Discussion is about making a decision. Unlike dialogue, which seeks to open possibilities and see new options, discussion seeks closure and completion. The word decide means “to resolve difficulties by cutting through them.” Its roots
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“In accident investigation, as in most other human endeavours, we fall prey to the What-You-Look-For-Is-What-You-Find or WYLFIWYF principle. This is a simple recognition of the fact that assumptions about what we are going to see (What-You-Look-For), to a large extent will determine what we actually find (What-You-Find). (The principle is furthermore not limited to accident investigation, but applies to human perception and cognition in general.) In accident investigations, the guiding assumptions are sometimes explicit, for instance when they are given as a directive or objective.
Erik Hollnagel. The ETTO Principle: Efficiency-Thoroughness Trade-Off (Kindle Locations 998-1000). Kindle Edition.”
― The ETTO Principle: Efficiency-Thoroughness Trade-Off
Erik Hollnagel. The ETTO Principle: Efficiency-Thoroughness Trade-Off (Kindle Locations 998-1000). Kindle Edition.”
― The ETTO Principle: Efficiency-Thoroughness Trade-Off
“Saying what people failed to do has no role in understanding ‘human error.”
― The Field Guide to Understanding 'Human Error'
― The Field Guide to Understanding 'Human Error'
“All work is knowledge work. The carpenter’s mind is no less animated and engaged than the actuary’s. The architect’s accomplishments depend as much on the body and its senses as the hunter’s do.”
― The Glass Cage: How Our Computers Are Changing Us
― The Glass Cage: How Our Computers Are Changing Us
“If professionals consider one thing “unjust,” it is often this: Split-second operational decisions that get evaluated, turned over, examined, picked apart, and analyzed for months—by people who were not there when the decision was taken, and whose daily work does not even involve such decisions.”
― Just Culture: Balancing Safety and Accountability
― Just Culture: Balancing Safety and Accountability
“There is almost no human action or decision that cannot be made to look flawed and less sensible in the misleading light of hindsight. It is essential that the critic should keep himself constantly aware of that fact.”1”
― The Field Guide to Understanding 'Human Error'
― The Field Guide to Understanding 'Human Error'
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