My last “Thought Spark” was published before the dreadful implosion of the Titan submersible. Then, I was talking about intelligent failures. This time around, let’s focus on what my colleague Amy Edmondson would call a preventable complex failure.
A great piece. I’d like to get rid of the word ‘accident’ in describing an event: there are very few true accidents - something that could not have been reasonably anticipated - most are a breakdown in a system and/or human judgement. Accident implies no one was to blame and lessens the incentive to look for root causes and corrective actions.
Everyone should read Perrow's magnificent book. It is also evidence that sociologists (like Marx) can have important things to say. I think that Bruce Kogut's work is another example.
A great piece. I’d like to get rid of the word ‘accident’ in describing an event: there are very few true accidents - something that could not have been reasonably anticipated - most are a breakdown in a system and/or human judgement. Accident implies no one was to blame and lessens the incentive to look for root causes and corrective actions.
Everyone should read Perrow's magnificent book. It is also evidence that sociologists (like Marx) can have important things to say. I think that Bruce Kogut's work is another example.