Richard I. Cook -
Dr. Richard Cook was a physician, educator, scholar, and researcher. He was a brilliant thinker and writer. Richard has excelled in multiple careers, but our community recognizes him mainly for his key role in the start and expansion of the patient safety movement. Here are some resources that should serve those that want to know more about patient safety and what we can do to improve it. Brought to you by Dr. Cook.
Lectures and seminars
- It all started at TMI, 1979
- Understanding cognitive demands & goal conflicts; Dryden Air Ontario Crash, 1989
- Bootstrapping, Artifacts, and Tokaimura, 1999
- Process tracing, Texas City BP explosion, 2005
- Stark, Vincennes, RPD, and NDM
Richard's CV lists 41 peer reviewed publications, 39 conference proceedings, 6 technical reports, 30 books/book chapters that were cited about 10,000 times (as of September 2022). Here are some of his seminal work:
- Cook, R. I., & Woods, D. D. (1994). Operating at the sharp end: the complexity of human error. In Human error in medicine. CRC Press.
- Woods, D. D., Johannesen, L. J., Cook, R. I., & Sarter, N. B. (1994). Behind human error: Cognitive systems, computers and hindsight. Dayton Univ Research Inst (Urdi) OH.
- Cook, R. I., & Woods, D. D. (1996). Adapting to new technology in the operating room. Human factors, 38(4), 593-613.
- Cook, R. I. (1998). How complex systems fail. Cognitive Technologies Laboratory, University of Chicago. Chicago IL, 64-118.
- Cook, R. I., Woods, D. D., & Miller, C. (1998). A tale of two stories: contrasting views of patient safety. The Foundation.
- Cook, R. I., Render, M., & Woods, D. D. (2000). Gaps in the continuity of care and progress on patient safety. Bmj, 320(7237), 791-794.
- Woods, D. D., & Cook, R. I. (2002). Nine steps to move forward from error. Cognition, Technology & Work, 4(2), 137-144.
- Perry, S. J., Wears, R. L., & Cook, R. I. (2005). The role of automation in complex system failures. Journal of Patient Safety, 56-61.
- Cook, R., & Rasmussen, J. (2005). “Going solid”: a model of system dynamics and consequences for patient safety. BMJ Quality & Safety, 14(2), 130-134.
- Cook, R. I. (2006). Being Bumpable. DD Woods & E. Hollnagel, Joint cognitive systems: Patterns in cognitive systems engineering. Boca Raton, FL: CRC Press, Francis & Taylor.
- Dekker, S., Hollnagel, E., Woods, D., & Cook, R. (2008). Resilience Engineering: New directions for measuring and maintaining safety in complex systems. Lund University School of Aviation, 1, 1-6.
- Cook, R. I., & Nemeth, C. P. (2010). “Those found responsible have been sacked”: some observations on the usefulness of error. Cognition, Technology & Work, 12(2), 87-93.
- Nemeth, C., Wears, R., Woods, D., Hollnagel, E., & Cook, R. (2011). Minding the gaps: creating resilience in health care.
- Cook, R. I. (2020). Above the line, below the line. Communications of the ACM, 63(3), 43-46.
- Richard Cook - Obit, Michael O’Connor
- The Career, Accomplishments, and Impact of Richard I. Cook: A Life in Many Acts, David Woods, John Allspaw, Michael O’Connor
- “Above all else…” Reflecting on the gifts of Richard I. Cook, Steven Shorrock