3 ms·
Exactly which part of this is supposed to help the ship that just hit an iceberg and is in the process of sinking? If your answer is "the relevant committee wo
by jjoonathan 8y ago
Exactly which part of this is supposed to help the ship that just hit an iceberg and is in the process of sinking?
If your answer is "the relevant committee would have met before the accident" or "the committee would reduce / mitigate future accidents," you have missed GP's point.
- Moto7451 8y agoRoot Cause Analysis isn’t really meant for active emergencies like that where you can’t take time to analyze “why”. It’s a retrospective tool. If you’d like a mental model in your toolbox for an active emergency the OODA loop[0] is well tested. RCA is good for figuring out how to keep others out of the mess you’re in after the fact. [0] https://www.fs.blog/2018/01/john-boyd-ooda-loop/ https://www.fs.blog/2018/01/john-boyd-ooda-loop/
- jschwartzi 8y agoWhile the article starts to digress into a pseudoscientific mess at the end, this method of problem solving is pretty damn effective when you're under the gun. While you don't have time to deeply analyze the situation, you must make some time for information gathering and analysis, whether your deadline is in 5 minutes or 5 days. And the higher the stakes, the more important it is that you don't take shortcuts.
- jwatte 8y agoA good 5y is run after all immediate damage has been patched and triaged, and preparation for the 5y is gathering all the evidence needed for the various theories. 5y is expensive to do right. It means that organizations with lots of failure must spend time reflecting and investigating and fixing, rather than shipping new features. That is the point!