RE: https://hachyderm.io/@inthehands/117616100920220358
My friend @oration is fond of pointing out something that an awful lot of people who own several very nice suits really do not like to hear: any postmortem incident analysis that does not trace cause back to one or more management decisions is incomplete.
When some big, messy, complex system breaks down, there is •never• a single smoking gun.
See https://how.complexsystems.fail item 7: “Post-accident attribution to a ‘root cause’ is fundamentally wrong.”
It’s never enough for just one thing to go wrong, or just one component to fail; if a single point of failure •does• in fact bring everything down, then that in itself is a sign of a multitude of other failures.
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