2000s

Copyright © Erik Hollnagel 2020

All Rights Reserved.


The chief motive of all human actions is the desire to avoid anxiety.

Ibn Hazm (994-1064)

2000 - 2009

Journal papers 

Cacciabue, P. C., Fujita, Y., Furuta, K. & Hollnagel, E. (2000). The rational choice of 'error'. Cognition, Technology & Work, 2(4), 179-181.

Hollnagel, E. (2000). When all things fail. Cognition, Technology & Work, 2(4), 211-223.

Hollnagel, E. & Bye, A. (2000). Principles for modelling function allocation. International Journal of Human-Computer Studies, 52(2), 253-266.

Niwa, Y. & Hollnagel, E. (2000). The design of advanced generation of event-based emergency operating procedure. Journal of the Institute of Nuclear Safety System, 7, 271-283.

Hollnagel, E. (2000). Looking for errors of omission and commission or the hunting of the Snark revisited. Reliability Engineering and System Safety, 68(2), 135-145.

Gauthereau, V., Hollnagel, E. & Bergman, B. (2001). Managing variability - a strategy for creating safety in organisations? Arbete Människa Miljö & Nordisk Ergonomi, 1, 25-40.

Hollnagel, E. (2001). Extended cognition and the future of ergonomics. Theoretical issues in Ergonomics Science, 2(3), 309-315.

Hollnagel, E. (2001). Guest editorial: The future of ergonomics. Theoretical issues in Ergonomics Science, 2(3), 219-222.

Niwa, Y. & Hollnagel, E. (2001). Enhancing operator control by adaptive alarm presentation. International Journal of Cognitive Ergonomics, 5(3), 367-384.

Hollnagel, E. (2002). Time and time again. Theoretical issues in Ergonomics Science, 3(2), 143-158.

Niwa, Y. & Hollnagel, E. (2002). Integrated computerisation of operating procedures. Nuclear Engineering and Design, 213, 289-301.

Hollnagel, E. (2003). Att förstå olyckor. Nucleus, 1, 12-17.

Hollnagel, E. (2003). Is affective computing an oxymoron? International Journal of Human-Computer Studies, 59, 65-70.

Klein, G., Ross, K. G., Moon, B. M., Klein, D. E., Hoffman, R. R. & Hollnagel, E. (2003). Macrocognition. IEEE Intelligent Systems, (May-June), 81-85.

Dekker, S. W. A. & Hollnagel, E. (2004). Human factors and folk models. Cognition, Technology & Work, 6(2), 79-86.

Fujita, Y. & Hollnagel, E. (2004). Failures without errors: Quantification of context in HRA. Reliability Engineering and System Safety, 83(2), 145-151.

Hollnagel, E. (2004). Time to think and time to do? I can fail and so can you!. Human Factors and Aerospace Safety, 4(3), 169-180.

Gauthereau, V. & Hollnagel, E. (2005). Planning, control, and adaptation: A case study. European Management Journal, 23(1), 118-131.

Hollnagel, E. (2005). Human reliability assessment in context. Nuclear Engineering and Technology, 37(2), 159-166.

Hollnagel, E. (2006). A function-centred approach to joint driver-vehicle system design. Cognition, Technology & Work, 8(3), 169-173.

Hollnagel, E. (2006). The putative uniqueness of human-computer interaction. American Journal of Psychology, (Summer), 334-338.

Kim, M. C., Seong, P. H. & Hollnagel, E. (2006). A probabilistic approach for determining the control mode in CREAM. Reliability Engineering and System Safety, 91(2), 191-199.

Hollnagel, E. (2007). Flight decks and free flight: Where are the boundaries? Applied Ergonomics, 38, 409-416.

Benn, J., Healey, A. N. & Hollnagel, E. (2008). Improving performance reliability in surgical systems. Cognition, Technology & Work, 10(4), 323-333.

Hollnagel, E. (2008). Risk + barriers = safety? Safety Science, 46(2), 221-229.

Hollnagel, E. (2008). The changing nature of risk. Ergonomics Australia, 22(1-2), 33-46.

Hollnagel, E. (2008). The reality of risk. Safety Systems - The Safety-Critical Systems Club Newsletter, 17(2), 20-22.

Lundberg, J., Rollenhagen, C. & Hollnagel, E. (2009). What-You-Look-For-Is-What-You-Find - The consequences of underlying accident models in eight accident investigation manuals. Safety Science, 47(6), 1297-1311.

Books and book chapters

Hollnagel, E. (2000). Analysis and prediction of failures in complex systems: Models and methods. In: Elzer, P. (Ed.) Lecture notes in control and information sciences (p. 39-41). Berlin: Germany: Springer.

Hollnagel, E. (2000). Modelling the orderliness of human action. In: Sarter, N. B. & Amalberti, R. (Eds.) Cognitive engineering in the aviation domain (p. 65-98). Hillsdale, NJ: Lawrence Erlbaum Associates.

Hollnagel, E. (2001). Preface. From HMS to HCI - and back again. In: Noyes, J., Bransby, M (Eds.), People in control: Human factors in control room design (p. xvii-xx). London, UK: The Institution of Electrical Engineers.

Dekker, S. W. A., Ohlsson, K., Hollnagel, E. & Alm, H. (Eds.) (2003). Humans in a complex environment: Automation, IT and operator work. Linköping: Sweden. Linköpings Universitet.

Hollnagel, E. (2003). Applying AI to models in cognitive ergonomics. In: Itoh, K. (Eds.,) Handbook of Human Factors & Ergonomics (p. 256-271). Tokyo, Japan: Asakura Publishing Company, Ltd. (In Japanese.)

Hollnagel, E. (2003). From human factors to cognitive systems engineering: Human-machine interaction in the 21st Century. In: Kitamura, M. & Kimura, I. (Eds.), Toward Higher Safety (Anzen-no-Tankyuu). In Japanese (p. 12-38). Tokyo, Japan: ERC Pub. (In Japanese.)

Hollnagel, E. (2003). How to assess the risk of human eroneous actions. In: Eklund, J. & Ekros, J.-P. (Eds.), Safety and reliability (p. 23-36). Linköping, Sweden: Linköpings Universitet.

Hollnagel, E. (2003). Modelos de acidentes e analises de acidentes. In: Caminhos de Analise de Acidentes do Trabalho (p. 99-105). Brasilia, Brazil: Ministerio do Trabalho e Emprego.

Hollnagel, E. (2003). Prolegomenon to cognitive task design. In: Hollnagel, E. (Ed.), Handbook of cognitive task design (p. 3-16). Mahwah, NJ, USA: Lawrence Erlbaum Associates

Hollnagel, E. (Ed.) (2003). Handbook of cognitive task design. Mahwah, NJ, USA: Lawrence Erlbaum Associates.

Hollnagel, E. (2003). Decisions about ‘what,’ and decisions about ‘how.’ In Cook, M. J. (Ed.), Human Factors of Decision Making in Complex Systems, (p. 8-10). University of Abertay, Dunblane, September 8-11, Scotland.

Hollnagel, E. (2004). Automation and human work. In: Sandom, C. & Harvey. R. S. (Eds.), Human factors for engineers (p. 113-150). London, UK: The Institution of Electrical Engineers.

Hollnagel, E. (2004). Barriers and accident prevention. Aldershot, UK: Ashgate Publishing Limited.

Hollnagel, E. (2004). Task analysis. In: Bainbridge, W. S. (Eds.), Berkshire Encyclopedia of human-computer interaction (p. 707-711). Great Barrington, MA, USA: Berkshire Publishing Group.

Hollnagel, E. (2005). Learning from failures. In Wilson, J. (Ed.), Evaluation of human work. Boca Raton, FL: Taylor & Francis.

Hollnagel, E. & Woods, D. D. (2005). Joint cognitive systems: Foundations of cognitive systems engineering. Boca Raton, FL, USA: Taylor & Francis Books, Inc.

Hollnagel, E. (2006). Human error: Trick or treat? In: Durso, F. T. (Ed.), Handbook of applied cognition. New York: Wiley.

Hollnagel, E. (2006). Resilience: The challenge of the unstable. In: Hollnagel, E., Woods, D. D. & Leveson, N. C. (Eds.), Resilience engineering: Concepts and precepts (p. 9-18). Aldershot, UK: Ashgate.

Hollnagel, E. (2006). Task analysis: Why, what, and how. In G. Salvendy (Ed.), Handbook of Human Factors and Ergonomics (3rd Edition) (p. 373-383). New York: Wiley.

Hollnagel, E. & Woods, D. D. (2006). Epilogue: Resilience engineering precepts. In: Hollnagel, E., Woods, D. D. & Leveson, N. C. (Eds.), Resilience engineering: Concepts and precepts (p. 347-358). Aldershot, UK: Ashgate.

Hollnagel, E., Woods, D. D. & Leveson, N. C. (2006). Resilience engineering: Concepts and precepts. Aldershot, UK: Ashgate.

Hollnagel, E.& Sundström, G. A. (2006). States of resilience. In: Hollnagel, E., Woods, D. D. & Leveson, N. C. (Eds.), Resilience engineering: Concepts and precepts (p. 339-346). Aldershot, UK: Ashgate.

Woods, D. D. & Hollnagel, E. (2006). Joint cognitive systems: Patterns in cognitive systems engineering. Boca Raton, FL: CRC Press.

Sundström, G. A. & Hollnagel, E. (2006). Learning how to create resilience in business systems. In: Hollnagel, E., Woods, D. D. & Leveson, N. C. (Eds.), Resilience engineering: Concepts and precepts (p. 235-252). Aldershot, UK: Ashgate.

Woods, D. D. & Hollnagel, E. (2006). Prologue: Resilience engineering concepts. In: Hollnagel, E., Woods, D. D. & Leveson, N. (Eds.), Resilience engineering: Concepts and precepts (p. 1-8). Aldershot, UK: Ashgate.

Hollnagel, E. (2006). ヒューマンファクターと事故防止 (Japanese translation of ‘Barriers and accident prevention.’) Tokyo, Japan: Kaibundo Publishing Company.

Engström, J. & Hollnagel, E. (2007). A general conceptual framework for modelling behavioural effects of driver support functions. In: Cacciabue, P. C. (Ed.), Modelling driver behaviour in automotive environments: Critical issues in driver interactions with intelligent transport systems (p. 61-84). London: Springer.

Hollnagel, E. (2007). Att känna sig säker eller vara säker - olycksanalysens dilemma. In: Ödegård, S. (Ed.), I rättvisans namn: Ansvar, skuld och säkerhet i vården (p. 161-172). Stockholm, Sweden: Liber.

Hollnagel, E. (2007). The elusiveness of cognition. In: Wallace, B., Ross, A., Davies, J. & Anderson, T. (Eds.), The mind, the body and the world: Psychology after cognitivism? (p. 346-355). Exeter, UK: Imprint Academic.

Hollnagel, E. (2008). Investigation as an impediment to learning. In: Hollnagel, E., Nemeth, C. P. & Dekker, S. (Eds.), Remaining sensitive to the possibility of failure (p. 259-268). Aldershot, UK: Ashgate.

Hollnagel, E. (2008). Resilience engineering in a nutshell. In: Hollnagel, E., Nemeth, C. P. & Dekker, S. (Eds.), Remaining sensitive to the possibility of failure (p. ix-xii). Aldershot, UK: Ashgate.

Hollnagel, E. (2008). Safety management - looking back or looking forward. In: Hollnagel, E., Nemeth, C. P. & Dekker, S. (Eds.), Remaining sensitive to the possibility of failure (p. 63-77). Aldershot, UK: Ashgate.

Hollnagel, E., Nemeth, C. P. & Dekker, S. (Eds.) (2008). Remaining sensitive to the possibility of failure. Resilience Engineering Perspectives, vol. 1. Aldershot, UK: Ashgate.

Sekine, K., Hollnagel, E., Niwa, Y., Takahi, K. & Kitamura, M. (2008). Practical risk management for engineers. Tokyo, Japan: Corona Publishing Co., Ltd.

Woltjer, R., Smith, K. & Hollnagel, E. (2008). Representation of spatio-temporal resource constraints in network-based command and control. In: Schraagen, J. M. C., Militello, L., Ormerod, T. & Lipshitz, R. (Eds.), Naturalistic decision making and macrocognition (p. 351-371). Aldershot, UK: Ashgate.

Nemeth, C. P., Wears, R. L., Woods, D. D., Hollnagel, E. & Cook, R. I. (2008). Minding the gaps: Creating resilience in healthcare. In: Henriksen, K., Battles, J. B., Keyes, M. A. & Grady, M. L. (Eds). Advances in patient safety: New directions and alternative approaches (Vol. 3), Performance and Tools. Rockville, MD: AHRQ.

Hollnagel, E. (2009). Extending the scope of the human factor. In E. Hollnagel (Ed.), Safer complex industrial environments (p. 37-59). Boca Raton, FL: CRC Press.

Hollnagel, E. (2009). Safer complex industrial environments: A human factors approach. Boca Raton, FL: CRC Press.

Hollnagel, E. (2009). The ETTO Principle: Efficiency-Thoroughness Trade-Off: Why things that go right sometimes go wrong. Aldershot UK: Ashgate.

Hollnagel, E. (2009). The four cornerstones of resilience engineering. In: Nemeth, C. P., Hollnagel, E. & Dekker, S. (Eds.), Preparation and restoration (p. 117-134). Aldershot, UK: Ashgate.

Hollnagel, E. & Sakuda, H. (2009). Hindsight and foresight. In E. Hollnagel (Ed.), Safer complex industrial environments (p. 237-243). Boca Raton, FL: CRC Press.

Nemeth, C. P., Hollnagel, E. & Dekker, S. (2009). Preparation and restoration. Resilience Engineering Perspectives. Aldershot, UK: Ashgate.

Hollnagel, E. (2009). Barreras y prevención de accidentes. (Spanish translation of ‘Barriers and accident prevention.’) Madrid: Colección Riesgos Humanos.

Conference presentations 

Alty, J. L. & Hollnagel, E. (2000). Adapting the Operators Needs to Abnormal Situations. European Annual Conference on Human Decision Making and Manual Control (p. 145-155). (Edited by Alty, J. L. Loughborough, UK: Group D Publications.)

Edland, A., Svenson, O. & Hollnagel, E. (2000). Difficulty and safety during the management of a severe incident management sequence. In: Wright, P., Dekker, S. & Hollnagel, E. (Eds.), Confronting reality - 10th European Conference on Cognitive Ergonomics (p. 68-76), August 21-32, Linköping, Sweden.

Hoffmann, M., Bye, A. & Hollnagel, E. (2000). Responding to input information overload in process control. 2nd Conference on Cognitive Systems Engineering in Process Control (CSEPC 2000), November 22-24, Taejon, South Korea.

Hollnagel, E. (2000). Barrier analysis and accident prevention. Fifth Australian Aviation Psychology Conference, Sydney, November 20-24, Australia. (Invited keynote.)

Hollnagel, E. (2000). Cognitive ergonomics: lessons from the past - the direction of the future. XIVth Triennial Congress of the International Ergonomics Association and the 44th Annual Meeting of the Human Factors and Ergonomics Society, HFES, San Diego, CA, Jul 29 - Aug 04, USA.

Hollnagel, E. (2000). Cognitive systems engineering: The past and the future. 2nd Conference on Cognitive Systems Engineering in Process Control (CSEPC 2000), November 22-24, Taejon, South Korea. Invited keynote presentation.

Hollnagel, E. (2000). Models of cognition and the power to predict. XIVth Triennial Congress of the International Ergonomics Association and the 44th Annual Meeting of the Human Factors and Ergonomics Society (p. 1-589, 1-591), San Diego, CA.

Hollnagel, E. (2000). On understanding risks: Is human reliability a red herring? 18th ESReDA Seminar: Risk management and human reliability in social context, June 15-16, Karlstad, Sweden.

Hollnagel, E. (2000). Performance deviation and the HEP. Fifth International Conference on Probabilistic Safety Assessment and Management (PSAM), Nov 27 - Dec 01, Osaka, Japan.

Hollnagel, E. (2000). Performance variability management. Symposia at Shrivenham: People in digitized command and control, 12-14 December, Shrivenham, UK.

Hollnagel, E. (2000). The Implausibility of the HEP. Fifth International Conference on Probabilistic Safety Assessment and Management (PSAM), Nov 27 - Dec 01, Osaka, Japan.

Hollnagel, E. (2000). The user in control: from HMI to JCS. Third International Conference on Engineering Psychology and Cognitive Ergonomics, October 25-27, Edinburgh, Scotland. Invited keynote.

Hollnagel, E., Bye, A. & Hoffmann, M. (2000). Coping with complexity: Strategies for information input overload. 2nd Conference on Cognitive Systems Engineering in Process Control (CSEPC 2000), November 22-24, Taejon, South Korea.

Niwa, Y. & Hollnagel, E. (2000). Function allocation philosophies and the PSA event tree. Fifth International Conference on Probabilistic Safety Assessment and Management (PSAM), Nov 27 - Dec 01, Osaka, Japan.

Ozawa, T., Aotake, Y., Shimoda, H., Yoshikawa, H. & Hollnagel, E. (2000). Design and development of adaptive CAI system for training of diagnosing in nuclear power plant anomaly. 2nd Conference on Cognitive Systems Engineering in Process Control (CSEPC 2000), November 22-24, Taejon, South Korea.

Wright, P. & Dekker, S. & Hollnagel, E. (Eds.) (2000). Confronting reality. Proceedings of the 10th European Conference on Cognitive Ergonomics (ECCE-10). Linköping, Sweden: University of Linköping.

Gauthereau, V. & Hollnagel, E. (2001). Operational readiness verification (ORV): A study of safety during outage and restart of nuclear power plants. 8th Conference on Cognitive Science Approaches to Process Control, September 24-26, Munich, Germany.

Hollnagel, E. (2001). Automation from a joint systems perspective. International Seminar on Human-centred Automation and Software Reliability of Man-machine Systems from a Cognitive Engineering Aspect, July 12-13, Kyoto, Japan.

Hollnagel, E. (2001). Axiomatic and pragmatic approaches to modelling of cognition. 9th International Conference on Human-Computer Interaction, August 5-10, New Orleans, USA.

Hollnagel, E. (2001). Extended cognition: a new challenge for ergonomics? Annual Meeting Of The Italian Ergonomics Society: 'Ergonomics In The Information/Knowledge Society', September 26-28, Firenze, Italy.

Hollnagel, E. (2001). Failures in hospitals - human error or complex systems? Evento Stryker, Istanbul, April 24-26, Turkey.

Hollnagel, E. (2001). Human factors of the decision making process. EUROCOURSE, 2001: Probabilistic safety assessment and risk-informed decision making, Garching, Germany.

Hollnagel, E. (2001). Human-oriented automation strategies. World Congress on Safety of Modern Technical Systems, Kongresshalle, September 12-14, Saarbrücken, Germany.

Hollnagel, E. (2001). On the nature of risk and accidents. OECD/NEA/CSNI International Workshop on ‘Building the new HRA: Errors of Commission - from research to application.’ Washington, DC, May 7-9, USA.

Hollnagel, E. (2001). Performance variability management. 4th Multidisciplinary Seminar on ‘Risk, errors and accidents, and their control,’ Gif-sur-Yvette, May 14-15, France.

Hollnagel, E. (2001). Time and control in joint human-machine systems. Human Interfaces in Control Rooms, Cockpits and Command Centres, 2001, The Second International Conference on ‘People in Control,’ (p. 246-253). June 18-21, Manchester, UK. (IEE Conf. Publ. No. 481.)

Hollnagel, E. & Amalberti, R. (2001). The Emperor's New Clothes, or whatever happened to 'human error'? 4th International Workshop on Human Error, Safety and System Development, June 11-12, Linköping, Sweden. Invited keynote.

Hollnagel, E. & Niwa, Y. (2001). Principles of performance monitoring in coupled human-machine systems. 8th IFAC/IFIP/IFORS/IEA Symposium on Analysis, Design, and Evaluation of Human-Machine Systems, September 18-20, Kassel, Germany.

Hollnagel, E., Karlsson, J., Magnusson, T. & Taube, U. (2001). They drive at night - can visual enhancement systems keep the driver in control? Driving Assessment 2001, August 14-17, Snowmass, CO, USA.

Niwa, Y. & Hollnagel, E. (2001). Performance monitoring as a way to increase reliability of performance. 9th International Conference on Human-Computer Interaction, August 5-10, New Orleans, USA.

Ozawa, T., Shimoda, H., Yoshikawa, H., Niwa, Y. & Hollnagel, E. (2001). An experimental study on an adaptive CAI system for training of diagnosing nuclear power plant anomalies. 8th Conference on Cognitive Science Approaches to Process Control, September 24-26, Munich, Germany.

Bologna, S. & Hollnagel, E. (2002). Human-computer system dependability. SAFECOMP 2002, September 10-13, Catania, Sicily, Italy.

Fujita, Y. & Hollnagel, E. (2002). From error probabilities to control modes: Quantification of context effects on performance. OECD/NEA/CSNI International Workshop on 'Building the new HRA: Strengthening the links between experience and HRA', January 28-30, Garching, Germany.

Gauthereau, V. & Hollnagel, E. (2002). Organisational Improvisation: A Field Study At a Swedish NPP during a Productive-Outage. 21st European Annual Conference on Human Decision Making and Control, June 15-16, Glasgow, UK.

Hollnagel, E. (2002). Control room design from a cognitive systems engineering perspective. Nordiska Ergonomisällskapets 34:e årliga konferens: Människan i komplexa miljöer, Norrköping, October 1-3, Sweden.

Hollnagel, E. (2002). Dependability of joint human-computer systems. SAFECOMP 2002, September 10-13, Catania, Sicily, Italy.

Hollnagel, E. (2002). Driving in darkness. Nordiska Ergonomisällskapets 34:e årliga konferens: Människan i komplexa miljöer, Norrköping, October 1-3, Sweden.

Hollnagel, E. (2002). From human-centred to function-centred design. International Conference on The Sciences of Design: The Scientific Challenge for the 21st Century, INSA-Lyon, March 15-16, Lyon, France.

Hollnagel, E. (2002). Here’s looking at you, kid - ruminations on the description of human performance, (2002 International Conference on Human-Computer Interaction in Aeronautics (HCI-Aero 2002). Cambridge, MA, October 23-25, USA.

Hollnagel, E. (2002). How to quantification effects of context on performance. Workshop meeting on ‘Review of Methods and R&D Needs to Address Issues Related to Human Reliability Assessment,’ Halden, November 5-6, Norway.

Hollnagel, E. (2002). Joint human-computer system dependability. 11th European Conference on Cognitive Ergonomics - Safecomp 2002, September 8-12, Catania, Italy. Invited keynote.

Hollnagel, E. (2002). Understanding accidents - from root causes to performance variability. The 2002 IEEE 7th Conference on Human Factors and Power Plants: New Century, New Trends, (p. 1-6), September 15-19, Scottsdale, AZ, USA. (Persensky, J. J., Hallbert, B. & Blackman, H. (Eds.) IEEE.)

Hollnagel, E. (2002). Understanding performance deviations. International Symposium on Artificial Intelligence, Robotics and Human Centered Technology for Nuclear Applications (AIR '02), January 16-18, Tsukuba, Japan. Invited keynote presentation.

Johansson, B., Hollnagel, E. & Granlund, Å. (2002). The control of unpredictable systems. 21st European Annual Conference on Human Decision Making and Control, June 15-16, Glasgow, UK.

Gauthereau, V. & Hollnagel, E. (2003). Building expectations and the management of surprises: Studies of safety-train outages at a Swedish nuclear power plant. 9th on Cognitive Science Approaches to Process Control: Cognition and collaboration - distributed cognition in complex processes. September 16-19, Amsterdam, The Netherlands.

Hollnagel, E. (2003). A cognitive systems engineering perspective on automation. 8th International Conference on Human Aspects of Advanced Manufacturing: Agility & Hybrid Automation (HAAMAHA), 26-30 May, Rome, Italy. Invited keynote.

Hollnagel, E. (2003). Developing measurements of driving performance for the effects of active safety systems. XV Triennial Conference International Ergonomics Association, August 24-29, Seoul, South Korea.

Hollnagel, E. (2003). From cognitive task analysis to cognitive task design. XV Triennial Conference International Ergonomics Association. August 24-29, Seoul, South Korea.

Hollnagel, E. (2003). From levels of automation to layers of control. NATO RTO Human Factors and Medical Panel Workshop: Uninhabited Military Vehicles - Human Factors Of Augmenting The Force, TKN1-1, TKN1-8, NATO RTO Human Factors and Medical Panel, June 10-13, Leiden, The Netherlands.

Hollnagel, E. (2003). The role of automation in joint cognitive systems. 8th IFAC Symposium on Automated Systems Based on Human Skill and Knowledge. Gothenburg, Sweden, September 22-24. Invited keynote.

Hollnagel, E. (2003). Thinking about artefacts and work: An introduction to cognitive task design. XV Triennial Conference International Ergonomics Association, August 24-29, Seoul, South Korea. Invited keynote.

Hollnagel, E. & Kälhammer, J.-E. (2003). Effects of a night vision enhancement system (NVES) on driving: Results from a simulator study. 2nd International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design. July 21-24, Public Policy Center, University of Iowa, Park City, UT, USA.

Hollnagel, E. & Niwa, Y. (2003). Input requirements to a performance monitoring system. 10th International Conference on Human-Computer Interaction. June 22-27, Crete, Greece.

Hollnagel, E., Nåbo, A. & Lau, I. (2003). A systemic model for Driver-in-Control. 2nd International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design. July 21-24, Public Policy Center, University of Iowa, Park City, UT, USA.

Hollnagel, E. (2004). A function-centred approach to joint driver-vehicle system design. 2004 IEEE International Conference on Systems, Man and Cybernetics (p. 2/548-2/551), October 10-13, The Hague, The Netherlands.

Hollnagel, E. (2004). Computers and covert automation: A cognitive systems engineering view. 7th International Conference on Work With Computing Systems (p. 15-18). June 29 - July 2, Kuala Lumpur, Malaysia.

Hollnagel, E. & Goteman, Ö. (2004). The functional resonance accident model. Cognitive Systems Engineering in Process Control, November 4-5, Sendai, Japan.

Huang, Y-H., Ljung, M., Sandin, J. & Hollnagel, E. (2004). Accident models for modern road traffic: changing times creates new demands. 2004 IEEE International Conference on Systems, Man and Cybernetics (p. 276-281), October 10-13, The Hague, The Netherlands.

Sundström, G. A. & Hollnagel, E. (2004). Operational risk management in financial services: A complex systems perspective. Analysis, design, and evaluation of human-machine systems, International Federation of Automatic Control, September 7-9, Atlanta, GA, USA.

Hollnagel, E. (2005). Barreras e prevencao de acidentes. I curso internacional de confiabilidade humana, 6-8, December, Rio de Janeiro, Brasil. (Invited keynote presentation.)

Hollnagel, E. (2005). Designing for joint cognitive systems. The IEE and MOD HFI DTC Symposium on People and systems - Who are we designing for (p. 47-51), 16-17 November 2005, London, UK.

Hollnagel, E. (2005). Engineering Resilience: How the way you think about accidents determine how you respond to them. International Seminar on Resilience Engineering, 12-13 December, Rio de Janeiro, Brasil. (Invited keynote presentation.)

Hollnagel, E. (2005). Flight decks and free flight: Where are the system boundaries? The Flightdeck of the Future:Human Factors in Datalink and Freeflight, 6. October, Nottingham, UK. (Invited keynote presentation.)

Hollnagel, E. (2005). Layers of control and NPP operation. ISOFIC 2005 International Symposium On the Future I&C for NPPs, 30 October – 4 November, Gyeongnam, South Korea. (Invited keynote presentation.)

Hollnagel, E. (2005). Mental models of drivers: A review of criteria, variables and parameters. Modelling Driver Behaviour in Automotive Environments, 25-27 May, Ispra, Italy. (Invited keynote presentation.)

Hollnagel, E. (2005). Practical Applications of Cognitive Systems Engineering (CSE). IEE People & Systems Symposium, 16-17 November. Manchester, UK. (Invited keynote presentation.)

Hollnagel, E. (2005). The elusiveness of cognition. International Conference on Postcognitivist Psychology, 4-6 July, Glasgow, Scotland. (Invited keynote presentation.)

Hollnagel, E. (2005). The natural unnaturalness of rationality. 7th International Conference on Naturalistic Decision Making, 15–17 June, Amsterdam, The Netherlands. (Invited keynote presentation.)

Hollnagel, E. (2006). Achieving System Safety through Resilience Engineering. The Institution of Engineering and Technology 1st International Conference on System Safety Engineering, 6 - 8 June, London, UK. (Invited keynote presentation.)

Hollnagel, E. (2006). Risk + Barriers = Safety? 3rd International Conference: Working on Safety, International Network on the Prevention of Accidents & Trauma at Work, 12-15 September, The Eemhof, The Netherlands. (Invited keynote presentation.)

Hollnagel, E. (2006). Capturing an Uncertain Future: The Functional Resonance Accident Model. Eurocontrol Safety R&D Seminar, 25-27 October, Barcelona, Spain. (Invited keynote presentation.)

Hollnagel, E. (2006). Coping with complexity — too much information and too little time. The Future of Intelligence Analysis – Challenges & Opportunities, Analysis Section of The Swedish National Criminal Intelligence Service, 13-14 February, Stockholm, Sverige. (Invited keynote presentation.)

Hollnagel, E. (2006). Myten om den menneskelige feil og dens konsekvenser for risiko og sikkerhetsarbeid. Risk and Safety in Transport (RISIT) programseminar, 27–29 September, Lillehammer, Norge. (Invited keynote presentation.)

Hollnagel, E. (2006). Resilience Engineering and Proactive Safety. International Workshop on Advanced Integrated Control Structure for Safety and Functional Maintenance in Disaster-Stricken Industrial Complex, 25 January, Okayama, Japan. (Invited keynote presentation.)

Hollnagel, E. (2006). Resilience of integrated operations. HMS og IKT-sikkerhet i integrerte operasjoner, 29 November, Trondheim, Norge. (Invited keynote presentation.)

Hollnagel, E. (2006). Risk assessment for non-linear systems. International Workshop on Safety and Maintenance of Engineering Systems, Japan Transport Association, January 31 Tokyo, Japan.

Hollnagel, E. (2006). Safety Management: From protection to resilience. Union International de Chemin de Fer Safety Platform, 1st Plenary Meeting, 20-21 September, Paris, France. (Invited keynote presentation.)

Hollnagel, E. (2006). The myth of human error in risk analysis and safety management. International Congress “Transport Safety 2006”, 15-16 March, Fulda, Germany. (Invited keynote presentation.)

Hollnagel, E. (2006). Thinking Big when Thinking Small: Coping with the Complexity of Interaction Design. 7th Asia-Pacific Computer Human Interaction Conference (APCHI 2006), October 11-14, Taipei, Taiwan. (Invited keynote presentation.)

Woltjer, R., Smith, C. S. & Hollnagel, E. (2006). Constraint recognition, modeling, and visualization in network-based command and control. International Command and Control Research and Technology Symposium ICCRTS, Cambridge, UK.

Hollnagel, E. (2007). Achieving system safety – from root causes to resilience. Institute of Nuclear Safety System, 15th Anniversary Commemoration, The International Symposium on Human Factors, 22-23 November, Mihama, Japan. (Invited keynote presentation.)

Hollnagel, E. (2007). Changing views on the human contribution to safety: From unreliable component to resilient resource. Seminario Gestione e Sicurezza delle organizzazioni complesse, 15-16 October, Forli, Italy. (Invited keynote presentation.)

Hollnagel, E. (2007). Coping with complexity: Then and now. Annual Conference of the European Conference on Cognitive Ergonomics, 28-31 August, Covent Garden, London. (Invited keynote presentation.)

Hollnagel, E. (2007). Coping with complexity: Why smart people sometimes do dumb things. Ergonomics Society Annual Conference, 17-18 April, Nottingham UK. (Invited keynote presentation.)

Hollnagel, E. (2007). From Overcoming Limitations to Securing Safety: Defining the New Mission of Human-Machine Systems. The 10th IFAC/IFIP/IFORS/IEA Symposium on Analysis, Design, and Evaluation of Human-Machine Systems, 4-6 September, Seoul, South Korea. (Invited keynote presentation.)

Hollnagel, E. (2007). Functional Resonance Accident Model (FRAM). Petroleumstilsynet - "Generell risikostyring og MTO utfordringer ved Integrerte Operasjoner", 18-19 September, Stavanger, Norge. (Invited keynote presentation.)

Hollnagel, E. (2007). How to deal with risks, organisational and human failings. 2ème Séminaire international Sécurité et Sûreté de l’exploitation ferroviaire---Facteurs organisationnels et humains dans le management de la sécurité, 18-20 April, Rabat, Maroc. (Invited keynote presentation.)

Hollnagel, E. (2007). How to identify causes and explain adverse events in health care – and elsewhere. Research for making Nordic health care safer, Nordic Patient Safety Research Network Meeting, 30. November, Stockholm, Sweden. (Invited keynote presentation.)

Hollnagel, E. (2007). Human Factors: From ‘fallible machine’ to ‘coping with complexity. International Rail Accident Investigation Conference, 28 February – 1 March, London, UK. (Invited keynote presentation.)

Hollnagel, E. (2007). Human Factors in Aviation: From Liability to Asset. 2007 International Symposium on Aviation Psychology, April 23-26, Dayton, Ohio, USA. (Invited keynote presentation.)

Hollnagel, E. (2007). Human Factors: From Liability to Asset. Human Factors & Safety II, 12-13 April, VTT, Helsinki, Finland. (Invited keynote presentation.)

Hollnagel, E. (2007). Human Reliability Assessment in the context of Resilience Engineering. EUROCONTROL Annual Safety R&D Seminar, 24 – 26 October, Roma, Italy. (Invited keynote presentation.)

Hollnagel, E. (2007). The Münsterberg Vorlesung: Modelling human-system interaction: From input-output to coping with complexity. 7. Berliner Werkstatt Mensch-Maschine-Systeme (p. 297-306), 10-12 October, Berlin, Germany. (Edited Rötting, M., Wozny, G., Klostermann, A. & Huss, J., Berichte aus dem Zentrum Mensch-Machine-Systeme der Technischen Universität Berlin, ZMMS Spektrum Band 21, VDI Verlag.) (Invited keynote presentation.)

Hollnagel, E. (2007). Research Needs from a Joint Systems perspective - or How To Cope with the Complexity of an Intractable Environment. Future Research in Information and Communication Technology (ICT) for Crisis Management, 5–6 November, Delft, The Netherlands. (Invited keynote presentation.)

Hollnagel, E. (2007). Resilience Engineering - Fra idé til realitet. Hva kan en organisasjon gjøre for å forbedre feiltoleranse og fleksibilitet, og hvordan vil dette påvirke det daglige arbeid? Sikkerhetsdagene 2007, 30-31 Oktober, Trondheim, Norge. (Invited keynote presentation.)

Hollnagel, E. (2007). Resilience Engineering and Proactive Safety Management. 3rd International Conference on Integrated Operations in the Petroleum Industry, 2-3 October, Trondheim, Norge. (Invited keynote presentation.)

Hollnagel, E. (2007). Resilience Engineering: Why, What, and How. The 17th Nordic Research Conference on Safety, 13-15 June, Tampere, Finland. (Invited keynote presentation.)

Hollnagel, E. (2007). Safety as an emergent quality: A Resilience Engineering Perspective. OHF/HRO 2007, Congrès International sur les Organisations à Haute Fiabilité: pratique et théorie, fertilisations croisées, 29-31 May, Deauville, France. (Invited keynote presentation.)

Hollnagel, E. (2007). Safety culture and safety management. Swiss Aviation Safety Conference, SASCON '07, 18. October, Olten, Switzerland. (Invited keynote presentation.)

Hollnagel, E. (2007). Theory W and Theory Z: Contrasting Views on Safety. Haute Authorite de Sante Expert Seminar: “Medical Autonomy Vs Prescriptive strategies”, 22-23 October, Paris, France. (Invited keynote presentation.)

Hollnagel, E. (2007). When time is short, and odds are long! 4th International Conference Intelligent Human-Computer Systems for Crisis Response and Management, May 13-16, Delft, The Netherlands. (Invited keynote presentation.)

Källhammer, J.-E., Smith, K., Karlsson, J. & Hollnagel, E. (2007). Shouldn’t the car react as the driver expects? 4th International Driving Symposium on Human Factors in Driver Assessment, Training, and Vehicle Design (p. 1001-1005), University of Iowa, Stevenson, WA.

Nouvel, D., Travadel, S. & Hollnagel, E. (2007). Introduction of the concept of functional resonance in the analysis of a near-accident in aviation. 33rd ESReDA Seminar: Future challenges of accident investigation, November 13-14, Ispra, Italy.

Woltjer, R. & Hollnagel, E. (2007). The Alaska Airlines Flight 261 accident: A systemic analysis of functional resonance. International Symposium on Aviation Psychology ISAP, April 2007, Dayton, OH.

Woltjer, R., Smith, K. & Hollnagel, E. (2007). Functional modeling and constraint management in command and control: Two microworld studies. IFAC/IFIP/IFORS/IEA Symposium on Analysis, Design, and Evaluation of Human-Machine Systems IFAC-HMS, September 2007, Seoul, Korea.

Hollnagel, E. (2008). A resilience engineering view of safety critical organisations. NEA Workshop, Justifying the suitability of nuclear licensee organisational structure, resources and competencies - Methods, approaches & good practices (p. 94-100), Nuclear Energy Agency, September 8-10, Uppsala, Sweden, (Nuclear Safety, NEA/CSNI/R(2009)11). (Invited keynote presentation.)

Hollnagel, E. (2008). Critical information infrastructures: Should models represent structures or functions? In: Computer safety, reliability, and security (p. 1-4). Berlin / Heidelberg: Springer. (The 27th International Conference on Computer Safety, Reliability and Security, 22-25 September, Newcastle upon Tyne, UK.) (Invited keynote presentation.)

Hollnagel, E. (2008). From Protection to Resilience: Changing Views on how to Achieve Safety. 8th International Aviation Psychology Symposium, 8–11 April, Sydney, Australia. (Invited keynote presentation.)

Hollnagel, E. (2008). From regular threats to unexampled events: Risk, vulnerability, and complex systems. Sårbarhet og avhengigheter i kritisk infrastruktur, 12. juni, Seminar i regi av DECRIS-prosjektet og Oslo kommune, Oslo, Norge. (Invited keynote presentation.)

Hollnagel, E. (2008). How to be safe by fostering successes rather than reducing failures. 26th International System Safety Society Conference, August 23-31, Vancouver, Canada. (Invited keynote presentation.)

Hollnagel, E. (2008). How to make your business safer by understanding how things go right, rather how they go wrong. TopTech seminar - Network on safety excellence: resilient risk management, 18. September, Delft University, Netherlands. (Invited keynote presentation.)

Hollnagel, E. (2008). Human factors – promoting and sharing good practice. Railway Safety Conference 2008, 18. November, Lille, France. (Invited keynote presentation.)

Hollnagel, E. (2008). Investigation as an impediment to learning. Executive Workshop On Patient Safety, June 1-3, Winnipeg, Canada. (Invited keynote presentation.)

Hollnagel, E. (2008). Resilience Engineering and Safety Assessment. Eurocontrol, Annual Safety R&D Seminar, 22 – 24 October, Southampton, UK. (Invited keynote presentation.)

Hollnagel, E. (2008). Safety, Failures, Resilience, and Successes: Accentuate the Positive. Healthcare systems Ergonomics and Patient Safety (HEPS), 25-28 June, Strasbourg, France. (Invited keynote presentation.)

Hollnagel, E. (2008). The cost of safety: From ALARP to AHARP. VI Congreso Internacional de Prevención de Riesgos Laborales (Occupational Risk Prevention), 14-16 May, A Coruña, Spain. (Invited keynote presentation.)

Hollnagel, E. (2008). The human factor – a complicated simplification? Den mänskliga faktorn? Ett initiativseminarium om samspelet mellan människa och teknik, Chalmers, 7 Oktober, Gothenburg, Sweden. (Invited keynote presentation.)

Hollnagel, E. (2008). The Human Factors Dimension: A Dilemma for Accident Investigation. Journée d'étude de l'association suisse de droit aérien et spatial, Potentiel de conflits entre Droit Aérien et Droit Pénal, 21 Novembre, Basel, Suisse. (Invited keynote presentation.)

Hollnagel, E., Pruchnicki, S., Woltjer, R. & Etcher, S. (2008). Analysis of Comair flight 5191 with the functional resonance accident model. 8th International Symposium of the Australian Aviation Psychology Association, April 8-11, Sydney, Australia.

Hollnagel, E., Rigaud, E. & Pieri, F. (Eds.) (2008). Proceedings of the third resilience engineering symposium. Paris, France: Collection Sciences Economiques, MINES ParisTech.

Macchi, L., Hollnagel, E. & Leonhardt, J. (2008). A systemic approach to HRA: A FRAM modelling of Control Overflight activity. 4th Eurocontrol Annual Safety R&D Seminar, 22-24 October 2008, Southampton, UK.

Woltjer, R. & Hollnagel, E. (2008). Functional modeling for risk assessment of automation in a changing air traffic management environment. 4th International Conference on Working on Safety, October 2008, Crete, Greece.

Woltjer, R. & Hollnagel, E. (2008). Modeling and evaluation of air traffic management automation using the functional resonance accident model (FRAM). 8th International Symposium of the Australian Aviation Psychology Association, April 8-11, Sydney, Australia.

Hollnagel, E. (2009). Coping with Tightly Coupled Systems. 8th Innovative Research Workshop & Exhibition (INO), 1-3 December, Bretigny, France. (Invited keynote presentation.)

Hollnagel, E. (2009). How Accident Investigations Contribute To Learning: What You Look For Is What You Find. 36th ESReDA Seminar on Lessons learned from accident investigations, June 2-3, Coimbra, Portugal. (Invited keynote presentation.)

Hollnagel, E. (2009). How close are we to managing resilience? EUROCONTROL Safety R&D Seminar, 21-22 October, München, Germany. (Invited keynote presentation.)

Hollnagel, E. (2009). Human factors – understanding why normal actions sometimes fail. 1 April, Banverket säkerhetskonferens, Örebro, Sverige. (Invited keynote presentation.)

Hollnagel, E. (2009). Hvorfor går det somme tider galt, når det skulle have gået godt? Sikkerthetsdagene 2009, 4-5 November, Trondheim, Norge. (Invited keynote presentation.)

Hollnagel, E. (2009). L’apport de la résilience à la maîtrise des risques: comment la construire, la développer, la maintenir? Journée IMDR-SELF, La résilience, une réponse face à l’imprévu et à la variabilité des systèmes, des organisations et des hommes? 12 mars, Paris, France. (Invited keynote presentation.)

Hollnagel, E. (2009). Resilience Engineering: Why, What, and How. NII / Industry Human & Organisational Factors Practitioner’s Meeting, 21. May, Wigan Lancashire, UK. (Invited keynote presentation.)

Hollnagel, E. (2009). Resilience of socio-technical systems. Socio-Technical Systems Engineering Conference (STSE 2009), 16-17 September, St. Andrews, Scotland. (Invited keynote presentation.)

Hollnagel, E. (2009). Safety Culture, Safety Management, and Resilience Engineering. Association of Air Transport Engineering and Research (ATEC) Safety Forum, 10 November, Tokyo, Japan. (Invited keynote presentation.)

Hollnagel, E. (2009). Safety indicators - an industry perspective. HAS workshop - Measuring and using Patient Safety information - 2009 Expert seminar, 17-19 December, Paris, Frankrig. (Invited keynote presentation.)

Hollnagel, E. (2009). The Changing Nature of Risk. International Synergi Network Meeting, 27-28 May, Amsterdam, Holland. (Invited keynote presentation.)

Hollnagel, E. (2009). The ETTO Principle - Efficiency-Thoroughness Trade-Off. Why Things That Go Right, Sometimes Go Wrong. Sjøsikkerhetskonferansen 2009, 23-24 September, Haugesund, Norway. (Invited keynote presentation.)

Hollnagel, E. (2009). The Resilient Organisation. Colloque international: Travail, Identités, Métier: Quelles métamorphoses? 23-25 Juin, Collège de France;Paris, Frankrig. (Invited keynote presentation.)

Hollnagel, E. (2009). Understanding Accidents, or How to Learn from the Past. Statens Havarikommission for Trafiksikkerhet seminar. 24–26 februar, Lillehammer, Norge. (Invited keynote presentation.)

Miscellanea (Reports, etc.) 

Hollnagel, E. (2002). A contextual approach to risk and safety. Japan-Halden MMS workshop, Kyoto, March 4-5, Japan.

Hollnagel, E. (2002). A room with a view. Key Centre’s Winter School on Control Room Design, University of Queensland, Brisbane, July 23-25.

Hollnagel, E., Gauthereau, V. & Persson, B. (2004). Operational readiness verification, Phase 3: A Field Study at a Swedish NPP during a Productive Outage (Safety-train Outage). Swedish Nuclear Inspectorate, Stockholm, Sweden.

Hollnagel, E. & Nygren, M. (2005). Framtagning av bedömningsfaktorer/modell för utvärdering av driftklarhetsverifiering (DKV) inför uppstart efter revisionsavställning. SKI, Sweden.

Reason, J. T., Hollnagel, E., Paries, J. & Drougul, F. (2006). Revisiting the ‘Swiss Cheese’ model of accidents. Eurocontol Experimental Centre, Paris, France. (EUROCONTROL EEC Note No. 13/06 Project Safebuild)

Hollnagel, E. (2007). Risk control through resilience design. Conception des systémes de travail et Maîtrise des risques (p. 117-119), Institut pour la Maîtrise des Risques, January 30, Paris, France.

Hollnagel, E. (2008). The ETTO Principle - Efficiency-Thoroughness Trade-Off or The Reason Why Things That Go Right, Sometimes Go Wrong. The Namahn Lecture 2008, 17. December, Namahn, Bruxelles, Belgium. (Invited keynote presentation.)

Hollnagel, E. & Speziali, J. (2008). En studie av olycksutredningsmetoders utveckling: En sammanställning över ‘State-of-the-art.’ SKI.

Hollnagel, E. & Speziali, J. (2008). Study on developments in accident investigation methods: A survey of the ‘state-of-the-art.’ SKI

Dekker, S. A., Hollnagel, E., Woods, D. D. & Cook, R. (2008). Resilience Engineering: New directions for measuring and maintaining safety in complex systems (Final Report, November 2008). Lund, Sweden: Lund University, School of Aviation.

Hollnagel, E. (2009). An application of the Functional Resonance Analysis Method (FRAM) to risk assessment of organisational change. Stockholm, Sweden: Swedish Nuclear Inspectorate.