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1 NPO/NGO Chandler,

2 (Barnard, 1938) Simon (1996) NASA NASA Rogers CAIB NASA

3 Rogers (1986) CAIB (Columbia Accident Investigation Board) (2003) (2004) STS 51 L TV TV O O O O (Morton Thiokol) O

4 NASA NASA NASA

5 NASA (1985) Report of the Presidential Commission on the Space Shuttle Challenger Accident, February 3, 1986, table-of-contents.html

6 NASA O NASA NASA NASA NASA NASA (we can do) NASA NASA NASA

7 O J NASA 2004 NASA

8 NASA Robert Rand NASA NASA Janis (Aronson, 1992)

9 NASA

10 NASA NASA NASA (Feynman,

11 CAIB Report, p. 127

12 1986) (Simon, 1996) (all at once) (Feynman, 1986) NASA (CAIB Report, 2003)

13 2004 NASA cm cm m NASA

14 (MMT) MMT (CAIB) Node 2 Node 2 STS 107

15 NASA NASA NASA L. (Linda Ham) CAIB

16 Node 2 NASA CAIB NASA WE CAN DO (Schein, 1985) NASA WE CAN DO

17 CAIB NASA CAIB (selective perseption) (Deaborn and Simon, 1958) Daft (administrative core) (technical core) (dual core) R. P (Feynman, 1986)

18 NASA NASA

19 NASA J. Reason (1997) J.

20 (March and Simon, 1958) A F B B C F

21 (lower order learning) (higher order learning) Argyris and Schone NASA 2004 NASA NASA NASA

22 NASA NASA 2004 NASA WE CAN DO NASA NASA

23 NASA (Dearborn and Simon, 1958) (Barnard, 1938)

24 (Donaldson and Lorsch, 1983) Barnard (1938) (sense of the whole) Simon (1996) (Comprehensibility) (1979) Simon (1947) Barnard (1938)

25 CAIB (Columbia Accident Investigation Board) Final Report, 2003, Feynman, R. P., Personal Observations on the Reliability of the Shuttle, Feynman s Appendix to the Rogers Commission Report on the Space Shuttle Challenger Accident, Appendix F.txt Report of the Presidential Commission on the Space Shuttle Challenger Accident, February3, 1986, table-of-contents.html 2004 Argyris, C., (2004), Reasons and Rationalizations: The Limits to Organizational Knowledge, Oxford University Press. Argyris, C. and Donald Schone, (1978), Organizational Learning: A Theory of Action Perspective, Addison-Wesley Series on Organization Development. Aronson, Eliott, (1992), The Social Animal, sixth ed., Freeman Barnard, C. I. (1938), The Functions of the Executives, Harvard University Press Chandler, A. D. (1977), The Visible Hand: The Managerial Revolution in American Business, Belknap Press of Harvard University Press.

26 Deaborn, D. C. and H. A. Simon, (1958), Selective Perception: A Note on the Department Identification of Executive, Sociometry, 21, pp Donaldson, Gordon and Jay W. Lorsch (1983), Decision Making at the Top: The Shaping of Strategic Direction, New York: Basic Books. Hedberg, B. (1981), How Organizations Learn and Unlearn, W. Starback ed. Handbook of Organization Design, Vol. 1, Oxford University Press. (1979) (2000) Kuwada, Kotaro (1998) Strategic Learning: The Continuous Side of Discontinuous Strategic Change, Organization Science, Vol. 9, No. 6. (1998) March, J. G. and J. P. Olsen (1976), Ambiguity and Choice in Organization, Bergen, Norway: Universitesforlaget. March, J. G. and H. A. Simon (1958), Organizations, New York: John-Willey (2003) Reason, J. (1997) Schein, E (1992), Organizational Culture and Leadership, 2nd ed., San Francisco: Jossey-Bass. Simon, H. A., (1955), A Behavioral Model of Rational Choice, Quarterly Journal of Economics, 69, pp Simon, H. A., (1996), The Science of the Artificial, 3rd. ed., the MIT Press

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