Quote:
Originally Posted by ianch99
Not sure what this truism implies? Do not challenge why clearly wrong decisions were made?
If you are unable to determine why the wrong decision was made, who made it and what their reasoning was, you clearly run the risk of similarly bad decisions continuing to be made.
You can pillory people if you wish, I am more interesting in who made the decisions, when they made them and why they made them. In understanding this, you can learn from the process in time to save lives in the near future.
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No, it doesn’t mean that.
It’s aimed at people who insist on attributing blame/fault before enough information is available, and those who ask why, in hindsight, why something wasn’t done that is only obvious after the fact.
I was always taught that ‘drains up" reviews must be de-personalised and not pre-judged, and ask "what went wrong", not "who did that wrong thing" - learn from mistakes, and if people did make wrong decisions, understand the reasoning behind those decisions, because as jonbxx said above, it’s rare that people actively do things wrong, it’s often unforeseen or changing circumstances.