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What if everybody did everything right?

Here’s Lorin Hochstein with another great post about the practice of learning from software incidents. He asks, What if everybody did everything right?

An alternative lens for making sense of an incident is to ask the question “how did this incident happen, assuming that everybody did everything right?” In other words, assume that everybody whose actions contributed to the incident made the best possible decision based on the information they had, and the constraints and incentives that were imposed upon them.