Books & Videos

Table of Contents

  1. Chapter 1 Executive Action

  2. Chapter 2 Dealing with the Root Cause

  3. Chapter 3 Operator Error

  4. Chapter 4 The Bad Apples

  5. Chapter 5 Holding to Account

  6. Chapter 6 Why Things Break

  7. Chapter 7 Who’s to Blame?

  8. Chapter 8 Trade-offs

  9. Chapter 9 Reliable Errors (or Reliably Error-Prone)

  10. Chapter 10 The Second Victim

  11. Chapter 11 The Downside of Blame

  12. Chapter 12 Paradigm Shift

  13. Chapter 13 Executive Support

  14. Chapter 14 Complex, Adaptive Systems

  15. Chapter 15 The Learning Review

  16. Chapter 16 The Timeline

  17. Chapter 17 The Town Hall

  18. Chapter 18 The Learning Review Framework