The Priciples of Continual Learning and Experimentation

抓戰犯的思維：name , blame, and shame

Bethany Macri an engineer at Etsy

By removing blame, you remove fear; by removing fear, you enable honesty, and honesty enables prevention.

Westrum Organizational Typology (3 types)

Case Study

• Alcoa(美國鋁業) p41

  • Alcoa reduces their injury rate by 95% (Paul O'Neill as CEO)
    

• US Navy's Nuclear Power Propulsion Program(NR) p42

  • 累積 blameless post-mortem reports
    

• Aisin Seiki Global p43

  • 以兩條 production lines 為例，日常的操演 antifragility (反脆性)
    

• Netflix: Chaos Monkey p44

  • Github: Netflix/Chaos Monkey
  • 延伸閱讀