21 LMM V I S I O N ISSUE 17 | Q2 2024 Key Principles of HOP HUMAN ERROR IS NORMAL Error is so normal, it’s not even interesting and it’s never causal BLAME FIXES NOTHING Blaming people stops us from learning about and fixing the problem(s) LEARNING IS VITAL Learning is a very important component of creating system reliability CONTEXT DRIVES BEHAVIOR Individual behavior is a function of the organization’s systems, processes, culture, and complexity HOW MANAGEMENT RESPONDS TO FAILURE MATTERS Responding positively increases awareness and provides an opportunity for learning 1. 2. 3. 4. 5. [By Dr. Todd Conklin]
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