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Carmen Medina, Director of the CIA's Center for the Study of Intelligence delivers the Traction User Group 2009 Opening Keynote followed by thirty minutes of questions and discussion. Oct 14 2009, Providence RI
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from mikerbaker.com
1215: MISO operator forgets to turn the STATE ESTIMATOR back on. THINKING THE SYSTEM HAS BEEN SUCCESSFULLY RESTORED, THE ANALYST WENT TO LUNCH.
1331: EASTLAKE 5 OHIO GENERATION PLANT TRIPS AND SHUTS DOWN.
1402: The STUART/ATLANTA LINE FAILS
1420: REMOTE CONSOLES BEGIN TO FAIL. IT STAFF PAGED.
1414:FIRST ENERGY'S ALARM AND LOGGING SOFTWARE FAILS.
1427: STAR/SOUTH CANTON LINE TRIPS.
1441: PRIMARY SERVER FAILS AT FIRST ENERGY. IT STAFF PAGED.
1454: BACKUP SERVER FAILS AT FIRST ENERGY. IT STAFF PAGED.
1505: THE THIRD LINE, THE HARDING/CHAMBERLAIN LINE, FAILS due to tree contact.
1532: THE HANNA/JUNIPER LINE SAGS INTO A TREE AND FAILS.
1541: THE STAR/SOUTH CANTON LINE, OWNED BY FE AND AEP, FAILS AND BLOWS A CIRCUIT BREAKER CONNECTING THE TWO GRIDS. MANY OTHER LINES FAIL.
1546: THE TIDD/CANTON CENTRAL LINE TRIPS.
1605:57: THE SAMMIS/STAR LINE FAILS.
Cleveland must be sacrificed!!!!!
Dealing with the Normal
Dealing with Complexity
Reducing Redundancy
Promoting Ownership
Modeling Success and Failure
Utilizing Spare Capacity
Making Better Use of Talent
Seeing the Whole
Dealing with the Unusual
Sensitive to Weak Signals
Accommodate Irrationality
Exercise Emergencies
Dealing with Knowledge
Reduce mental errors
Create Exponential Wisdom
Weakest Links?
There are Downsides...
New styles for managers
New types of employees
New roles and expectations
New performance metrics, system analytics
Theoretical Deficiencies
One last slide...
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