Screwing up for fun and profit
- 2. What is a mistake?
A mistake is a decision or judgement that led to a negative
outcome, which could have been prevented with the
knowledge and resources available at the time.
- 4. Post mortem
• Bring together people
from all affected
departments
• Collect a timeline of
events
• Find the root cause
• Define actions
- 11. The Prime Directive
Regardless of what we discover, we understand and truly
believe that everyone did the best job they could, given
what they knew at the time, their skills and abilities, the
resources available, and the situation at hand.
--Norm Kerth, Project Retrospectives: A Handbook for Team
Reviews
- 14. Pattern:
Talk to your peers
• Be aware of
confirmation bias
• They are nice guys,
really!
• Try to switch
perspectives
- 17. Predicting Failure
aka Pre mortem
• Gather groups of
people from different
departments
• Start with a
catastrophic outcome
• Have fun
• Rinse. Repeat.
- 19. Image sources
• Copper ore: http://commons.wikimedia.org/wiki/File%3ANatural_Copper_Ore_Macro_1.JPG; Jonathan Zander; CC-BY-
SA-3.0, via Wikimedia Commons
• Post mortem: http://catalogue.wellcomelibrary.org/record=b1102466; Photo number: L0075723; Wellcome Trust; CC-BY-4.0
• Boys at the lake: http://commons.wikimedia.org/wiki/File%3ABundesarchiv_Bild_102-00651%2C_Berlin
%2C_Strandbad_Wannsee.jpg ; Bundesarchiv, Bild 102-00651 / CC-BY-SA; via Wikimedia Commons
• Hand: https://openclipart.org/detail/192388/nice-manicule, public domain
• Prairie dogs: http://upload.wikimedia.org/wikipedia/commons/a/a9/Kissing_Prairie_dog_edit_3.jpg; IBrocken Inaglory,;CC-
BY-SA-3.0; via Wikimedia Commons
• Nuclear test: https://commons.wikimedia.org/wiki/File%3A%22Ivy_Mike%22_atmospheric_nuclear_test_-
_November_1952_-_Flickr_-_The_Official_CTBTO_Photostream.jpg; By The Official CTBTO Photostream; CC-BY-2.0; via
Wikimedia Commons
• Talking men: https://commons.wikimedia.org/wiki/File%3AFotothek_df_ps_0000147_Zwei_alte_Herren_im_Gespr
%C3%A4ch.jpg; Deutsche Fotothek; CC-BY-SA 3.0-de; via Wikimedia Commons
• Paperwork:http://commons.wikimedia.org/wiki/File:Lightmatter_paperwork.jpg; AaronLogan; CC-BY 2.5 Generic; vie
Wikimedia Commons
• Buzz Aldrin on the moon: https://commons.wikimedia.org/wiki/File:Aldrin_Apollo_11_(jha).jpg; NASA, public domain; vie
Wikimedia Commons
• Crystal ball: http://de.wikipedia.org/wiki/Datei:John_Dee_s_Seal_Kristallkugel.jpg ; User „Steevie", CC-BY-SA 3.0/de