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good post on process and the limits of checklists cate.blog/2022/02/28/low-process-culture-high-process-culture/Look on archive.org
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I remember reading something about designing safe processes - the kinds of thing where you study medical errors or do incident analysis on aircraft crashes. in these fields great strides have been made by bringing in checklists. Adding in process to avoid avoidable mistakes.Permalink Look on archive.org
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But eventually diminishing returns mean that new steps on the checklist don't improve outcomes. But there are still errors happening. At this point, it's maybe helpful to flip around and see how errors not covered by the checklists are avoided.Permalink Look on archive.org
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And then you find that it's because the people working on the systems are bending the rules to accomplish their tasks. They know problems that are likely to occur, and they avoid them using their rich experience of the system. The door jams unless you hit it like so.Permalink Look on archive.org
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my "people find their own use for tools" thread gets into this - people are inventive and creative and will find a way to get things done even if you did not design for it! @v21/1066734014227189762Permalink Look on archive.org
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so then the question becomes : how can we solve this common error with checklists, but how can we improve people's understanding of the broader context so they can invent better solutions. or, how can we empower them. or... idk. what *is* the right thing to do?Permalink Look on archive.org
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(sometimes it is to fix the problems they are ingeniously working around. oil the door to stop it from sticking. stop the computer from automatically logging you out every 15 mins. etc)Permalink Look on archive.org
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anyway. this is what I remember reading, and I find the topic fascinating. if anyone knows of good stuff to read on it, I'd be curious to hear.Permalink Look on archive.org