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They have discovered that human factors in failure are not just a matter of individuals making slips, lapses, or mistakes, but are also the result of organizational and cultural situations which are not easy to identify in advance or at the time. Indeed, they may only become apparent in hindsight.
David Blockley • Engineering: A Very Short Introduction (Very Short Introductions)
Sense-making has been explained as (Ancona, 2012)) (i) the process of “structuring the unknown” (Waterman, 1990), p. 41) by “placing stimuli into some kind of frame-work” that enables us “to comprehend, understand, ex-plain, attribute, extrapolate, and predict” (Starbuck & Milliken, 1988) p. 51