
Roger Boisjoly, the Morton Thiokol engineer who, in 1985, one year before the catastrophic failure of the Space Shuttle Challenger, wrote a memorandum outlining the safety risks of cold-weather launches. He successfully raised the issue then, and many times subsequently, including the evening prior to the launch. In 1988, he was awarded the Prize for Scientific Freedom and Responsibility by the American Association for the Advancement of Science. The report of the Rogers Commission investigation of the Challenger failure is an example of what accountability-oriented cultures can achieve. Although the commission found defects in hardware, they also found defects in decision processes going back to 1977. In their words, they found the disaster to be "an accident rooted in history."
Photo courtesy the Online Ethics Center at the National Academy of Engineering.
We can classify organizational cultures by examining how they deal with failure. One class of organizations seeks people accountable for a failure; a second seeks people to blame for the failure. (For a brief summary of the differences between blame and accountability, see "Is It Blame or Is It Accountability?," Point Lookout for December 21, 2005) In an accountability-oriented culture, when we look for factors that led to failures, we seek out people who have relevant knowledge. They know that we're trying to change things to avoid repeating past errors. They're willing to offer what they know about what happened, because they feel safe doing so. With the information they provide we devise changes in processes that reduce the probability of repeating mistakes. Complete repair might be a bigger job than we can take on right now, but we make what changes we can. We take steps in the right direction and monitor our progress.
In a blame-oriented culture, when we look for the sources of failures, we try to isolate a few people, and hang the whole thing on them. Even better: isolate a single individual. There's no point in hurting more people than necessary. The whole exercise is a fiction anyway, because we know that the true causes are complicated. Many, many people contributed in one way or another. To truly fix things to avoid a repetition would be a daunting task that we have neither the time nor the resources to address. So we designate the scapegoats and move on.
Comparing the two cultures
The differences In a blame-oriented culture, when we look for
the sources of failures, we try to isolate a
few people, and hang the whole thing on thembetween these two cultures — Accountability-Oriented Cultures (AOC) and Blame-Oriented Cultures (BOC) — have material consequences for their respective abilities to succeed. AOCs tend to facilitate learning and steady improvement. BOCs tend to suppress learning and stall improvement. Here are three phenomena that account for some of this difference.
- People harbor differing views as to where safety lies
- When failure occurs, people naturally seek safety. In AOCs, people feel safer when they're confident that something is being done to reduce the probability of failure in the future. They voluntarily contribute whatever they can to advance those efforts. These measures increase the probability that the investigation might produce information that could enhance organizational learning.
- In BOCs, people feel safer when they find a place as far as possible from the investigation into the conditions that contributed to the failure. They do what they can to deflect the investigation from themselves or their own activities. They don't volunteer what they know. Indeed, they might withhold information or even misrepresent what they do know. These measures reduce the probability that the investigation might produce information that could enhance organizational learning.
- People learn how to deal with investigations of failures
- Over time, people learn how to succeed in the organizations in which they work. In AOCs, success depends on keeping up with ever-improving processes. People advance when they demonstrate capability and make positive contributions to organizational efforts. One category of efforts worthy of positive contributions includes the investigations of failures. That's why these investigations produce valuable results.
- In BOCs, success depends on avoiding entanglement with any effort that has produced disappointing results. Even among those who left the effort prior to the failure's becoming visible, there is recognition of the wisdom of keeping out of sight once the investigations begin. This pattern limits the value of the results these investigations produce.
- Organizations use critical thinking skills differently
- To understand the factors that contributed to failure, investigators must analyze the available data using critical thinking skills. That entails applying careful reasoning to the available evidence to reach objective conclusions. AOCs tend to let evidence and reason lead them to conclusions.
- BOCs do use critical thinking skills, but they use them to find ways to connect evidence to the conclusions they prefer. In BOCs, conclusions are more likely to be preconceived, even before evidence is available. Indeed, in what might be termed organizational confirmation bias, preferred conclusions often guide the evidence collection activity. BOCs are therefore more likely to permit preferred outcomes to bias the conclusions of failure investigations.
Last words
The findings of failure investigations distinguish Accountability-Oriented Cultures from Blame-Oriented Cultures. BOCs are more likely to attribute failures to a single decision or a few individuals. AOCs are more likely to find complex webs of contributing factors, with many individuals playing roles that contributed to the failure. The appeal of the BOC approach is its simplicity. Regrettably, it rarely has a strong connection to reality. Top
Next Issue
Are your projects always (or almost always) late and over budget? Are your project teams plagued by turnover, burnout, and high defect rates? Turn your culture around. Read 52 Tips for Leaders of Project-Oriented Organizations, filled with tips and techniques for organizational leaders. Order Now!
Your comments are welcome
Would you like to see your comments posted here? rbrenjTnUayrCbSnnEcYfner@ChacdcYpBKAaMJgMalFXoCanyon.comSend me your comments by email, or by Web form.About Point Lookout
Thank you for reading this article. I hope you enjoyed it and
found it useful, and that you'll consider recommending it to a friend.
This article in its entirety was written by a human being. No machine intelligence was involved in any way.
Point Lookout is a free weekly email newsletter. Browse the archive of past issues. Subscribe for free.
Support Point Lookout by joining the Friends of Point Lookout, as an individual or as an organization.
Do you face a complex interpersonal situation? Send it in, anonymously if you like, and I'll give you my two cents.
Related articles
More articles on Effective Communication at Work:
Controlling Condescension
- Condescension is one reason why healthy conflict becomes destructive. It's a conversational technique
that many use without thinking, and others use with aggressive intention. Either way, it can hurt everyone
involved.
Beyond Our Control
- When bad things happen, despite our plans and our best efforts, we sometimes feel responsible. We failed.
We could have done more. But is that really true? Aren't some things beyond our control?
Anticipate Counter-Communication
- Effective communication enables two parties to collaborate. Counter-communication is information provided
by a third party that contradicts the basis of agreements or undermines that collaboration.
Reaching Agreements in Technological Contexts
- Reaching consensus in technological contexts presents special challenges. Problems can arise from interactions
between the technological elements of the issue at hand, and the social dynamics of the group addressing
that issue. Here are three examples.
Six Traps in Email or Text: I
- Most of us invest significant effort in communicating by email or any of the various forms of text messaging.
Much of the effort is spent correcting confusions caused, in part, by a few traps. Knowing what those
traps are can save much trouble.
See also Effective Communication at Work and Effective Communication at Work for more related articles.
Forthcoming issues of Point Lookout
Coming February 19: Yet More Ways to Waste a Meeting
- Experts have discovered that people have been complaining about meetings since the Bronze Age (3300-1200 BCE). Just kidding. But I'm probably right. As an aid to future archaeologists I offer this compilation of methods people use today to eliminate any possibility that a meeting might produce results worth the time spent. Available here and by RSS on February 19.
And on February 26: Devious Political Tactics: Bad Decisions
- When workplace politics influences the exchanges that lead to important organizational decisions, we sometimes make decisions for reasons other than the best interests of the organization. Recognizing these tactics can limit the risk of bad decisions. Available here and by RSS on February 26.
Coaching services
I offer email and telephone coaching at both corporate and individual rates. Contact Rick for details at rbrenjTnUayrCbSnnEcYfner@ChacdcYpBKAaMJgMalFXoCanyon.com or (650) 787-6475, or toll-free in the continental US at (866) 378-5470.
Get the ebook!
Past issues of Point Lookout are available in six ebooks:
- Get 2001-2 in Geese Don't Land on Twigs (PDF, )
- Get 2003-4 in Why Dogs Wag (PDF, )
- Get 2005-6 in Loopy Things We Do (PDF, )
- Get 2007-8 in Things We Believe That Maybe Aren't So True (PDF, )
- Get 2009-10 in The Questions Not Asked (PDF, )
- Get all of the first twelve years (2001-2012) in The Collected Issues of Point Lookout (PDF, )
Are you a writer, editor or publisher on deadline? Are you looking for an article that will get people talking and get compliments flying your way? You can have 500-1000 words in your inbox in one hour. License any article from this Web site. More info
Follow Rick





Recommend this issue to a friend
Send an email message to a friend
rbrenjTnUayrCbSnnEcYfner@ChacdcYpBKAaMJgMalFXoCanyon.comSend a message to Rick
A Tip A Day feed
Point Lookout weekly feed
