When mistakes occur, blame the process, not people.

Root Cause Analysis is the means to fix the cause, rather than treat the symptom.

  • What allowed the mistake to happen?
  • What will prevent mistakes from occurring in the future?
  • Assume people continue to make mistakes, so build fault‒tolerance into your improvements.

https://herdingcats.typepad.com/my_weblog/2019/06/a-compendium-of-root-cause-analysis-resources.html

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