Beyond blame learning from failure and success
"IT veteran Dave Zweiback describes an incident that threatens the very existence of a large financial institution, and the counterintuitive steps its leadership took to stop the downward spiral. Their novel approach is grounded in proven concepts from complexity science, resilience engineering...
| Main Author: | |
|---|---|
| Format: | eBook |
| Language: | English |
| Published: |
Sebastopol, CA
O'Reilly Media
2015
|
| Edition: | First edition |
| Subjects: | |
| Online Access: | |
| Collection: | O'Reilly - Collection details see MPG.ReNa |
Table of Contents:
- Executive action
- Dealing with the root cause
- Operator error
- the bad apples
- Holding to account
- Why things break
- Who's to blame?
- Trade-offs
- Reliable errors (or reliably error-prone)
- The second victim
- The downside of blame
- Paradigm shift
- Executive support
- Complex, adaptive systems
- The learning review
- The timeline
- The town hall
- The learning review framework