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THE STAMP PYRAMID: Vertical Thinking for Leverage in a Horizontally Focused World April 19, 2012 STAMP/STPA Workshop William E. Young, Jr. Colonel, USAF PhD Student, Engineering Systems Division Massachusetts Institute of Technology [email protected] © Copyright William Young, 2012
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Page 1: THE STAMP PYRAMIDpsas.scripts.mit.edu/home/get_pdf.php?name=3-9-Young-The...THE STAMP PYRAMID: Vertical Thinking for Leverage in a Horizontally Focused World April 19, 2012 STAMP/STPA

THE STAMP PYRAMID: Vertical Thinking for Leverage in a Horizontally Focused World

April 19, 2012

STAMP/STPA Workshop

William E. Young, Jr.

Colonel, USAF

PhD Student, Engineering Systems Division

Massachusetts Institute of Technology

[email protected]

© Copyright William Young, 2012

Page 2: THE STAMP PYRAMIDpsas.scripts.mit.edu/home/get_pdf.php?name=3-9-Young-The...THE STAMP PYRAMID: Vertical Thinking for Leverage in a Horizontally Focused World April 19, 2012 STAMP/STPA

DISCLAIMER: The views expressed in this presentation are are those of the presenter and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the U.S. Government

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What Would You Do?

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© Copyright William Young, 2012

Need a “back of the envelope” sketch to begin discussion

You are investigating a safety incident

Initially explaining STAMP can be a barrier to implementation

A useful concept might

Convey the “big picture” of STAMP

Express its relationships with other methods

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The “STAMP Pyramid” Overview

STAMP as a pyramid of systems ideas

The top of the pyramid: event-based, horizontal thinking

Getting below the surface: vertical thinking

Scenarios as patterns of interactions and disturbances

Systemic* design, relationships, structure, and boundaries

Mental models encompassing assumptions, goals, belief & values (designers & operators)

Visually depict STAMP as a pyramid of related systems concepts

[email protected]

© Copyright William Young, 2012

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The STAMP Pyramid

Events (Accidents, Incidents)

Systemic Design (Relationships, Structures, Boundaries)

Mental Models (Assumptions, Goals, Beliefs, Values)

Scenarios (Patterns, Interactions)

Adapted from Senge, The 5th Discipline, 1990 Doubleday

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© Copyright William Young, 2012

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Event-based, Horizontal Thinking

Causality focus: What specific events happened or didn’t happen?

Most useful when cause & effect connections are clear

Close temporal, spatial relationships

Physical / material focus (not cognitive)

Technical (as opposed to social)

Fine for “tactical” thinking, but not for strategic thinking

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© Copyright William Young, 2012

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Scenarios as Patterns of Interactions & Disturbances

Migration over time into states that the system should never be in

Interactions include control and feedback signals (and their timing)

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© Copyright William Young, 2012

Thinking about avoiding drift into hazard regions, not just hazards

Time

Safe

ty M

etr

ic 1

Time

Safe

ty M

etr

ic 2

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Systemic Design of Relationships/Structures/Boundaries

Systemic in terms of relating to the whole in a conceptual sense (bigger than just physical system)

Nature of relationships determine (bound?) the interactions that are possible within the system

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© Copyright William Young, 2012

System structure gives rise to behavior

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Mental Models

System as an abstraction

Both designer and operator mental models are important

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© Copyright William Young, 2012

Mental models drive how we think about, build and operate our systems

evolution and

DESIGNER’S OPERATOR’S

MODELMODEL

originaldesignspec

operationalexperience

operationalprocedures

training

changes over timeand constructionvariances

continually test

constructed system

Designer dealswith ideals oraverages, not

Operators

their modelsagainst reality

ACTUAL

SYSTEM

manufacturing

Figure 2.9 , pg 42 Leveson, Engineering a Safer World 2011 MIT Press

John Boyd’s OODA Sketch, The Essence of Winning & Losing, Briefing Jan 1996

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Pyramid of System-Theoretic Ideas

Events (Accidents, Incidents)

System Design (Relationships, Structures, Boundaries)

Mental Models (Assumptions, Goals, Beliefs, Values)

Scenarios (Patterns, Interactions)

[email protected]

© Copyright William Young, 2012

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Pyramid of System-Theoretic Ideas

Technical

Social

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© Copyright William Young, 2012

Events (Accidents, Incidents)

Systemic Design (Relationships, Structures, Boundaries)

Mental Models (Assumptions, Goals, Beliefs, Values)

Scenarios (Patterns, Interactions)

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Pyramid of System-Theoretic Ideas

Short-term

Long-term

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© Copyright William Young, 2012

Events (Accidents, Incidents)

Systemic Design (Relationships, Structures, Boundaries)

Mental Models (Assumptions, Goals, Beliefs, Values)

Scenarios (Patterns, Interactions)

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Pyramid of System-Theoretic Ideas

Narrow focus

Broad focus

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© Copyright William Young, 2012

Events (Accidents, Incidents)

Systemic Design (Relationships, Structures, Boundaries)

Mental Models (Assumptions, Goals, Beliefs, Values)

Scenarios (Patterns, Interactions)

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Pyramid of System-Theoretic Ideas

Elements

“Wholes”

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© Copyright William Young, 2012

Events (Accidents, Incidents)

Systemic Design (Relationships, Structures, Boundaries)

Mental Models (Assumptions, Goals, Beliefs, Values)

Scenarios (Patterns, Interactions)

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© Copyright William Young, 2012

Event-based thinking

L E V E R A G E

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Summary

STAMP Pyramid captures some of the key insights and ideas behind STAMP

Can be used as a quick way to begin framing the conversation about how STAMP:

Differs from more traditional approaches

Complements and extends analysis

STAMP Pyramid can help succinctly convey the essence of STAMP

[email protected]

© Copyright William Young, 2012

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QUESTIONS/DISCUSSION

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My Contact Information

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© Copyright William Young, 2012

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THE STAMP PYRAMID: Vertical Thinking for Leverage in a Horizontally Focused World

April 19, 2012

STAMP/STPA Workshop

William E. Young, Jr.

Colonel, USAF

PhD Student, Engineering Systems Division

Massachusetts Institute of Technology

[email protected]

© Copyright William Young, 2012


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