I spent three decades doing the empire’s dirty work abroad. That experience didn’t blind me, it educated me. When you’ve seen the machinery from the inside, the mythology stops working. #MultipolarWorld #SystemicAnalysis

Using the 2005 Stockwell shooting as a case study, this blog demonstrates how major incidents rarely result from single failures, but rather from the alignment of multiple systemic weaknesses across five stages.

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#SafetyCulture #IncidentInvestigation #HumanFactors #SystemicAnalysis

Systemic analysis cycle, going from reflecting to connecting to modelling then doing and back to reflecting again.

The major task is to make the nature, advantages and disadvantages of #systemicanalysis clear and to explain the tools and techniques of #softsystemsmethodology.