Searched: "outcome bias"
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The purpose of any accident or incident investigation should be focused on learning and not blame or punishment as the two are pretty much mutually exclusive: the narratives you use to determine how and why it made sense to do what you did, can also be used as evidence of a breach of standards, p...
What does accountability mean to you? In many cases, it is finding someone who is liable for a specific action, to ensure that a task is satisfactorily done, someone to point the finger at and say “Why did this just happen? Fix it”. However, is accountability what we really want if we want to le...
Recently multiple people have sent me the story of Abraham Wald and the World War II bombers. This story described how during World War II analysts worked on improving the protection and survivability of bombers by determining the best location to place additional armour. Despite significant anal...
“As we sat ready to get into the water for a normoxic trimix dive in 50m, I looked down on my 21m stage and realised that I hadn’t analysed the gas in it that morning. The date on the analysis tape was from yesterday. We had a strict approach to analysing gas each day. No analysis, no diving. I q...
A recent post on a Facebook Group described a situation where a novice diver was taken to 45m and through an arch, well beyond their certification limits of either 18m or 30m (they only had 12 dives). “A few of my dive friends saw this dive watch picture and were really concerned for my safety ...
Human Factors! ‘Human factors’ is a huge topic. It is a scientific discipline that covers many different sorts of activities depending on where you are: Anthropometrics – how the human body fits or works with physical design. Cognitive psychology – how we make sense of the world and ‘make ch...
This particular blog is not intended to give you a simple answer to a complex problem, rather it is to encourage you to think about how you consider safety in diving, how you achieve it, and how the industry and communities help maintain it. The questions to consider are: Can you be safe and ...
I recently made a social media post about the impact that punishment can have on learning which was an extract from a research paper looking at what happens if you change the approach when it comes to 'investigations'. "Contrary to the suggestion in accident reporting literature that punishment...
During the Second World War, American bomber pilots kept on raising the landing gear on their B-17 bombers instead of raising the flaps as they taxied in from bombing raids. The regular response after these accidents was that the pilots should pay more attention, and if they couldn’t, they needed...
In 1985, Coca Cola unveiled “New Coke” which was a reformulation of the original Coke flavour. Blind tests found that many consumers preferred New Coke to Coke Classic. However, when consumers were choosing which Coke to buy, they chose Coke Classic. New Coke was ultimately discontinued in 1992. ...
