Why event investigation is difficult
{"Image DocumentName": "Why event investigation is difficult", "Image ImageDescription": "Natural reactions to failure. hindsight bias. focus on the sharp end lay out what people could have done. determine what people should have done, the fundamental attribution error. Tendency to stop too soon. Lack training in event investigation. We don\u2019t ask enough questions. Adapted from Introduction to Root Cause Analysis: Understanding the Causes of Events, Incident Investigation and Root Cause Analysis, \u00a9 HealthInsight.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}