A history of the 5 whys and root cause analysis from papersSome critiques of the 5 whys:From John Allspaw: https://www.oreilly.com/radar/the-infinite-hows/From Alan J Card: https://qualitysafety.bmj.com/content/26/8/671James Reason and the Swiss Cheese Model: https://pmc.ncbi.nlm.nih.gov/articles/PMC8514562/James Reason’s book Human Error: https://bookshop.org/p/books/human-error/9e06d8a100a07537?ean=9780521314190&next=tAnd a classic from Sidney Dekker (et al.) on the implication of complexity within safety investigations:https://www.sciencedirect.com/science/article/abs/pii/S0925753511000105?via%3DihubWe always recommend the Howie Guide: https://howie-guide.pagerduty.com/STAMP is starting to get popular: https://functionalsafetyengineer.com/introduction-to-stamp/Google’s STAMP paper: https://www.usenix.org/publications/loginonline/evolution-sre-googleGoogle’s STAMP discussion on ProdCast: https://sre.google/prodcast/#season4-episode7And presentation at SRECon: https://www.usenix.org/conference/srecon25americas/presentation/kleinNancy Leveson’s google scholar is always worth browsing: https://scholar.google.com/citations?user=78y4sEcAAAAJ&hl=enAllspaw’s LinkedIn post that we quoted: https://www.linkedin.com/posts/jallspaw_important-reminders-about-learning-effectively-activity-7378775591447183360-c_eDLorin’s Law: https://surfingcomplexity.blog/2017/06/24/a-conjecture-on-why-reliable-systems-fail/Want to talk more about this subject? We’re doing a live event co-sponsored by RISF and you can sign up for it here: https://resilienceinsoftware.org/networks/events/146485

Ask this episode

“What did the council decide on item 42?” — answered with the speaker and the moment.

Transcript

Related