Sweden1Having$a$new$pair$of$glasses:$applying$systemic$accident$models$on$road$safety$1

200611Mattias1Holmgren,1Luleå1University1of1Technology,1Sweden1MaintenancePrelated$incidents$and$accidents:$aspects$of$hazard$identification$1

200411Eva1Torngvist,1Linkoping1University,1Sweden1Communication,$learning$and$technology$in$maritime$rescue$

Other student supervision I1have1supervised1over1501Master’s1theses1in1the1programs1in1Lund1and1Linkoping1University1in1Sweden,1as1well1as1Master’s1theses1at1Nanyang1Technological1University1in1Singapore.1111

Teaching Experience I1have1extensive1experience1setting1up1MSc1programs1at1Lund1University,1Nanyang1Technological1University1and1Linköping1University.1EBlearning1has1been1a1substantial1part1of1these1new1programs.1I1have1taught1(and1in1many1cases1developed1or1helped1prepare)1the1following1courses1at1Linköping,1Nanyang1Technological1University1and1Lund1(11credit1equals111full1week1study1load).1I1have1an1estimated120001hours1of1classroom1teaching1time,1from1small1groups1to1large1lecture1theaters1(courses1marked1*1are1the1ones1I1(coB)1developed1or1prepared)11

postgraduate courses Lund$University$

Incident1and1accident1investigations*1(51credits)1 1 1 1 1 2006B20071Normal1organizational1accidents1&1high1reliability1theory*1(51credits)1 1 1 2006B20071Organizational1safety1culture1and1resilience1engineering*1(51credits)1 1 1 2006B20071Safety1Leadership1in1practice*1(51credits)1 1 1 1 1 1 2006B20071The1new1view1of1human1factors1and1system1safety*1(71credits)1 1 1 1 2007B20101The1organizational1sociology1of1safety1and1risk*1(71credits)1 1 1 1 2007B20101Organizational1accountability1and1learning1from1failure*1(71credits)1 1 1 2007B20101Forensic1safety1investigations1and1organizational1system1change1(101credits)1 1 2007B20101Nanyang$Technological$University$

Interaction1(HCI)1Design*1(51credits)1 1 1 1 1 1 1 20021Human1Factors1research1methods*1(51credits)1 1 1 1 1 1 20021Linköping$Institute$of$Technology$

Human1factors1psychology1research1methods*1(51credits)1 1 1 1 2002B20041Human1error,1crew1resource1management1and1safety*1(51credits)1 1 1 2003B20041Cognitive1Systems1Engineering1and1Automation*1(51credits)1 1 1 1 2003B20041Engineering1Psychology*1(51credits)1 1 1 1 1 1 1 2003B20041Human1factors1engineering*1(51credits)11 1 1 1 1 1 20021Innovative1visualization1design*1(51credits)1 1 1 1 1 1 20011Human1performance1in1complex,1dynamic1systems*1(51credits)1 1 1 1 1998B20011Automation,1cognition1and1the1humanBmachine1interface*1(51credits)1 1 1 19981$

undergraduate courses Griffith$University$

1019HUM1Academic1Writing1(convener,1lecturer1and1tutor)1 1 1 1 201211705HUM1Foundations1of1Western1Culture1(tutor)1 1 1 1 1 201211009PSY1Introduction1to1Psychological1Science1and1Society1(lecturer)1 1 1 201211005CCJ1Introduction1to1Crime1(guest1lectures)1 1 1 1 1 1 20111University$of$Queensland$

PSYC30621Introduction1to1Human1Factors1(guest1lecturer)1 1 1 1 20121Lund$University$

Introduction1to1Human1Factors*1(51credits)1 1 1 1 1 1 2005B20061Introduction1to1Psychology*1(51credits)1 1 1 1 1 1 1 2005B20061Linköping$University$

Human1error,1system1safety1and1resource1management*1(51credits)1 1 1 2003B20041Human1performance1in1complex1systems*1(51credits)1 1 1 1 1 2003B20041

Human1Factors1research1methods*1(51credits)1 1 1 1 1 1 2003B20041Cognitive1systems1engineering1and1automation*1(51credits)1 1 1 1 2003B20041HumanBMachine1systems1(21credits)1 1 1 1 1 1 1 2002B20031Technology,1information1and1ethics1(51credits)1 1 1 1 1 1 2002B20031Human1factors1in1road1safety1(51credits)11 1 1 1 1 1 20011Engineering1Psychology/Human1Information1Processing*1(51credits)1 1 1 1998B20031Human,1Technology1and1Organization1(51credits)1 1 1 1 1 1998B20031HumanBMachine1Interaction1(51credits)11 1 1 1 1 1 1998B20031Ergonomics1(51credits)1 1 1 1 1 1 1 1 1 1998B20031Managing1the1risks1of1organizational1accidents*1(51credits)1 1 1 1 1998B199911I1have1taught1and1contributed1to1a1large1number1of1short1courses1in1industry1and1classes1to1practitioner1groups,1from1quality1management1to1crew1and1company1resource1management1to1human1performance,1to1flight1deck1automation1management,1to1patient1safety.1I1have1taught1Crew1Resource1Management1courses1at1several1European1airlines1and1management1groups,1and1have1been1active1in1a1number1of1hospitals1across1the1world1to1teach1about1the1organization1of1care1and1concern1for1patient1safety.11

Publications

Books (authored) Dekker,1S.1W.1A.1(2013).1The$Second$Victim:$Failure,$guilt,$trauma$and$resilience.1Boca1Raton,1FL:1CRC1

Press/Taylor1and1Francis1(forthcoming).1Dekker,1S.1W.1A.1(2012).1Just$culture:$Balancing$safety$and$accountability$(2nd$edition).1Farnham,1UK:1

Ashgate1Publishing1Co.1Dekker,1S.1W.1A.1(2011).1Drift$into$failure:$From$hunting$broken$components$to$understanding$

complex$systems.1Farnham,1UK:1Ashgate1Publishing1Co.11Dekker,1S.1W.1A.1(2011).1Patient$Safety:$A$human$factors$approach.1Boca1Raton,1FL:1CRC1Press/Taylor1

and1Francis.11Woods,1D.1D.,1Dekker,1S.1W.1A.,1Cook,1R.1I.,1Johannesen,1L.,1&1Sarter,1N.1B.1(2010).1Behind$Human$

Error.1Aldershot,1UK:1Ashgate1Publishing1Co.1Translated1into1Italian.1Dekker,1S.1W.1A.1(2007).1Just$culture:$Balancing$safety$and$accountability.1Aldershot,1UK:1Ashgate1

Publishing1Co.1Translated1into1Japanese1and1Chinese$Dekker,1S.1W.1A.1(2006).1The$field$guide$to$understanding$human$error.1Aldershot,1UK:1Ashgate1

Publishing1Co.1Translated1into1Spanish1and1Japanese$Dekker,1S.1W.1A.1(2005).1Ten$questions$about$human$error:$A$new$view$of$human$error$and$system$

safety.1Mahwah,1NJ:1Lawrence1Erlbaum1Associates.11Dekker,1S.1W.1A.1(2002).1The$field$guide$to$human$error$investigations.1Bedford,1UK:1Cranfield1

University1Press.1

Books (edited) Hollnagel,1E.,1Nemeth,1C.,1&1Dekker,1S.1W.1A.1(Eds.)1(2009).1Resilience$Engineering:$Preparation$and$

restoration.1Aldershot,1UK:1Ashgate1Publishing1Co.1Hollnagel,1E.,1Nemeth,1C.,1&1Dekker,1S.1W.1A.1(Eds.)1(2008).1Resilience$Engineering:$Remaining$

sensitive$to$the$possibility$of$failure.1Aldershot,1UK:1Ashgate1Publishing1Co.1Translated$into$Spanish$and$French1

Dekker,1S.1W.1A.1&1Hollnagel,1E.1(Eds.)1(1999).1Coping$with$computers$in$the$cockpit.1Aldershot,1UK:1Ashgate1Publishing1Co.1

journal papers Dekker,1S.1W.1A.,1Hancock,1P.1A.,1&1Wilkin,1P.1(2012).1Ergonomics1and1sustainability:1Towards1an1

embrace1of1complexity1and1emergence.1Ergonomics,1doi.110.1080/00140139.2012.718799.1Bergstrom,1J.,1Dekker,1S.1W.1A.,1Nyce,1J.1M.1&1AmerBWahlin,1I.1(2012).1The1social1process1of1escalation:1

A1promising1focus1for1crisis1management1research.1BMC$Health$Services$Research,$161(12),11B7.1

Ewart,1J.,1&1Dekker,1S.1W.1A.1(2012).1TalkBback1radio’s1role1in1the1creation1of1community1during1disaster.1Media,$Culture$and$Society,1in1press.1

Dekker,1S.1W.1A.1(2012).1On1the1epistemology1and1ethics1of1communicating1a1Cartesian1consciousness.1Safety$Science,1in1press.1

Breakey,1H.,1&1Dekker,1S.1W.1A.1(2012).1Weak1links1in1the1chain1of1civilian1protection:1Intervention1decisions1and1the1problem1of1sovereignty1as1control.1Journal$of$peace$research,1under1revision.1

Mikkers,1M.,1Henriqson,1E.,1&1Dekker,1S.1W.1A.1(2012).1Managing1multiple1conflicting1goals1in1dynamic1and1complex1situations:1Exploring1the1practical1field1of1maritime1pilots.1Journal$of$Maritime$Research,1under1review.1

Dekker,1S.1W.1A.,1Nyce,1J.1M.,1&1Myers,1D.1J.1(2012).1The1little1engine1who1could1not:1“Rehabilitating”1the1individual1in1safety1research.1Cognition,$Technology$and$Work,1DOI110.1007/s10111B012B0228B5.1

Dekker,1S.1W.1A.1(2012).1Systems1thinking11.01and1systems1thinking12.0:1Complexity1science1and1a1new1conception1of1“cause.”1Aviation$in$focus:$An$international$aeronautical$journal.1

Dekker,1S.1W.1A.,1Bergstrom,1J.,1AmerBWahlin,1I.,1&1Cilliers,1F.1P.1(2012).1Complicated,1complex1and1compliant:1Best1practice1in1obstetrics.1Cognition,$Technology$and$Work,1DOI110.1007/s10111B011B0211B6.1

Dekker,1S.1W.1A.,1&1Nyce,1J.1M.1(2012).1Cognitive1Engineering1and1the1moral1theology1and1witchcraft1of1cause.1Cognition,$Technology$and$Work,114(3),1207B212.1

Dekker,1S.1W.1A.1(2012).1Complexity,1signal1detection,1and1the1application1of1ergonomics:1Reflections1on1a1healthcare1case1study.1Applied$Ergonomics,143,1468B472.1

1

Henriqson,1E.,1van1Winsen,1R.,1Saurin,1T.1A.,1&1Dekker,1S.1W.1A.1(2011).1How1a1cockpit1calculates1its1speed1and1why1errors1while1doing1this1are1so1hard1to1detect.1Cognition,$Technology$and$Work,113(4),1217B231.1

Dekker,1S.1W.1A.1(2011).1What1is1rational1about1killing1a1patient1with1an1overdose?1Enlightenment,1continental1philosophy1and1the1role1of1the1human1subject1in1system1failure.1Ergonomics,154(8),1679B683.1

Dekker,1S.1W.1A.,1Cilliers,1P.,1Hofmeyr,1J.1H.1(2011).1The1complexity1of1failure:1Implications1of1complexity1theory1for1safety1investigations.1Safety$Science,$49(6),1939B945.1

Asberg,1R.,1Hummerdal,1D.,1&1Dekker,1S.1W.1A.1(2011).1There1are1no1qualitative1methods,1nor1quantitative1for1that1matter:1The1misleading1rhetoric1of1the1qualitativeBquantitative1argument.1Theoretical$Issues$in$Ergonomics$Science,112(5),1408B415.1

Dekker,1S.1W.1A.1(2011).1The1criminalization1of1human1error1in1aviation1and1healthcare:1A1review.1Safety$Science,$49(2),1121B127.1

1

Dekker,1S.1W.1A.1&1Hugh,1T.1B.1(2010).1Balancing1“No1Blame”1with1accountability1in1patient1safety.1New$England$Journal$of$Medicine,1362(3),1275.1

Dekker,1S.1W.1A.1(2010).1We1have1Newton1on1a1retainer:1Reductionism1when1we1need1systems1thinking.1Joint$Commission$Journal$on$Quality$and$Patient$Safety,$36(4),1147B149.1

Dekker,1S.1W.1A.,1Nyce,1J.1M.,1van1Winsen,1R.,1&1Henriqson,1E.1(2010).1Epistemological1selfBconfidence1in1human1factors.1Journal$of$Cognitive$Engineering$and$Decision$Making,14(1),127B38$

Dekker,1S.1W.1A.,1Hummerdal,1D.,1&1Smith,1C.1(2010).1Situation1awareness:1Some1remaining1questions.1Theoretical$Issues$in$Ergonomics$Science,111(1B2),1131B135.1

Dekker,1S.1W.1A.1(2010).1Pilots,1controllers1and1mechanics1on1trial:1Cases,1concerns1and1countermeasures.1International$Journal$of$Applied$Aviation$Studies,110(1),131B50.1

Nyce,1J.1M.,1&1Dekker,1S.1W.1A.1(2010).1IED$casualties$mask$the$real$problem:$it's$us.1Small1Wars1&1Insurgencies,121,1409B413.1

Bergström,1J.,1Dahlström,1N.,1Henriqson,1E.,1&1Dekker,1S.1W.1A.1(2010).1Team1coordination1in1escalating1situations.1Journal$of$Contingencies$and$Crisis$Management,$18(4),1220B230.1

Larsson,1P.,1Dekker,1S.1W.1A.,1&1Tingvall,1C.1(2010).1The1need1for1a1systems1theory1approach1to1road1safety.1Safety$Science,148(9),11167B1174.1

Stanton,1N.1A.,1Harris,1D.,1Salmon,1P.1M.,1Demagalski,1J.,1Marshall,1A.,1Waldmann,1T.,1Dekker,1S.1W.1A.,1&1Young,1M.1S.1(2010).1Predicting1designBinduced1error1in1the1cockpit.1Journal$of$Aeronautics,$Astronautics$and$Aviation,1Series1A,142(1),11B10.1

1

Dekker,1S.1W.1A.1(2009).1Prosecuting1professional1mistake:1Secondary1victimization1and1a1research1agenda1for1criminology.1International$Journal$of$Criminal$Justice$Studies.11

Hugh,1T.1B.,1&1Dekker,1S.1W.1A.1(2009).1Hindsight1bias1and1outcome1bias1in1the1social1construction1of1medical1negligence:1A1review.1Journal$of$Law$and$Medicine, 16,1846B857.1

Huber,1S.,1Wijgerden,1I.1van,1Witt,1A.1de,1Dekker,1S.1W.1A.1(2009).1Learning1from1organizational1accidents:1Resilience1engineering1for1highBrisk1process1environments.1Process$Safety$Progress,$28(1),190B95.1

Bergström,1J.,1Dahlström1N.,1van1Winsen,1R.,1Lützhöft,1M.,1Dekker1S.1W.1A.,1&1Nyce,1J.1M.1(2009).RuleB1and1role1retreat:1An1empirical1study1of1procedures1and1resilience.1Journal$of$Maritime$Studies,16(1),175B90.1

Stanton,1N.1A.,1Salmon,1P.1M.,1Harris,1D.,1Demagalski,1J.,1Marshall,1A.,1Waldmann,1T.,1Dekker,1S.1W.1A.,1&1Young,1M.1S.1(2010).1Predicting1pilot1error:1Testing1a1new1methodology1and1a1multiBmethods1and1analysis1approach.1Applied$Ergonomics,140(3),1464B471.1

Dekker,1S.1W.1A.1(2009).1Just1culture:1Who1draws1the1line?1Cognition,$Technology$&$Work,$11(3),1177B185.1

1

Dekker,1S.1W.1A.1(2008).1Perspective1on:1Comparative1issues1in1aviation1and1surgical1CRM:1Are1we1too1solutionBfocused?1ANZ$Journal$of$Surgery,$78(12).1

Hugh,1T.1B.,1&1Dekker,1S.1W.1A.1(2008).1Laparoscopic1bile1duct1injury:1Understanding1the1psychology1and1heuristics.1ANZ$Journal$of$Surgery,$78(12).1

AmerBWåhlin,1I.,1&1Dekker,1S.1W.1A.1(2008).1Fetal1monitoring:1A1risky1business1for1the1unborn1and1the1personnel.1Journal$of$Obstetrics$and$Gynaecology,$10.1111/j.1471B0528.2008.01758.x.1

Dekker1S.1W.1A.,1Jonsén,1M.,1Bergström,1J.,1&1Dahlström1N.1(2008).1Learning1from1failures1in1emergency1response:1Two1empirical1studies.1Journal$of$Emergency$Management,$6,11B10.1

Dahlström,1N.,1Dekker,1S.1W.1A.,1van1Winsen,1R.,1Nyce,1J.1M.1(2008).1Fidelity1and1validity1of1simulator1training.1Theoretical$Issues$in$Ergonomics$Science,110(4),1305B314.1

Flach,1J.,1Dekker,1S.1W.1A.,1Stappers,1P.1J.1(2008).1Playing1twenty1questions1with1nature:1Reflections1on1the1dynamics1of1cognitive1systems.1Theoretical$Issues$in$Ergonomics$Science,$9(2),1125B154.1

1

Dekker,1S.1W.1A.1(2007).1Discontinuity1and1disaster:1Gaps1and1the1negotiation1of1culpability1in1medication1delivery.1Journal$of$law,$medicine$and$ethics,$35(3),1463B470.1

Dekker,1S.1W.1A.1&1Laursen,1T.1(2007).1From1punitive1action1to1confidential1reporting:1A1longitudinal1study1of1organizational1learning.1Patient$Safety$&$Quality$Healthcare,$5,150B56.1

Dekker,1S.1W.1A.1(2007).1Criminalization1of1medical1error:1Who1draws1the1line?1ANZ$Journal$of$Surgery,$77(10),1831B837.1

Dekker,1S.1W.1A.1(2007).1Eve1and1the1serpent:1A1rational1choice1to1err.1Journal$of$religion$and$health,46(1).1

Dekker,1S.1W.1A.1(2007).1Why1doctors1are1more1dangerous1than1gunBowners:1A1rejoinder1to1error1counting.1Human$Factors,$49(2),1177B184.1

Dekker,1S.1W.1A.,1&1Lundström,1J.1T.1(2007).1From1threat1and1error1management1(TEM)1to1resilience.1Human$Factors$and$Aerospace$Safety,$6(3),1261B274.1

Goteman,1Ö.,1Smith,1K.,1&1Dekker,1S.1W.1A.1(2007).1HUD1with1a1velocity1(flight1path)1vector1reduces1lateral1error1during1landing1in1restricted1visibility.1International$Journal$of$Aviation$Psychology,117(1),191B108.1

Dekker,1S.1W.1A.,1Siegenthaler,1D.,1&1Laursen,1T.1(2007).1Six1stages1to1the1new1view1of1human1error.1Safety$Science$Monitor,$11(1),11B5.1

Goteman,1Ö.1E.,1&1Dekker,1S.1W.1A.1(2007).1Flight1crew1callouts1and1aircraft1automation1modes.1International$Journal$of$Applied$Aviation$Studies,$6(2),1235B248.1

1

Dekker,1S.1W.1A.,1&1Suparamaniam1(2006).1Of1hierarchy1and1hoarding:1How1“inefficiencies”1actually1make1disaster1relief1“work”.1Australasian$journal$of$disaster$&$trauma$studies,$2 (2).1http://trauma.massey.ac.nz/issues/2006B2/dekker.htm.1

Dekker,1S.1W.1A.1(2006).1Past1the1edge1of1chaos.1Human$Factors$&$Aerospace$Safety,$6(3),1235B246.1Dahlström1N.,1Dekker1S.1W.1A.1&1Nählinder1S.1(2006).1Introduction1of1Technically1Advanced1Aircraft1in1

AbBInitio1Flight1Training.1International$Journal$of$Applied$Aviation$Studies,$6(1),131B144.1Goteman,1Ö.1E.,1&1Dekker,1S.1W.1A.1(2006).1Flight1crew1cooperation1during1live1controllerBpilot1

datalink1communication1trials.1Human$Factors$&$Aerospace$Safety,$5(4),1279B294.1Björklund,1C.,1Alfredsson,1J.,1&1Dekker,1S.1W.1A.1(2006).1Shared1mode1awareness1in1air1transport1

cockpits:1An1eyeBpoint1of1gaze1study.1International$Journal$of$Aviation$Psychology,$16(3),1257B269.1

Stanton,1N.1A.,1Harris,1D.,1Salmon,1P.,1Demagalski,1J.M.,1Marshall,1A.,1Young,1M.S.,1Dekker,1S.1W.1A.1and1Waldmann,1T.1(2006).1Predicting1Design1Induced1Pilot1Error1using1HET1(Human1Error1Template)1B1A1New1Formal1Human1Error1Identification1Method1for1Flight1Decks.1The$Aeronautical$Journal,$110(2),1107B115.1

1

Dekker,1S.1W.1A.1(2004).1The1hindsight1bias1is1not1a1bias1and1not1about1history.1Human$Factors$&$Aerospace$Safety,$4(2),187B99.1

Dekker,1S.1W.1A.1&1Nyce,1J.1M.1(2004).1How1can1ergonomics1influence1design?1Moving1from1research1findings1to1future1systems.1Ergonomics,$47(15),11624B1639.1

Dekker,1S.1W.1A.1(2004).1Why1we1need1new1accident1models.1Human$Factors$and$Aerospace$Safety,$4(1),11B18.$

Dekker,1S.1W.1A.,1&1Hollnagel,1E.1(2004).1Human1factors1and1folk1models.1Cognition,$Technology$&$Work,$6,179B86.1

1

Dekker,1S.1W.1A.1(2003).1When1human1error1becomes1a1crime.1Human$Factors$and$Aerospace$Safety,$3(1),183B92.

Dekker,1S.1W.1A.1(2003).1Investigating1human1error:1Incidents,1accidents1and1complex1Systems.1Risk$management,$6(1),173B74.1

Suparamaniam,1N.,1&1Dekker,1S.1W.1A.1(2003).1Paradox1of1power:1The1separation1of1knowledge1and1authority1in1international1disaster1relief1work.1Disaster$Prevention$and$Management,$12(4),1312B318.1

Goteman,1Ö.1&1Dekker,1S.1W.1A.1(2003).1Flight1crew1and1aircraft1performance1during1RNAV1approaches:1Studying1the1effects1of1throwing1new1technology1at1an1old1problem.1Human$Factors$and$Aerospace$Safety,$3(2),1133B149.1

Svenmarck,1P.,1&1Dekker,1S.1W.1A.1(2003).1Decision1support1in1fighter1aircraft:1From1expert1systems1to1cognitive1modeling.1Behavior$and$Information$Technology,$22(3),1175B184.1

Dekker,1S.1W.1A.1(2003).1Accidents1are1normal;1human1error1does1not1exist:1Novel1approaches1to1making1progress1on1occupational1safety.1International$Journal$of$Occupational$Safety$&$Ergonomics, 9(2),1209B217.

Dekker,1S.1W.1A.1(2003).1Illusions1of1explanation:1A1critical1essay1on1error1categorization.1International$Journal$of$Aviation$Psychology,$13(2),195B106.1

Dekker,1S.1W.1A.1(2003).1Failing1to1adapt1or1adaptations1that1fail:1Contrasting1models1on1procedures1and1safety.1Applied$Ergonomics,$34(3),1233B238.1

Dekker,1S.1W.1A.,1Nyce,1J.1M.,1&1Hoffman,1R.1(2003).1Creating1designable1futures:1Contextual1Inquiry1in1HumanBCentered1Computing.1IEEE$Intelligent$Systems,$18(2),172B76.1

Dekker,1S.1W.1A.1(2003).1Human1factors1in1certification.1International$Journal$of$Aviation$Psychology,$13(1),189B93.1

1

Dekker,1S.1W.1A.1&1Woods,1D.1D.1(2002).1MABABMABA1or1Abracadabra:1Progress1on1human1automation1cooperation.1Cognition,$Technology$and$Work,$4(4),1240B244.1

Dekker,1S.1W.1A.,1Mooij,1M.,1&1Woods,1D.1D.1(2002).1Envisioned1practice,1enhanced1performance:1The1riddle1of1future1(ATM)1systems.1International$Journal$of$Applied$Aviation$Studies,$2(1),123B32.1

Dekker,1S.1W.1A.1(2002).1Reconstructing1the1human1contribution1to1accidents:1The1new1view1of1human1error1and1performance.1Journal$of$Safety$Research,$33 (3),1371B385.1

Dekker,1S.1W.1A.1(2002).1Human1error1after1all.1Human$Factors$and$Aerospace$Safety,$2(2),1193B196.1Lützhöft,1M.,1&1Dekker,1S.1W.1A.1(2002).1On1your1watch:1Automation1on1the1bridge.1Journal$of$

Navigation,$55(1),183B96.1Singer,1G.,1&1Dekker,1S.1W.1A.1(2002).1The1effect1of1the1roll1index1(“sky1pointer”)1on1roll1reversal1

errors.1Human$Factors$and$Aerospace$Safety,$2(1),133B43.11

Dekker,1S.1W.1A.,1&1Johansson,1B.1K.1(2001).1Cockpit1automation1and1abBinitio1pilot1training:1Report1on1a1European1experience.1International$Journal$of$Aviation$Research$and$Development,$1(2),1103B116.1

Dekker,1S.1W.1A.1(2001).1Follow1the1procedure1or1survive.1Human$Factors$and$Aerospace$Safety,$1(4),1381B385.1

Dekker,1S.1W.1A.1(2001).1Disinheriting1Fitts1&1Jones1’47.1International$Journal$of$Aviation$Research$and$Development,$1(1),17B18.1

Dekker,1S.1W.1A.1(2001).1The1reBinvention1of1human1error.1Human$Factors$and$Aerospace$Safety,$1(3),1247B266.1

Singer,1G.,1&1Dekker,1S.1W.1A.1(2001).1The1ergonomics1of1flight1management1systems:1Fixing1holes1in1the1certification1net.1Applied$Ergonomics,$32 (3),1247B254.1

Dekker,1S.1W.1A.1(2001).1The1disembodiment1of1data1in1human1factors1accident1analysis.1Journal$of$Human$Factors$and$Aerospace$Safety,$1(1),139B57.1

1

Woods,1D.1D.,1&1Dekker,1S.1W.1A.1(2000).1Anticipating1the1effects1of1technology1change:1A1new1era1of1dynamics1for1Human1Factors.1Theoretical$Issues$in$Ergonomics$Science,$1(3),1272B282.1

Singer,1G.,1&1Dekker,1S.1W.1A.1(2000).1Pilot1performance1during1multiple1failures:1An1empirical1study1of1different1warning1systems.1Journal$of$Transportation$Human$Factors,$2(1),163B76.1

Rigner,1J.,1&1Dekker,1S.1W.1A.1(2000).1Sharing1the1burden1of1flight1deck1automation1training.1International$Journal$of$Aviation$Psychology,$10(4),1317B326.1

Dekker,1S.1W.1A.1(2000).1Crew1situation1awareness1in1highBtech1settings:1Tactics1for1research1into1an1illBdefined1phenomenon.1Journal$of$Transportation$Human$Factors,$2(1),149B611

1

Dekker,1S.1W.1A.,1&1Woods,1D.1D.1(1999).1To1intervene1or1not1to1intervene:1the1dilemma1of1management1by1exception.1Cognition,$Technology$and$Work,$1,186B96.1

1

Smith,1P.1J.,1Woods,1D.1D.,1McCoy,1E.1Billings,1C.1E.,1Sarter,1N.1B.,1Dekker,1S.1W.1A.,1&1Denning,1R.1(1998).1Using1forecasts1of1future1incidents1to1evaluate1future1ATM1system1designs.1Air$Traffic$Control$Quarterly,$6(1),171B86.1

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Dekker,1S.1W.1A.,1&1Schaufeli,1W.1B.1(1995).1The1effects1of1job1insecurity1on1psychological1health1and1withdrawal:1A1longitudinal1study.1Australian$Psychologist,$30(1),157B63.1

Book chapters Dekker,1S.1W.1A.1(2012).1Global1concept:1Safety.1In1HaSPA1(Health1and1Safety1Professionals1Alliance),1

The$core$body$of$knowledge$for$generalist$OHS$professionals,1pp.11B10.1Tullamarine,1Vic,1Australia.1

Dekker,1S.1W.1A.1(2012).1The1meaning1of1disaster.1Griffith$Review,135,1241B246.1Dekker,1S.1W.1A.1(2011).1Promoting1meaningful1closeBcall1reporting:1Lessons1from1aviation.1In:1Wu,1A.1

(Ed.),1The$value$of$close$calls$in$improving$patient$safety:$Learning$how$to$avoid$and$mitigate$patient$harm,1pp.125B38.1Oakbrook1Terrace,1IL:1Joint1Commission1Resources.1

Dekker,1S.1W.1A.,1&1Woods,1D.1D.1(2009).1The1High1Reliability1Organization1Perspective.1In1Salas,1E.1(Ed.),1Human$Factors$in$Aviation,1pp.1123B146.1New1York:1Wiley.1

Nijhof,1M.,1&1Dekker,1S.1W.1A.1(2009).1Restoration1through1preparation,1is1it1possible?1Analysis1of1a1lowBprobability,1highBconsequence1event.1In:1E.1Hollnagel,1C.1Nemeth,1&1S.1W.1A.1Dekker1(Eds.).1Resilience$Engineering$Perspectives:$Preparation$and$Restoration,1pp1205B214.1Aldershot,1UK:1Ashgate1Publishing1Co.1

Dekker,1S.1W.1A.1(2008).1Reporting1and1investigating1events.1In:1P.1Croskerry,1K.1Cosby,1&1R.1Wears1(2008).1Patient$safety$in$emergency$medicine,1pp.181B84.1Philadelphia,1PA:1Lippincott,1Williams1&1Wilkins.1

Cook,1R.1I.,1Nemeth,1C.,1&1Dekker1S.1W.1A.1(2008).1What1went1wrong1at1the1Beatson1Oncology1Centre?1In:1E.1Hollnagel,1C.1Nemeth,1&1S.1W.1A.1Dekker1(Eds.).1Resilience$Engineering$Perspectives:$Remaining$sensitive$to$the$possibility$of$failure,$pp.1225B236.1Aldershot,1UK:1Ashgate1Publishing1Co.11

Dekker,1S.1W.1A.1(2007).1Skuld:1En1individuell1handling1eller1indirekt1konsekvens1(Guilt:1An1individual1act1or1indirect1consequence?).1In:1S.1Ödergård1(Ed.):1I$rättvisans$namn (in1the1name1of1justice),1pp.1109B126.1Stockholm:1Liber.1

Dekker,1S.1W.1A.,1Dahlström,1N.,1van1Winsen,1R.,1&1Nyce,1J.1M.1(2008).1Crew1resilience1and1simulator1training1in1aviation.1In:1E.1Hollnagel,1C.1Nemeth,1&1S.1W.1A.1Dekker1(Eds.).1Resilience$Engineering$Perspectives:$Remaining$sensitive$to$the$possibility$of$failure,$pp.1119B126.1Aldershot,1UK:1Ashgate1Publishing1Co.1

Dahlström,1N.,1&1Dekker,1S.1W.1A.1(2008).1Human1error1and1bias1in1homeland1security1settings.1In1J.1G.1Voeller1(Ed.),1Handbook$of$science$and$technology$for$homeland$security.1New1York:1Wiley.1

Dekker,1S.1W.1A.,1&1Suparamaniam,1N.1(2007).1The1migration1of1authority1in1tactical1decision1making.1In1M.1Cook,1J.1Noyes,1&1Y.1Masakowski1(Eds.),1Decision$making$in$complex$environments,1233B242.1Aldershot,1UK:1Ashgate1Publishing1Co.1

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Smith,1P.1J.,1Woods,1D.1D.,1Billings,1C.E.,1Denning,1R.,1Dekker,1S.1W.1A.,1McCoy,1E.,1&1Sarter,1N.1B.1(1999).1Conclusions1from1the1application1of1a1methodology1to1evaluate1future1air1traffic1management1system1designs.1In1M.1Mouloua1&1M.1W.1Scerbo1(Eds.),1Automation$technology$and$human$performance,$81P85.1Mahwah,1NJ:1Lawrence1Erlbaum1Associates.1

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Invited, keynote addresses Brisbane,1Australia1 20121—11BHP1Billiton1BMA1Coal1Alliance,1invited1speaker1on1OSHE.1Sydney,1Australia1 20121—11Aviation1Psychology1Association1of1Australia1

Biennial1Conference,1keynote1speaker1on1safety1interventions1Sydney,1Australia1 20121—11PACDEFF1Conference,1keynote1speaker1Brisbane,1Australia1 20121—1Queensland1Health—Patient1Safety1and1Quality1Improvement11

1Division,1invited1seminar1speaker$Brisbane,1Australia1 20121—1Princess1Alexandra1Hospital,1invited1seminar1speaker$Sydney,1Australia1 20121—11RISSB1Rail1Safety1Conference,1invited1speaker.1Brisbane,1Australia1 20121—1“Deepening1the1conversation:1Survival1and1resilience”1$ $ $ Invited$contributor$to$forum$at$State$Library$moderated$by$Paul$Barclay$Sydney,1Australia1 20111—1Human1Factors1Ergonomics1Society1of1Australia1

Annual$meeting$Keynote$speaker$Adelaide,1Australia1 20111—1Invited1speaker1and1panel1debater1at1Adelaide$Festival$of$Ideas1Hong1Kong1 1 20111—1“Safety1in1healthcare:1Studies1in1resilience1and1complexity”1$ $ $ Invited$address,$Hong$Kong$Academy$of$Medicine,$United$Christian$Hospital$Brisbane,1Australia1 20111—1“Complexity,1uncertainty1and1averting1a1drift1into1disaster”11 International$forum$on$Climate$Change$Adaptation$and$Health$Melbourne,1Australia1 20111—1“Safety1and1Accountability:1Are1we1victims1of1our1own1success?”11 Eric$Wigglesworth$memorial$lecture$London11 1 20101—1Junior1Doctors:1Agents1for1change1

UK1Department1of1Health/NHS1conference1(invited1speaker)1Stockholm1 1 20101—1Nordic1Patient1Safety1Conference1(www.npsc.se)1

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Hospital1—1Invited1speaker)1Los1Alamos,1NM1 20091—1“From1Newton1to1Chaos:1New1views1on1accountability”1(Los1

Alamos1National1Laboratory1Director’s1Address1—1Invited1speaker)1Munich,1Germany1 20091—1Eurocontrol1Safety1R&D1seminar.1Munich,1Germany,121B221October.1

“Challenges1and1opportunities1for1Just1Culture1in1European1ATM”1(Keynote1speaker)1

Linköping,1SE1 20091—1Human1Factors1and1Ergonomics1Society1Europe1Chapter1Annual1Meeting.1“In1the1systems1view1of1human1factors,1who1is1responsible1for1success1and1failure?”1(Keynote1speaker)11

Washington,1DC1 20091—1National1Transportation1Safety1Board1Human1error,1Just1Culture1and1Resilience1(2Bday1Invited1speaker1for1

1 number1of1federal1agencies1including1USFS,1FAA,1various1Military,1NTSB)1Stockholm1 1 20091—1KI1Simulatorcentrum1

“Just1Culture1—1Seminarium1med1Sidney1Dekker”1(Invited1speaker)11 http://www.simulatorcentrum.se/aktuellt/justBcultureB/1Utrecht,1NL1 20091—1Center1for1Patient1Safety,1Utrecht1University1Medical1Center1(UMC)1

Medical1error,1the1hindsight1bias1and1outcome1bias1(Invited1speaker)1London,1UK1 1 20091—1Risky1Business:1International1Patient1Safety1Conference1

Great1Ormond1Street1Hospital1for1Children,1NHS1Trust1(Invited1speaker)1Stockholm1 1 20081—1National1Conference1on1Safety1Culture1and1Inspectorates1

Just1Culture:1A1Balance1between1safety1and1accountability1(Keynote1speaker)1Helsinki11 1 20081—1Human1Factors1Conference1Finland11 1 VTT1Technical1Research1Institute1(Invited1speaker:1“Human1factors1as1science1

or1as1succor?”)1Omaha,1NE1 1 20081—1International1Conference1on1Chaos,1Complexity1and1Conflict1

Werner1Institute1for1Negotiation1and1Conflict1Resolution,1Creighton1University1(Keynote1speaker)1

London,1UK1 1 20081—1Risky1Business:1International1Patient1Safety1Conference1Great1Ormond1Street1Hospital1for1Children,1NHS1Trust1(Invited1speaker)1

Melbourne,1Australia1 20081—1St.1Vincents1hospital1(nursing1and1clinical1leadership)1Patient1safety,1adverse1event1investigations,1accountability1(Invited1speaker)1

Melbourne,1Australia1 20071—1Royal1Melbourne1hospital1“Old1and1new1views1on1human1error”1(keynote1speaker)1

Örebro1 1 1 20071—1Safe1Healthcare:1Conference1organized1by1the1nursing1union1Sweden1(Invited1speaker)1

Winnipeg1 1 20071—1Stan1DeGroot1memorial1lecture1Canada11 1 “Patient1Safety1and1System1Improvement”1(Invited1speaker)1Stockholm,KTH11 20071—1I1rättvisans1namn1(In1the1name1of1justice:1Patient1safety1conference)1Sweden1 1 “Individuals1versus1systems1or1individuals1in1systems?”1(Invited1speaker)1Utrecht11 1 20071—1Conquaestor1Master1Class1Netherlands1 1 “Do1more1rules1make1our1systems1safer?”1(Invited1speaker)1Johannesburg1 20061—1IFATCA1(International1Federation1of1Air1Traffic1Control1Ass’ns)11South1Africa1 1 “Just1culture1and1learning1from1failure”1(Invited1speaker)1Manly,1NSW1 1 20061—1AvPAA1Evolving1System1Safety1Australia1 1 “Evolving1system1safety,1evolving1human1factors”1(Keynote1speaker)1Tel1Aviv11 1 20061—1Air1to1Air1Safety1Conference1Israel11 1 1 (Invited1Speaker)1Halifax1 1 1 20061—1Canadian1Aviation1Safety1Seminar1Canada11 1 “Aviation1Safety1and1Human1Factors:1Pushing1the1boundaries”1(Keynote1

speaker)1

Jönköping1Lansting1 20061—1Ledningskraft1för1patientsäkerhet1(Leadership1empowerment1for1patient1safety)1“Mistag,1ansvar1och1lärande1I1vården1(mistake,1accountability1and1learning1in1healthcare)”1(Invited1speaker)1

Stavanger1 1 20051—1Solakonferansen1Norway1 “Why1complex1system1fail1and1why1we1need1new1explanatory1models”1

(Invited1Speaker)1Syracuse,1NY1 1 20051—1Eleventh1Human1Performance,1Root1Cause1&1Trending1Conference1

“Resilience1Engineering:1A1new1approach1to1system1safety”1(Keynote1Speaker)1

Columbus,1OH1 1 20051—1Center1for1Resilience,1The1Ohio1State1University1“Recognizing1fragile1organizations1and1building1resilience1ones:1A1new1approach1to1system1safety”1(Invited1Speaker,1first1in1series1of1Center)1

Mystic,1CT.1 1 20031—1Ninth1Human1Performance,1Root1Cause1&1Trending1Conference1“Human1factors1investigations”1(Invited1Plenary1Speaker)1

Stockholm1 1 20031—1Polishelikopter1battaljon1“Seven1myths1about1human1error”1(Invited1Speaker)1

Lund,1Sweden1 1 20031—1“Jag1blev1anmälld…”1(Institution1för1Kirurgi,1Universitetssjukhus)1“Mistag,1ansvar1och1lärande:1Hur1går1de1ihop?”1(Invited1Speaker)1

Amsterdam1NL1 1 20031—1IEE1“People1in1Control”1Conference1Keynote1Speech:1“Control,1Complexity1and1Consciousness”1

Dunblane,1CT1 1 20031—1Human1Factors1of1Decision1Making1in1Complex1Systems1Conference1Keynote1speech:1“Migration1of1authority1in1tactical1decision1making”1

Ottawa,1ON1 1 20031—121st1System1Safety1Conference1Plenary1lunchtime1address:1“Ethical1aspects1of1human1error1investigations”1

Siikaranta,1FI1 1 20031—1Nordic1Inspectors1Safety1Training1“Human1factors1in1regulatory1work”1(Invited1Speaker)1

Stockholm1 1 20021—1SAS1joint1minor1incident1investigation1group1“Human1factors1investigations”1

Lund,1Sweden1 1 20021—1Human1Factors1in1Aviation1Safety1Conference1Keynote:1“Frequently1asked1questions1about1human1error1and1new1technology”1

Southampton1 1 20021—1IEE1short1course1“Human1Factors1for1Engineers”1“Control1room1design”1(lectures1and1workshops).1Also1afterBdinner1speech.1

Rödvig,1DK1 1 20021Nordic1aviation1regulators1“Human1factors1in1regulatory1work”1Malmen,1SE1 1 20011—1Army1Helicopter1Battalion,1dinner1speech1

“Helicopters,1humans1and1hellfire:1new1perspectives1on1error”1Accra,1Ghana1 1 20011—112th1Federation1of1Air1Traffic1Controllers1Associations1meeting1

“Human1error1and1learning1from1failure”1Manchester,1UK1 20011—1AfterBdinner1speaker1at1the1IEE1PeopleBInBControl1conference,1UMIST.1Columbus,1OH1 20011—1Workshop1at1the111th1International1Symposium1on1Aviation1

Psychology1“Understanding1the1human1contribution1to1system1breakdown”1Stockholm1 1 20011—1Accountable1managers1meeting1(VD1flygbolag),1Sweden1

“Why1Murphy’s1law1is1wrong”1Linköping,1SE1 1 20001—1Féderation1Aeronautique1Internationale1Annual1meeting1

Keynote:1“Human1error:1The1good,1the1bad1and1the1ugly”1

Heathrow,1UK1 20001—1Joint1annual1forum1of1the1British1Airline1Pilots1Association1and1Guild1of1Air1Traffic1Control1Officers1(BALPA/GATCO1forum)1“Near1misses1and1human1error”1

Oslo,1Norway1 1 20001—1Risk1forum1“Different1views1on1human1error1and1risk”1

Gustavelund,1FI11 20001—1Lectures1on1automation1in1shipbuilding1“Promises1and1problems1of1automation”1

Kolmården1 1 20001—1Nordic1introduction1seminar1for1regulatory1personnel,1NIST120001“Two1views1of1human1error”1

Skövde,SE1 1 19991—1“Kognitionsdagen199”1(The1day1of1Cognition)1“Automation1and1its1impact1on1human1cognition”1

Rosenön,1SE1 1 19991—1SAS1Flight1Academy1Customer1Conference1“The1sequence1of1events1that1brought1an1automated1airliner1down”1

Amsterdam,1NL11 19991—1Joint1meeting1of1flight1safety1investigators1“Human1factors1awareness1in1incident1and1accident1investigation”1

Oslo,1Norway1 1 19991—1Nordic1introduction1seminar1for1regulatory1personnel,1NIST1’991“Training1for1the1automated1cockpit”1

Reykjavik,1 1 19981—1Annual1meeting1of1Nordic1simulator1user1assocation,1SIMSEM1‘981“Automation1and1human1performance:1Issues1for1simulation.”1

Venice,1Italy1 1 19981—1Workshop1on1human1computer1interface1and1human1error1analysis1in1safety1applications.1“Experiences1from1the1avionic1industry:1Human1error1as1indication1of1design1problems.”1

Heathrow,1UK1 19971—1Joint1annual1forum1of1the1British1Airline1Pilots1Association1and1Guild1of1Air1Traffic1Control1Officers1(BALPA/GATCO1forum)1“Management1by1exception1in1Air1Traffic1Control”1

Conference Proceedings Stoop,1J.,1&1Dekker,1S.1W.1A.1(2011).1No$more$cheese$please:$Accident$modeling$from$symptom$to$

system.1International1Society1of1Air1Safety1Investigators1Forum,1JulyBSept12011,1pp.119B25.1Dekker,1S.1W.1A.1(2010).1Accountability:1System1or1individual1view.1Linköping,1Sweden:1

Transportforum12010,113B141January.1Dekker,1S.1W.1A.1(2009).1In1the1systems1view1of1human1factors,1who1is1responsible1for1success1and1

failure?1In1proceedings1of1the1Human1Factors1and1Ergonomics1Society1Europe1Chapter1Annual1Meeting,1Linköping,1Sweden,114B161October.11

Stoop,1J.1A.,1&1Dekker,1S.1W.1A.1(2009).1Accident1modeling:1From1symptom1to1system.1Proceedings1of1Human1Factors1and1Ergonomics1Society1Europe1Chapter,1Linköping,1Sweden,114B161October.1

Stoop,1J.1A.,1&1Dekker,1S.1W.1A.1(2008).1Why1safety1investigations1are1proactive.1Proceedings1of1third1symposium1on1Resilience1Engineering,1JuanBlesBPins,1France,128B301October.1

Stoop,1J.1A.,1&1Dekker,1S.1W.1A.1(2007).1Why1safety1investigations1are1proactive.1Proceedings1of1ESReDA133rd1Seminar,1Future1challenges1for1accident1investigation,113B141November12007.1

Dekker,1S.1W.1A.1(2006).1Evolving1human1factors,1evolving1system1safety.1Symposium1of1the1Aviation1Psychology1Association1of1Australia.1Manly,1Sydney,19B121November12006.1

Dekker,1S.1W.1A.,1&1Hollnagel,1E.1(2005).1Investing1in1safety1when1you1think1you1cannot1afford1to:1Directions1for1organizational1resilience1in1times1of1resource1scarcity.1Paper1presented1at1the113th1International1Symposium1on1Aviation1Psychology,1Oklahoma1City,1OK,1201April12005.1

Steele,1K.1R.,1&1Dekker,1S.1W.1A.1(2005).1Aviation1incident1reporting:1A1qualitative1inquiry1from1the1pilot’s1perspective.1Paper1presented1at1the113th1International1Symposium1on1Aviation1Psychology,1Oklahoma1City,1OK,1201April12005.1

Goteman,1Ö.,1Smith,1K.,1&1Dekker,1S.1W.1A.1(2004).1HUD1(HeadBUp1Display)1use1improves1landing1performance1in1a1full1motion1simulator.1Proceedings1of1the1Human1Factors1and1Ergonomics1Society148th1Annual1Meeting,1New1Orleans,1LA,120B241September12004.1

Steele,1K.1R.,1&1Dekker,1S.1W.1A.1(2004).1Incident1reporting1from1an1emic1perspective.1Proceedings1of1the122nd1International1System1Safety1conference.1Providence,1Rhode1Island.1

Steele,1K.1R.,1&1Dekker,1S.1W.1A.1(2004).1Aviation1incident1reporting1in1Sweden.1Human1factors1in1design,1safety,1and1management:1the1proceedings1of1the120041annual1meeting1of1the1Human1Factors1and1Ergonomics1Society1Europe1Chapter.1Delft,1the1Netherlands.1

Dekker,1S.1W.1A.1&1Suparamaniam,1N.1(2003).1Migration1of1authority1in1tactical1decision1making.1Proceeedings1of1the1Conference1on1Human1Factors1of1Decision1Making1in1Complex1Systems,1pp.15B7.1Dunblane,1Scotland:1University1Abertay1Dundee.1

Björklund,1C.,1Alfredsson,1J.,1&1Dekker,1S.1W.1A.1(2003).1Shared1mode1awareness1of1the1FMA1in1commercial1aviation:1An1eyeBpoint1of1gaze1and1communication1data1analysis1in1a1highBfidelity1simulator.1Proceedings1of1EAM12003,1the122nd1European1Conference1on1Human1Decision1Making1and1Manual1Control,1pp.1119B126.1Linköping:1Cognitive1Systems1Engineering1Laboratory,1Linköping1University.1

Dekker,1S.1W.1A.1(2003).1When1does1human1error1become1a1crime?1Proceedings1of112th1International1Symposium1on1Aviation1Psychology.1Dayton,1OH:1Wright1State1University.1

Stanton,1N.1A.,1Young,1M.1S.,1Salmon,1P.,1Harris,1D.,1Waldman,1T.,1Marshall,1A.,1&1Dekker,1S.1W.1A.1(2003).1Predicting1pilot1error.1Proceedings1of1HCI1International12003.1Heraklion,1Crete.1

Salmon,1P.,1Stanton,1N.1A.,1Young,1M.1S.,1Demagalski,1J.,1Harris,1D.,1Marshall,1A.,1Waldman,1T.,1&1Dekker,1S.1W.1A.1(2003).1A1comparison1of1SHERPA,1Human1Error1HAZOP,1HEIST1and1a1newly1developed1aviation1specific1HEI1method.1Proceedings1of1HCI1International12003.1Heraklion,1Crete.1

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Dekker,1S.1W.1A.1(2002).1Human1error1and1automation1surprises.1Presented1at1the134th1Annual1congress1of1the1Nordic1Ergonomics1Society,1Kolmården1Sweden,11B31October.1

Dekker,1S.1W.1A.1(2002).1Frequently1asked1questions1about1human1error1and1new1technology.1Proceedings1of1the1Conference1on1Human1Factors1and1Safety1in1Aviation.1Swedish1Centre1for1Aviation1Research1&1Development,1Lund1(26B271September).1

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Stanton,1N.1A.,1Young,1M.1S.,1Salmon,1P.,1Marshall,1A.,1Waldman,1T.,1Dekker,1S.1W.1A.1(2002).1Predicting1pilot1error:1Assessing1the1performance1of1SHERPA.1Proceedings1of1the121st1European1Annual1Conference1on1Human1Decision1Making1and1Control.1Glasgow,1UK.1

Salmon,1P.,1Stanton,1N.1A.,1Young,1M.1S.,1Harris,1D.,1Demagalski,1J.,1Marshall,1A.,1Waldman,1T.,1Dekker,1S.1W.1A.1(2002).1Using1existing1HEI1techniques1to1predict1pilot1error:1A1comparison1of1SHERPA,1HAZOP,1and1HEIST.1Proceedings1of1HCIBAero12002,1MIT,1Cambridge,1MA.1

Demagalski,1J.,1Harris,1D.,1Salmon,1P.,1Stanton,1N.1A.,1Young,1M.1S.,1Marshall,1A.,1Waldman,1T.,1Dekker,1S.1W.1A.1(2002).1Design1induced1errors1on1the1modern1flight1deck1during1approach1and1landing.1Proceedings1of1HCIBAero12002,1MIT,1Cambridge,1MA.1

Dekker,1S.1W.1A.,1&1Nyce,1J.1M.1(2002).1Contextual1inquiry1in1HCI:1Lessons1from1aeronautics.1Proceedings1of1HCIBAero12002,1MIT,1Cambridge,1MA.1

Dekker,1S.1W.1A.1(2001).1Opening1address.1Proceedings1of1the1Fourth1International1Workshop1on1Human1Error,1Safety1and1Systems1Development1(HESSDB01),1Linköping.1Linköping,1Sweden:1Centre1for1Human1Factors1in1Aviation.1

Dekker,1S.1W.1A.1(2001).1Accident1reconstruction.1Proceedings1of1the1Human1Factors1in1Aviation1konferensen,1Linköping,1Sweden:1Centre1for1Human1Factors1in1Aviation.1

Dekker,1S.1W.1A.1(1999).1Ledningssystem1i1Sverige:1Practical1and1research1challenges.1Proceedings1of1the1workshop1on1Human1Factors1i1Ledningssystem:1Svensk1forskning1igår,1idag,1imorgon1(Human1Factors1in1supervisory/command1&1control1systems1in1Sweden1yesterday,1today1and1tomorrow).1Linköping,1Sweden:1Centre1for1Human1Factors1in1Aviation.1

Dekker,1S.1W.1A.1(1999).1The1disembodiment1of1data.1Proceedings1of1the1Human1Factors1in1Aviation1konferensen.1Linköping,1Sweden:1Centre1for1Human1Factors1in1Aviation.1

Suparanamiam,1N.,1&1Dekker,1S.1W.1A.1(1999).1Training1for1automation:1Why1exhortations1to1be1careful1don’t1work.1Proceedings1of1the1Tenth1International1Symposium1on1Aviation1Psychology.1Columbus,1OH.1

Dekker,1S.1W.1A.1(1999).1TwoBCrew1flight1decks1with1three1crewmembers:1Teaching1pilots1about1automation.1Proceedings1of1ITEC,1the1Civil1Aviation1Training1Conference.1Den1Haag,1the1Netherlands.1

Dekker,1S.1W.1A.1(1998).1The1future1of1pilot1training:1Preparing1for1the1automated1cockpit.1Paper1presented1at1Flygteknik1‘98:1Framtidens1flyg1och1rymdverksamhet,1tekniska1och1economiska1förutsättningar1och1möjligheter.1Stockholm,1Sweden.1

Dekker,1S.1W.1A.1(1998).1Training1for1the1automated1flight1deck:1A1JARBOPS1challenge.1Proceedings1of1the123rd1conference1of1the1European1Assocation1for1Aviation1Psychologly,1Vienna,1Austria.1

Dekker,1S.1W.1A.1(1998).1Implications1of1Technology1change1in1air1traffic1control.1Proceedings1of1the1Global1Ergonomics1Conference1‘98,1Cape1Town,1South1Africa.1

Dekker,1S.1W.1A.1(1998).1Training1for1the1automated1cockpit.1Proceedings1of1the1Human1Factors1in1Aviation1konferensen,1Linköping,1Sweden.1

Dekker,1S.1W.1A.1(1998).1Applying1technology1across1the1spectrum.1Proceedings1of1the1International1Training1and1Education1Conference1(ITEC11998).1Lausanne,1Switzerland.1

Dekker,1S.1W.1A.,1&1Fairburn,1C.1(1998).1Collaborative1failure1in1distributed1cognitive1systems.1AGARD1proceedings1of1the1Symposium1on1Collaborative1Crew1Performance1in1Complex1Operational1Systems,1Edinburgh,1UK.1

Dekker,1S.1W.1A.,1&1Wright,1P.1C.1(1997).1Function1allocation:1A1question1of1task1transformation,1not1allocation.1Proceedings1of1the1International1Conference1on1ReBvisiting1the1Allocation1of1Functions1Issue:1New1Perspectives.1Galway,1Ireland.1

Dekker,1S.1W.1A.1(1997).1The1optimisation1of1flight1deck1automation1(Report1of1Technical1Working1Group15).1Proceedings1of1the1European1Workshop1to1Develop1Human1Factors1Guidelines1for1Flight1Deck1Certification.1London,1March125B26.1

Dekker,1S.1W.1A.1(1997).1Address1to1the1NATO1Research1Group1251on1human1error1in1military1crew1systems.1Oslo,123B241January.1

Dekker,1S.1W.1A.,1Fields,1R.,1&1Wright,1P.1C.1(1997).1Human1error1recontextualised.1Proceedings1of1the1workshop1on1safety,1human1error1and1systems1development,1University1of1Glasgow,1March120B22.1

Dekker,1S.1W.1A.,1&1Woods,1D.1D.1(1997).1The1envisioned1world1problem1in1cognitive1task1analysis.1Proceedings1of1the1ONR/NATO1workshop1on1Cognitive1Task1Analysis,1Washington,1DC.1

Dekker,1S.1W.1A.,1&1Woods,1D.1D.1(1997).1Cognitive1complexity1in1management1by1exception.1Proceedings1of1the19th1International1Symposium1on1Aviation1Psychology,1Columbus,1OH.1

Dekker,1S.1W.1A.1(1993,1April).1Mailpilots1and1mischief:1Meeting1goals1and1Violating1Rules.1Proceedings1of1the1Seventh1International1Symposium1on1Aviation1Psychology,1Columbus,1OH.1

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