Dr. Richard Cook is a Principal with Adaptive Capacity Labs. He is an internationally recognized expert on complex system failures, post-accident reactions to failure, and human performance at the sharp end of these systems. He has investigated a variety of problems in such diverse areas as urban mass transportation, semiconductor manufacturing, military software, and internet-based business systems. His publications include "Above the Line, Below the Line," "How Complex Systems Fail," "Gaps in the continuity of patient care and progress in patient safety," "Operating at the Sharp End: The complexity of human error," "Adapting to New Technology in the Operating Room," "A Tale of Two Stories: Contrasting Views of Patient Safety," and "Going Solid: A Model of System Dynamics and Consequences for Patient Safety."
Richard I. Cook