stop investigating, start learning
the struggle
Most companies struggle to learn meaningful lessons from their incident investigations, often ending up with recommendations for additional rules or reminders to follow the rules already in place.
Research shows that it’s not so strange to get a low return from investigations: the exact circumstances of the incident will probably never repeat themselves; the investigation only focuses on the unique instance where things went wrong, not why they normally go well; and incidents and subsequent investigations tend to trigger various psychological and organizational defense mechanisms that can hamper honesty and reflection.
Of course, you want to understand why things don’t go well, and finds ways to prevent that from happening again. But your organisation can actually learn much of value from things that haven’t gone wrong.
In this master class, we will help you start making the shift from investigating to learning.
what to expect…
what will you learn:
Become familiar with the research on ‘root’ cause, counterfactual reasoning, judgemental labels for ‘human error,’ hindsight and outcome bias, linear thinking and other problems with traditional approaches to investigating.
Shift from hunting deviations to understanding performance
Start to distinguish between investigations and learning teams.
Learn about the process of setting up a learning team, and identifying potential areas for improvement, and see examples of their implementation in various industries.
Begin to appreciate how much more your organisation can learn from the things that go well.
Presenters
Sidney Dekker
Safety Differently Expert
Sidney Dekker (PhD Ohio State University, USA, 1996) is Professor and Director of the Safety Science Innovation Lab at Griffith University in Brisbane, Australia, and Professor at the Faculty of Aerospace Engineering at Delft University in the Netherlands. Sidney has lived and worked in seven countries across four continents and won worldwide acclaim for his groundbreaking work in human factors and safety. He coined the term 'Safety Differently' in 2012, which has since turned into a global movement for change. It encourages organisations to declutter their bureaucracy and set people free to make things go well, and to offer compassion, restoration and learning when they don't. An avid pilot of planes large and small, he has been flying the Boeing 737 as an airline pilot on the side. Sidney is the bestselling author of, most recently: Foundations of Safety Science; The Safety Anarchist; The End of Heaven; Just Culture; Safety Differently; The Field Guide to Understanding 'Human Error'; Second Victim; Drift into Failure; and Patient Safety. He has directed the documentaries 'Safety Differently,' 2017; 'Just Culture,' 2018, 'The Complexity of Failure,' 2018, and 'Doing Safety Differently,' 2019. His work has over 12,200 citations and an h-index of 47. More at sidneydekker.comSidney Dekker (PhD Ohio State University, USA, 1996) is Professor and Director of the Safety Science Innovation Lab at Griffith University in Brisbane, Australia, and Professor at the Faculty of Aerospace Engineering at Delft University in the Netherlands. Sidney has lived and worked in seven countries across four continents and won worldwide acclaim for his groundbreaking work in human factors and safety. He coined the term 'Safety Differently' in 2012, which has since turned into a global movement for change. It encourages organisations to declutter their bureaucracy and set people free to make things go well, and to offer compassion, restoration and learning when they don't. An avid pilot of planes large and small, he has been flying the Boeing 737 as an airline pilot on the side. Sidney is the bestselling author of, most recently: Foundations of Safety Science; The Safety Anarchist; The End of Heaven; Just Culture; Safety Differently; The Field Guide to Understanding 'Human Error'; Second Victim; Drift into Failure; and Patient Safety. He has directed the documentaries 'Safety Differently,' 2017; 'Just Culture,' 2018, 'The Complexity of Failure,' 2018, and 'Doing Safety Differently,' 2019. His work has over 12,200 citations and an h-index of 47. More at sidneydekker.com
Person in focus: Kelvin Genn
