67 lines
5.6 KiB
Markdown
67 lines
5.6 KiB
Markdown
# Common ground breakdown in Uvalde
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- **期号**: SRE Weekly Issue #334(2022-08-14)
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- **作者**: Lorin Hochstein
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- **链接**: https://surfingcomplexity.blog/2022/07/24/common-ground-breakdown-in-uvalde/
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## 简介
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An introduction to the concept of common ground breakdown, using the Uvalde shooting in the US as a case study.
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## 正文
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According to the [interim report](https://surfingcomplexity.blog/2022/07/23/uvalde/) on the elementary school shooting in Uvalde, there were 376(!) law enforcement officers that responded. How do we make sense of the fact it took such a long to neutralize the shooter? One way is to see the problem as what the researchers Klein, Feltovich, and Woods refer to as a [fundamental common ground breakdown](https://jeffreymbradshaw.net/publications/Common_Ground_Single.pdf).
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The term “common ground” refers to a kind of shared understanding between people who are coordinating in some way, so that the participants can predict each other’s future actions. To take a simple example, if you and I are playing a board game, “*whose turn is next*” would be part of the common ground.
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For a group of people to coordinate, they need to maintain common ground, shared understanding of the situation and what actions they expect others to take.
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Because incidents are dynamic and the respondents have access to different information, a common risk during incidents is the erosion of common ground. One particular risk is what Klein et al refer to as ***confusion over who knows what***.
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During the shooting at Uvalde, many of the officers believed that Chief Arrodondo was the incident commander:
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*The general consensus of witnesses interviewed by the Committee was that officers on the scene either **assumed that Chief Arredondo was in charge,** or that they could not tell that anybody was in charge of a scene described by several witnesses as “chaos” or a “cluster.”*
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But Arredondo saw himself in the role of a responder trying to resolve the situation directly, not as an incident commander working on coordination.
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[W]hile you’re in there, you don’t title yourself … .I know our policy states you’re the incident commander. My approach and thought was responding as a police officer. And so I didn’t title myself. But once I got in there and we took that fire, back then, I realized, we need some things. We’ve got to get in that door. We need an extraction tool. We need those keys. As far as … I’m talking about the command part … the people that went in, there was a big group of them outside that door. I have no idea who they were and how they walked in or anything. I kind of – I wasn’t given that direction.
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***
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you can always hope and pray that there’s an incident command post outside. I just didn’t have access to that. I didn’t know anything about that.
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Here’s another example of how common ground got eroded: different understandings of the situation based on whether you were inside or outside.
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Also, the misinformation reported to officers on the outside likely prevented some of them from taking a more assertive role. For example, many officers were told to stay out of the building because Chief Arredondo was inside a room with the attacker actively negotiating.
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Interim report, p63
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Another challenge that Klein et al discuss is communication problems, which we also see in Uvalde. In a [previous post](https://surfingcomplexity.blog/2022/07/23/the-fog-of-war-in-uvalde/), I wrote about how Chief Arredondo believed that the shooter was barricaded alone in the room. There was evidence to the contrary, but that information didn’t reach him during the incident.
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There was a series of phone calls with a student inside Room 112, initiated by the student calling 911 at 12:03 p.m. Radio traffic communicated to those officers who could hear it the fact that a student had called from within the classroom. Several witnesses indicated that they were aware of this, but not Chief Arredondo.
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Interim report, p62
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In particular, the police radios didn’t work properly inside of the school, a fact that is mentioned multiple times in the report (emphasis mine)
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An effective incident commander located away from the drama unfolding inside the building would have realized that **radios were mostly ineffective**, and that responders needed other lines of communication to communicate important information like the victims’ phone calls from inside the classrooms.
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Uvalde CISD police officers commonly carried two radios: one for the school district, and another “police radio” which transmitted communications from various local law enforcement agencies. While the school district radios tended to work reliably, **the police radios worked more intermittently** depending on where they were used.
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Upon entering the building, the officers tried but were **unable to communicate on their radios.**
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As mentioned in the narratives above, there were important events happening outside the north and south ends of the west building. In part due to the **difficulty of maintaining radio communications within the building**, not everybody inside the building received all of this information.
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**Radio communication was ineffective**, so something else was needed for decisionmakers to receive critical information, such as the fact that victims had called from inside the rooms with the attacker.
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Fundamental common ground breakdown is an ever-present danger whenever we coordinate, and it’s especially dangerous during incidents. The shooting in Uvalde is a painful reminder of this failure mode.
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## 2 thoughts on “Common ground breakdown in Uvalde”
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