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The operative problem is that usually the primary output of an investigation is blame, and the primary method of improvement is punishing the people who are to
by banannaise 6y ago
The operative problem is that usually the primary output of an investigation is blame, and the primary method of improvement is punishing the people who are to blame. It's retributive justice as process improvement, and that's directly at odds with proper root cause analysis and process improvement.
- lifeisstillgood 6y agoWhich is why air crash investigations are a good model - they don't often blame the pilots (solely) and have the force to implement fixes (mostly because federal agencies have sway over Boeing and the large US market). But it has worked well for a very long time even if 737-Max suggests it's weakening.