"Frame it as "whose ass needs kicking?" and your solution will naturally be reduced exclusively to punishing, reproving, or replacing. And while these actions may seem appropriate after thoughtful analysis, to begin with them as the sole focus or dominant objective undermines the quality of the search. If fixing blame eclipses fixing problems, the former often comes at the expense of the latter."
Wednesday, July 07, 2010
We Love Pointing Fingers
"Frame it as "whose ass needs kicking?" and your solution will naturally be reduced exclusively to punishing, reproving, or replacing. And while these actions may seem appropriate after thoughtful analysis, to begin with them as the sole focus or dominant objective undermines the quality of the search. If fixing blame eclipses fixing problems, the former often comes at the expense of the latter."
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2 comments:
I agree with this point, and it reminded me of The Checklist Manifesto by Gawande, and an interview in Slate.com, with James Bagian: Risky Business: James Bagian—NASA astronaut turned patient safety expert—on Being Wrong by Kathryn Schulz.
(http://www.slate.com/blogs/blogs/thewrongstuff/archive/2010/06/28/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-on-being-wrong.aspx). Mr. Baigian makes the point that if we do not find the systemic cause of problems, then we never get them fixed.
I blogged briefly about this here: http://ffbsccn.wordpress.com/2010/07/06/what-went-wrong-a-question-worth-asking-wisdom-from-james-bagian/
Great point, Randy. I interviewed Jim Bagian for a case study I wrote about the Columbia shuttle accident. He's terrific.
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