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Massive Failure What Disasters Can Teach Us About Experience Design 7 th  Society and Information Technologies Encounter N...
 
<ul><li>Rounding error </li></ul>
<ul><li>Rounding error </li></ul><ul><li>or </li></ul><ul><li>Programmer error? </li></ul>
<ul><li>Rounding error </li></ul><ul><li>or </li></ul><ul><li>Programmer error </li></ul><ul><li>or  </li></ul><ul><li>Sys...
 
Why disasters? <ul><li>Reveal real-world complexity </li></ul><ul><li>Defy our expectations about accountability and corre...
Management 101
What is a system? <ul><li>Collection of “stuff” </li></ul><ul><li>Dynamic, complex, interdependent relationships </li></ul...
What are systems? <ul><li>Economies </li></ul><ul><li>Ecosystems </li></ul><ul><li>Organizations </li></ul><ul><li>Markets...
Do Systems Matter? <ul><li>GM closes plant in Fremont, California (1982) </li></ul><ul><ul><li>Worst quality record </li><...
Relevance to Experience Design <ul><li>Web is an ecosystem </li></ul><ul><li>Systems within the web </li></ul><ul><ul><li>...
Value-Centered Design
 
Lessons Learned <ul><li>Cascade of ordinary failures </li></ul><ul><li>Complex accountability </li></ul><ul><li>Real-world...
 
 
 
 
All Dead
 
 
 
<ul><li>“ Good-to-great transformations do not happen overnight or in one big leap. Rather, the process resembles relentle...
Lessons Learned <ul><li>Real-world tests </li></ul><ul><li>Complex accountability </li></ul><ul><li>Big problems have shar...
 
 
http://www.boeing.com/commercial/safety/pf/pf_accident_rate_history_cht.html
Eastern Flight 401
NASA Research (1979) <ul><li>Primary cause of most aviation accidents: </li></ul><ul><ul><li>Leadership </li></ul></ul><ul...
Successful Systems <ul><li>Transparency </li></ul><ul><li>Quality over authority </li></ul><ul><li>Shared ownership </li><...
Bringing Systems Thinking to Experience Design <ul><li>Context, context, context </li></ul><ul><li>Ignore boundaries </li>...
“ Screw around vigorously” - Tom Peters
 
 
 
 
Questions? Email:  [email_address] URL:  http://atomiq.org/etc/massive_failure_chile_2006.pdf
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Massive Failure: What Disasters Can Teach Us About Experience Design

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Delivered at the 7th Society and Information Technologies Encounter in Santiago, Chile.

Published in: Business, Technology
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Massive Failure: What Disasters Can Teach Us About Experience Design

  1. 1. Massive Failure What Disasters Can Teach Us About Experience Design 7 th Society and Information Technologies Encounter November 13, 2006 Santiago, Chile
  2. 3. <ul><li>Rounding error </li></ul>
  3. 4. <ul><li>Rounding error </li></ul><ul><li>or </li></ul><ul><li>Programmer error? </li></ul>
  4. 5. <ul><li>Rounding error </li></ul><ul><li>or </li></ul><ul><li>Programmer error </li></ul><ul><li>or </li></ul><ul><li>System failure? </li></ul>
  5. 7. Why disasters? <ul><li>Reveal real-world complexity </li></ul><ul><li>Defy our expectations about accountability and corrective action </li></ul><ul><li>Cascade of ordinary failures </li></ul><ul><li>Attract small-problem solutions </li></ul><ul><ul><li>Blame and shame </li></ul></ul>
  6. 8. Management 101
  7. 9. What is a system? <ul><li>Collection of “stuff” </li></ul><ul><li>Dynamic, complex, interdependent relationships </li></ul><ul><li>Can't be decomposed into linear processes </li></ul><ul><li>Can't be separated from the environment or context in which they occur </li></ul><ul><li>Small changes  big effects </li></ul>
  8. 10. What are systems? <ul><li>Economies </li></ul><ul><li>Ecosystems </li></ul><ul><li>Organizations </li></ul><ul><li>Markets </li></ul><ul><li>Projects </li></ul><ul><li>Social Networks </li></ul>
  9. 11. Do Systems Matter? <ul><li>GM closes plant in Fremont, California (1982) </li></ul><ul><ul><li>Worst quality record </li></ul></ul><ul><ul><li>Worst labour relations </li></ul></ul><ul><ul><li>Highest employee absenteeism and drug use </li></ul></ul><ul><li>Toyota opens Fremont plant in 1984 </li></ul><ul><ul><li>Hires 80% of GM’s workforce </li></ul></ul><ul><ul><li>Outstanding quality record </li></ul></ul>
  10. 12. Relevance to Experience Design <ul><li>Web is an ecosystem </li></ul><ul><li>Systems within the web </li></ul><ul><ul><li>eBay </li></ul></ul><ul><ul><li>Blogosphere </li></ul></ul><ul><ul><li>Digg, Flickr, MySpace </li></ul></ul><ul><li>Cross-channel experiences </li></ul>
  11. 13. Value-Centered Design
  12. 15. Lessons Learned <ul><li>Cascade of ordinary failures </li></ul><ul><li>Complex accountability </li></ul><ul><li>Real-world tests </li></ul>
  13. 20. All Dead
  14. 24. <ul><li>“ Good-to-great transformations do not happen overnight or in one big leap. Rather, the process resembles relentlessly pushing a giant, heavy flywheel in one direction.” </li></ul>
  15. 25. Lessons Learned <ul><li>Real-world tests </li></ul><ul><li>Complex accountability </li></ul><ul><li>Big problems have shared ownership </li></ul><ul><li>Assumed safety nets can vanish easily </li></ul><ul><li>Small changes  Big impact </li></ul><ul><ul><li>The Flywheel Effect </li></ul></ul>
  16. 28. http://www.boeing.com/commercial/safety/pf/pf_accident_rate_history_cht.html
  17. 29. Eastern Flight 401
  18. 30. NASA Research (1979) <ul><li>Primary cause of most aviation accidents: </li></ul><ul><ul><li>Leadership </li></ul></ul><ul><ul><li>Decision-making </li></ul></ul><ul><ul><li>Interpersonal communication </li></ul></ul><ul><li>Led to teamwork training for flight crews </li></ul><ul><li>Reporting of near misses </li></ul>
  19. 31. Successful Systems <ul><li>Transparency </li></ul><ul><li>Quality over authority </li></ul><ul><li>Shared ownership </li></ul><ul><li>No goats (and few heroes) </li></ul><ul><li>Team training </li></ul><ul><li>Real-world tests </li></ul>
  20. 32. Bringing Systems Thinking to Experience Design <ul><li>Context, context, context </li></ul><ul><li>Ignore boundaries </li></ul><ul><li>Create simple models of systems </li></ul><ul><ul><li>Actors, objects, policies </li></ul></ul><ul><ul><li>What influences what? </li></ul></ul><ul><ul><li>What/where are the incentives? </li></ul></ul><ul><ul><li>Are there leverage points? Feedback loops? </li></ul></ul><ul><li>Experiment, experiment, experiment </li></ul>
  21. 33. “ Screw around vigorously” - Tom Peters
  22. 38. Questions? Email: [email_address] URL: http://atomiq.org/etc/massive_failure_chile_2006.pdf

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