In this insightful episode, Todd Conklin leads a fascinating discussion on the concept of counterfactuals with experts Robert Waterhouse and Zoe Gulley from Energy Safety Canada. They delve into the limitations of traditional accident investigations and how long-standing practices may not serve us well in truly understanding incidents and improving performance.
The conversation focuses on causal reasoning, distinguishing it from negative reasoning, and the importance of learning how work is actually performed rather than pinpointing what did not happen. Throughout the episode, Todd and guests explore how this approach can transform not only investigations but also organizational learning and leadership strategies.
The episode reveals how industries can benefit from shifting their focus from corrective actions based on negatives to actions that truly reflect and enhance real work conditions. Join this discussion to better grasp the potential of transforming safety and reliability practices in your organization.
PAPod 569 - PART TWO: 11 Seconds: How a System, Not a Nurse, Failed
Part two of the RaDonda Vaught story examines what emerged after the event: inve
PAPod 568 - PART ONE: Charged for a Mistake: The Nurse, the Error, and a System That Failed
In this episode, nurse RaDonda Vaught tells the detailed, context-rich story of
PAPod 567 - Open Questions 2025: From Metrics to Monitors — Rethinking Safety
Episode: an extended open Q&A from the Pre-Accident Investigation Conference in
PAPod 566 - Blame Stops Improvement: How Blame Silences Learning
Todd Conklin explores how blame shuts down learning and prevents organizational
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