Re:I don't want the details
by wolfy1993 on Wednesday September 23, 2026 @10:04AM
(#49816366)
This is similar to the approach in healthcare, at least my experience in pharmacy.
When an error occurs we find the root cause but in 99% of cases a change to the environment/process is required to avoid it in the future.
Humans are all imperfect, their competence will change hour to hour let alone day to day. But you can control a system and put checks in place (admittedly a human can still do the process wrong, but then you need to think how the process can be clearer).
No-blame culture is very effective at providing an open environment to share mistakes, learn, but most importantly avoid reoccurance.
When an error occurs we find the root cause but in 99% of cases a change to the environment/process is required to avoid it in the future.
Humans are all imperfect, their competence will change hour to hour let alone day to day. But you can control a system and put checks in place (admittedly a human can still do the process wrong, but then you need to think how the process can be clearer).
No-blame culture is very effective at providing an open environment to share mistakes, learn, but most importantly avoid reoccurance.