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    <journal-meta>
      <journal-title-group>
        <journal-title>ORCID:</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <title-group>
        <article-title>Digital systems in High-Reliability Organizations: balancing mindfulness and mindlessness</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Paolo Spagnoletti</string-name>
          <email>pspagnoletti@luiss.it</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Andrea Salvi</string-name>
          <email>asalvi@luiss.it</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Business and Management, Luiss University</institution>
          ,
          <addr-line>Rome</addr-line>
          ,
          <country country="IT">Italy</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Department of Information Systems, University of Adger</institution>
          ,
          <country country="NO">Norway</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>1950</year>
      </pub-date>
      <volume>000</volume>
      <fpage>0</fpage>
      <lpage>0003</lpage>
      <abstract>
        <p>High-Reliability Organizations (HRO) operate in a nearly error-free manner in an uncertain environment characterized by high risks and equally high stakes. Collective mindfulness is a key capability of HRO. The literature has successfully identified both individual and organizational processes to achieve collective investigate the role of digital systems in HRO. We compare the operative functions of organizations in conjunction with digital technologies to lay the foundations for an empirical analysis on the structural determinants of “mindfulness in action”. We identify alternative scenarios of mindfulness and mindlessness as a first step towards the development of a contingency model for digital enabled collective mindfulness. Specifically, we provide preliminary insights from the discussion of two cases: a military command and control system, and an inter-organizational platform for fraud-detection. We contribute to the sociotechnical literature by discussing the properties of collective mindfulness in layered settings of human operations and digital operations.</p>
      </abstract>
      <kwd-group>
        <kwd>HRO</kwd>
        <kwd>resilience</kwd>
        <kwd>mindfulness</kwd>
        <kwd>digital systems</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>1. Introduction</p>
      <p>High-Reliability Organizations (HRO) operate in a nearly error-free manner in an uncertain
environment characterized by high risks and equally high stakes [1]. Collective mindfulness is a key
capability of HRO. The literature has successfully identified both individual and organizational
processes to achieve collective mindfulness. In this position paper we investigate the role of digital
systems in HRO. In particular, we compare the operative functions of organizations in conjunction with
digital technologies in order to lay the foundations for an empirical analysis on the structural
determinants of “mindfulness in action” [2]. We identify alternative scenarios of mindfulness and
mindlessness as a first step towards the development of a contingency model for digital enabled
collective mindfulness.</p>
      <p>HROs, in fact, are not routine-based entities. Their peculiar features stem from an efficient capacity
of detecting and correcting errors originated from uncertainty [1] often referred to as “organizational
mindfulness processes” [3], [4]. A plethora of qualitative studies have looked at near-error-free
organizing in critical scenarios (e.g. first responders [5]) and delineated the differences between HROs
and traditional organizations as represented by a stark inclination towards reliability and resilience
rather than focusing on pure efficiency [6], [7]. This cognitive mindset is the by-product of five
systematic characteristics: chronic preoccupation with failure, reluctance to simplify, sensitivity to
operations, commitment to resilience and</p>
      <p>deference to expertise [8]. Furthermore, frontline
organisations exhibit a sixth trait identified as “comfort with uncertainty and chaos” [2]. The interplay
between these characteristics creates the foundations of mindfulness equipping HROs with rich
awareness of discriminatory detail and capacity for action [2], [8].</p>
      <p>2020 Copyright for this paper by its authors.</p>
      <p>
        In this contribution, by looking at this framework, we observe how two operative functions of
organizations have been able to harness systems making use of their affordances as enablers of
collective mindfulness. We define the latter as a state whereby high reliability organizing are enabled
in the form of rich awareness of discriminatory detail, heedful interrelations and capacity for action
        <xref ref-type="bibr" rid="ref8">(Fraher et al., 2017; Weick &amp; Sutcliffe, 2006)</xref>
        . It is constituted by processes of “sensemaking”
        <xref ref-type="bibr" rid="ref1">(Weick
&amp; Roberts, 1993)</xref>
        that enable actions dynamic, uncertain and extreme environments (Christianson &amp;
Barton, 2020). There is a vast literature that acknowledges the role of information systems in emergency
response and extreme-contexts preparedness [9]–[11]. Yet, less attention has been given to the
interactions of “mindless” digital systems with the “human” organizational structures of HROs [4].
Here we argue that when opportunely devised and integrated in the respective sociotechnical system of
organizations, they are powerful mediums of coordination and can help achieve a state of “mindfulness
in action”. The implementation of Blue Force Tracking 2 (BFT) by the US military provides a prime
example of our thesis (Section 2). Furthermore, we present the inter-organizational case of
EUOF2CEN (European Union Online Fraud Cyber -Center Expert Network)(Section 4). Finally, we will
discuss their features using the framework provided S
        <xref ref-type="bibr" rid="ref4">alovaara et al (2019</xref>
        ) and use their case of a
malware-protection company as a baseline for a purely digital HRO. We claim that the increased
awareness resulting from a “human-serving” or “human-driven” design and implementation of digital
systems allows for a more efficient “switching” between structure and flexibilities depending on the
challenges that actors face during their operations.
      </p>
      <p>We contribute to the sociotechnical literature by discussing the properties of collective mindfulness
in layered settings of human operations and digital operations. Contemporaneously it sets the
foundations for a future design theory work that aim to contribute to the literature on HRO by
investigating the interplay of mindfulness and mindlessness in a broader sample of organizations.
2. Digital enabled command and control systems: military organizations
and tracking technologies.</p>
      <p>Operative military organizations are prime examples of HROs as they need to operate amid the “fog
of war”. They operate under special conditions characterized by extreme events with high potential
magnitude of consequences for both organizational members and other actors. Furthermore, they
engage with extreme events less frequently as compared to other HRO and for longer timespans. These
factors require adopting an approach that consider crisis as a process rather than as a single event [12].
That is, frontline military personnel engage with crisis scenario, they need to embrace an augmented
High Reliability mindset. In fact, military organization operate under austere conditions or time
constraints that do not allow personnel replacements: team members must be ready to step up and take
the role of other team members or assume formal leadership positions if leaders are lost. This posits
the need for preventive measures to increase the High Reliability mindset including redundancies in
training and cross-functional training.</p>
      <p>Therefore, we observe a constant balancing between structure and flexibility [13] as required by the
contingencies of the battlefield. This balancing is achieved by the adoption of the so-called doctrine of
Mission Command. The latter solves the “entrenchment problem” of over-reliance on Standard
Operating Procedures (SOPs) [4]. It also embraces the six hallmarks of HROs ultimately leading to
tactical awareness apt to striving for graceful coping with surprises and learning from mistakes [4].</p>
      <p>Military operations – even more so in the frontline – are mainly human-centric. Decisions need to
be taken at different levels to build a strategic and tactical address vis-à-vis the challenges presented by
the battlefield. While, as discussed above, the entrenchment problem is solved by mission-oriented
organizing, the emergence and implementation of advanced digital systems in military organization
may severely hamper the tactical dimension of these organizations. A purely vertical digitalized
command and control structure may in fact favour “mindlessness” over “mindfulness” due to
overreliance on “mindless” systems. Yet, as empirical evidence suggests, military organizations have been
able to layer digital and human operations to be integrated. In this way, personnel – while still retaining
his primacy – can make use of such technologies to enhance their operative awareness and – in turn –
perfect the digital systems through human inputs. In this short paper, we will discuss the case of the
Blue Force Tracker 2, which has seen a widespread adoption in many military organizations.</p>
      <p>The BFT is a Command and Control system: its main functions is that of providing the command
centre with the GPS coordinates and real-time tracking of troops’ movements. Furthermore, each
deployed operator can input custom entries (e.g. enemy units, obstacles) and visualize the presence of
other units. The first terminals were fitted to transport vehicles allowing for a more agile coordination
of dispersed units [14]. The affordance belying this system is that of allowing for a more agile
manoeuvring at the tactical level vis-à-vis the fine-grained disaggregated data in harmony with the
doctrine of Mission Command. This is achieved through the union of situational awareness and
command and control information [14] The estimated marginal effect of its adoption resulted in a
reduction of Blue-on-Blue events between 24% and 12% in the Gulf War, increasing situational
awareness of commanders not only towards enemy forces, but even more so towards movement of
allied ones [15]. Through this system, platoon-commanders on the battlefield and leaders in the
Tactical Operation Centres can act concurrently towards a unified goal. There is a vast scholarly work
on decision-making that framed its core capability as “combat identification” (CID) [16]. The latter is
composed by processes that ameliorate the management of available resources, maximize the utility
of specific actions through more agile operations and ultimately fosters awareness by signaling the
position of allied forces and foes to minimize the occurrence of blue-on-blue events1 [17].</p>
      <p>
        The integration between the digital component and the human one is made possible by the
sociotechnical setting and the command model. In detail, the mission-oriented approach, and the diluted
model of leadership of operations, allow for a widespread “responsibilization” of operators. Digital
Systems are used to increase and augment the awareness of those on the battlefield instead of replacing
their decision-making. In fact, excessive reliance on digital systems may be highly problematic in
operative functions of military organizations. As a notable example: accounts from real campaign
describe as General Fran
        <xref ref-type="bibr" rid="ref6">ks of CENTCOM in 2003</xref>
        used the BFT to “punish” idled units [18].
Furthermore, evidence drawn from surveys recount episodes whereby the BFT was used to issue direct
orders. Specifically, with a clear picture of the situation on the battlefields, HQs were often able to
tactically maneuver Marine platoons [19] de-facto centralizing the leadership of operations. Even more
importantly, these systems are profoundly reliant on data. Simulations studies on BFT have shown how
a “timely and flawless transmission” of data is key to warrant a positive effect on maneuvering and
awareness [16]. These works therefore propose that over-reliance on digital systems may severely
undermine correct combat identification judgments.
      </p>
      <p>What we claim is thus that the implementation of digital systems does not imply a purely mindless
structure. Quite the opposite, if properly integrated in the sociotechnical fabric of an organization, they
can be valuable driver of mindfulness.
3. EU-OF2CEN: an inter-organization anti-fraud system.</p>
      <p>The banking and financial sectors have seen increasing levels of cyber-dependency due to the
digitalintensive nature of their products. This dependency, have shaped new horizons of risks stemming from
the potential material and societal damage [20]. Deceptions and frauds are particularly common in these
sectors and malicious actors have found a variety of opportunities stemming from the open-ended nature
of digital infrastructures [21]. This posits the need for inter-organization efforts towards collaborative
monitoring systems [22] able to contrast threats and foster information sharing between actors sharing
the same risks and similar stakes.
1 Friendly fire events in NATO nomenclature.</p>
      <p>In this case, we focus on the EU-OF2CEN (European Union Online Fraud Cyber -Center Expert
Network). It is a project started by the Italian Police and financed by the European Union, aimed at
contrasting financial cybercrime. It takes the form of a platform able to collect real time data through
secure communication channels. Specifically, banks and police authorities report suspicious
transactions taking place on the Internet. The platform allows to process these data, analyze them and
share the results with the partners. The EU-OF2CEN de-facto constitutes a collaborative monitoring
system striving for reliable early warnings of possible criminal activities.</p>
      <p>Such ensemble of tools provides an inter-organization High Reliability platform that brings several
benefits to the partners. It enhances financial institutions’ ability to assess the nature of bank movements
for the subsequent implementation of effective actions to prevent or contain fraud or money laundering.
Similarly, Law Enforcement Agencies (LEAs) can make use of the data and of the aggregated data for
investigations. Therefore, LEAs can make use of the output of the “mindless platform” to facilitate the
identification of the responsible and to investigate the nature of the crime. Overall, the peculiar Public
Private Partnership (PPP) between Europol, LEAs and banks, strives to the creation of a common
mindfulness towards the criminal trends in the financial and cyber domain through the insights of a
mindless data-driven system. We can therefore witness an increase common awareness which in turn
fosters cooperation towards concrete and timely actions in the operative domain.</p>
      <p>In sum, with EU-OF2CEN we observe how a mindless digital platform – constrained by the frame
problem – can augment the reliability and the information-sharing in a set of organizations. Thus, the
platform works on running the main operations in turn increasing the awareness of the human actors
and in enabling a powerful mean of communication between them. Human control in this context can
help the digital tool to overcome its framing limit. Again, we observe how the layering of human driven
and digital driven operations can overcome the main pitfalls of the two approaches.
4. Comparison and Discussion</p>
      <p>In this brief paper we have presented a preliminary framework for analyzing the effect of digital
systems in HRO. As shown in Table 1, there are three dimensions for analyzing operations in this
context. The nature of the operation as discussed, can be either human-based or digital while the nature
of the cognition can be Mindful or Mindless. Finally, the purpose can be purely epistemic or pragmatic.
analysing
information</p>
      <p>The examples provided suggest that – among other factors - what drives an HRO towards the
maximization of reliability is the layering and the interactions between the human and the digital. We
claim, as a preliminary step towards a broader analysis, that the ordering of the layering matters in
shaping the processes that lead to a status of reliability through mindfulness.</p>
      <p>
        In Table 2 we report our examples of BFT and EU-OF2CEN using the case of F-Secure – a
malwareprotection digital company – as baseline. The case of F-Secure has been thoroughly
        <xref ref-type="bibr" rid="ref4">analyzed by
Salovaara et al (2019</xref>
        ) with a particular attention to the layering of mindful and mindless operations.
Furthermore, the latter is a fully digital organizations: it is expected to face more constraints vis-à-vis
the framing company as compared to hybrid operations from our cases. Specifically, we classified the
three digital systems based on the nature of operations, nature of the cognition and digital features
proposed by Grover (2020). The latter are:
• Embeddedness: integration of the physical and the digital to create expansion for the
affordances.
• Decoupling: no – or shallow - linkage between the digital content and the container.
• Representation: connections and operations can be represented in digital form [23].
      </p>
      <p>As for the nature of operation, we departed from the classification proposed in Table 1 to portray
the interactions and the layered nature of the human/digital relation. The same applies to the nature of
the cognition whereby we want to highlight how a mindless platform can surpass the framing problem
throughout human induced mindfulness.</p>
      <p>In the case of the military organizations, digital control systems enhance mindfulness of human
operators, which retain the pre-eminence in terms of actorness and can benefit from the augmented
awareness given by these tools. We suspect that this equilibrium strongly associated with the
embeddedness of monitoring systems – such as the BFT – in the physical world. As for the case of
EUOF2CEN, we observe the opposite layering: a purely digital “mindless” platform run the core operations
which are then validated and scrutinized by human-driven functions. This pattern is fairly similar to the
F-Secure case. Even though operations start and are mainly ran by a digital platform, collective
mindfulness within the respective organization is induced by the human “sitting in the back-seat” [4].
All in all, we claim that the increased awareness resulting from a “human-serving” and “human-driven”
designs and implementations of digital systems allows for a more efficient “switching” between
structure and flexibility.</p>
      <p>
        This analysis, albeit purely positional, aim to highlight the emergent issue of the interactions
between mindfulness and mindlessness in HRO vis-à-vis their digital systems. We contribute to the
sociotechnical literature by discussing some of the basic properties of collective mindfulness in
layered settings of human operations and digital operations. Further work will carry on the analysis of
the interactions between different operative functions, systematizing the basic comparisons proposed
in this first contribution. Furthermore, we aim to study in more detail the association between digital
features and the nature of operation and cognition. All in all, the increased empirical understanding
together with the link between digital features and nature of HRO operations should lay the
foundations for the development of a contingency model for digital enabled collective mindfulness.
5. Limitations and Assumptions
This paper constitutes a further step towards the analysis of mindful and mindless systems in HRO. We
acknowledge the presence of several limitations, partly due to the positional nature of the integration.
In first place, in this context we assume that digital operations suffer from the so-called frame problem
        <xref ref-type="bibr" rid="ref4">as discussed by Salovaara (2019</xref>
        ). That is, algorithms that animate these systems cannot really adapt to
events or environments that are not pre-identified by their creators “cognitive frames”. This is key to
understand the need for balance between mindfulness and mindlessness. Digital systems may perhaps
achieve higher levels of reliability, but such a performance is heavily dependent upon its’ original
framing.
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