That went away fast. You can finish it in one shot. Especially if you are in one of the most thankless professions, with lots of responsibility and zero authority. The narrative, however thin, feels close to heart because this things happen. Or may have even happened to you or someone you know.

While this is no Phoenix Project, the first sixteen chapters serve to lay the playgound for implementing a proper postmortem process, where no one is afraid to withhold critical information. This along a very useful bibliography is presented in the last chapter.
- A Leader’s Framework for Decision Making
- How Complex Systems Fail
- From Safety-I to Safety-II
- The Field Guide to Understanding Human Error
- Thinking Fast and Slow
- Drop the Pink Elephant
As always, the hard thing is to make people who think that “rolling heads” improve morale and performance, to see the error of their ways.