Do your investigations suck? Or looking for tweaks to drive learning and improvement? #lazyrepost
In this recording, I covered studies highlighting common traps & limitations of investigations, e.g.:
1. How worldviews and context shapes what you find and construct
2. Delusional clarity and effects of hindsight/outcome bias
3. Local rationality
4. Investigator biases and influences
5. Systems thinking
6. Stop rules
7. How language shapes blame & findings
8. Research on whether investigations improve measures of performance
9. and more.
Then, we focus on a few ways to drive marginal improvements.
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#safety #risk #investigations #accidents