> When something goes wrong in an organization, the first question that is often posed is, “Whose fault is it?” Pro tip: If you have a manager who acts like this, or even worse, an org, then it is best to find a better work environment. Having said that, these scenarios tend to be in the minority. One of my best jobs had the department head say to his staff when things go wrong: "I don't want to hear X screwed up. I…
This is how layers of process accrete around an organization, each to address a previous screwup. Until nothing gets done at all, except fulfilling the requirements of the process. There is a tradeoff between frequency and severity of screwups and rate of progress. This tradeoff should be made deliberately; just going from "screwups always bad" will not reach the best balance for the health of the organization.
A better approach is to automate the process in a way that the manual mistake is no longer possible.