Stephen Lansing paper Balinese water temples: https://anthrosource.onlinelibrary.wiley.com/doi/abs/10.1525/aa.1987.89.2.02a00030
Elinor Ostrom(?) paper mentioned, not sure which one it is Stuck at 27:13
Stephens, Patterson & Woods paper: people getting stuck in the ER: https://www.researchgate.net/publication/312624891_Patient_boarding_in_the_emergency_department_as_a_symptom_of_complexity-induced_risks
- If requset resources when need is definitive, it is alraedy too late
- Regulate additional adaptive capacity (tactical reserves)
- maintain capacity for maneuver (ability to handle next surprise)
- "avoid all hands situation" (incident command)
- Bumpy transfers of control
- Actions of one group increase threats to other groups (opposing fire hoses; rendering escape routes or protected areas unaccessible)
- Failure to resynchronize
- Goal priorities/conflicts in response to distressed firefighter
- Tradeoff between information sharing versus data bottlenecks
- Failures to modify plans in progress as situation and kinds of threats change
From The theory of graceful extensibility: basic rules that govern adaptive systems
- Boundaries are universal
- Surprise occurs, continuously
- Risk of saturation is monitored and regulated
- Synchronization across multiple units of adaptive behavior in a network is necessary
- Risk of saturation can be shared
- Pressure changes what is sacrificed when
- Pressure for optimality undermines graceful extensibility
- All adaptive units are local
- Perspective contrast overcomes bounds
- Reflective systems continually risk mis-calibration