Building Resilience - How to Learn More from Incidents

Explore a 40-minute conference talk from SREcon19 Europe/Middle East/Africa that delves into building resilience and extracting more valuable insights from incidents. Discover research-backed approaches from safety-critical industries like aviation, healthcare, and firefighting to enhance system and organizational resilience in turbulent environments. Learn to overcome traditional post-incident review limitations by focusing beyond mere prevention. Identify and avoid four common traps during incident investigations, and implement four concrete recommendations to maximize learning from incidents within your organization. Gain critical insights into complex systems, human factors, and the importance of language in incident analysis. Follow the speaker's journey through real-world examples, including lessons from aviation history, to reshape your approach to incident response and review processes.

Introduction
A story about a plane
Structure
Why
Complex Systems
Two Things to Think About
Language Matters
Alfonzo Panis
The B17
Cockpit Design
Human Error
Counterfactual Reasoning
Normative Language
Post Incident Review
Asking Better Questions
Critical Insights
Review Planning
Summary