This past week I read David Zwieback's The Human Side of
Postmortems: Managing Stress and Cognitive Biases which
was a short book with the perhaps obvious conclusion that a
blame free work environment is the only real level management
has to reduce stress during an incident. If an individual
knows that they cannot be labeled the "root cause" of an
incident then they are more likely to be unhindered by the
stress that can lower there performance during a critical
period.
Unfortunately Zwieback's book also highlighted how widespread
the flouting of this simple rule is and how many companies
play the blame game when an incident occurs. The all-too-often
tale being that politics leads people to hide their mistakes
and misteps in postmortems and the organize doesn't really
learn how an incident happened and how it can be prevented.
The manpower, time and money lost thereby is inexcusable.
|