The big idea
🧯
Blame destroys the information
In a blaming culture, the people who know what happened have overwhelming incentive not to say.
Problem Solving & Decision Making · Lesson 5
Learning from Failure
beginner⏱ 18 min · 7 cards
Try it
Rewrite the Review
“Sam deployed without running the migration check.”
A deploy took the site down for 40 minutes. Which findings are useful?
Ask what made the mistake possible, not who made it.
Turn a blame-shaped finding into a systemic one.
Three kinds of failure
Different responses
Tap each.
Key term
Cheapest lesson available
What gets ignored almost universally?
tap to reveal ↻
Near misses
Same causes as an accident, none of the cost. They get filed as evidence the system works — which says nothing about the margin.
Nuance
Two industries
Think like a Maester
Aviation protects reporters and publishes findings industry-wide. Reporting rates respond to what happens to reporters — an organisation only learns from failures it hears about.
Quick check
What is 'resulting'?
You did it
Nice work
Mark this lesson complete to track your progress.