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Conor fitzgerald aviation_online_testconf_finalversion

As testers, we typically focus on metaphors from Engineering and Manufacturing and learn from the related disciplines, yet there is so much to gain by learning about other industries and Disciplines.



The Aviation industry recently has had a lot of bad press yet it still much we can learn from in terms of Quality Culture. Aviation has a history of continually learning and improving through the use of checklists, black box recorders, blameless culture, cockpit re-design and Crew Resource Management (CRM).



In this talk, the stories of the origins of these innovations will be shared based on the findings from two significant Books that have focused on the Aviation Industry, The Checklist Manifesto by Atul Gawande, and Black Box Thinking by Matthew Syed.



– The Relationship between Culture and Quality.
– Willingness to learn from other Industries and Disciplines, and apply the lessons learned.
– Keys Learnings from the Aviation Industry that you can apply in your testing role

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Conor fitzgerald aviation_online_testconf_finalversion

  1. 1. The Lessons we can learn from the Aviation Industry Conor Fitzgerald conorfi.com @conorfi
  2. 2. Grounded @conorfi
  3. 3. A Journey of Exploring@conorfi
  4. 4. Aviation @conorfi
  5. 5. @conorfi@conorfi
  6. 6. B17 Bellyflop Crashes @conorfi
  7. 7. Which Lever? @conorfi
  8. 8. Redesign (Shape Coding) @conorfi
  9. 9. @conorfi@conorfi
  10. 10. 1. Checklist @conorfi
  11. 11. 1. Checklist ”They came up with an ingeniously simple approach: they created a pilot’s checklist." The pilots went on to fly the Prototype Model 299 a total of 1.8 million miles without one accident." B-17 became the third-most produced bomber of all time The Checklist Manifesto: How to Get Things Right Atul Gawande @conorfi
  12. 12. 1. Checklist ” Provide reminders of only the most critical and important steps, the ones that even the highly skilled professional using them could miss. Good checklists are, above all, practical.” The Checklist Manifesto: How to Get Things Right Atul Gawande @conorfi
  13. 13. 2. Black Box Thinking @conorfi ● Bright Orange ● Electronic Instructions ● Cockpit Conversations
  14. 14. 2. Black Box Thinking @conorfi ”It is about the willingness and tenacity to investigate the lessons that often exist when we fail, but which we rarely exploit." Black Box Thinking Matthew Syed
  15. 15. 3. Blameless Culture ● Report Errors ● No blame (Root Cause) ● Correct Errors Quickly @conorfi
  16. 16. 4. A Culture of Questioning ● Cultural Reorientation ● Speak Up Outliers by Malcolm Gladwell @conorfi
  17. 17. 5. Functioning with Others @conorfi ● No Heroes ● Crew Resource Management
  18. 18. 5. Functioning with Others 1. Expectation of selflessness 2. Expectation of skill 3. Expectation of trustworthiness 4. Expectation of discipline: discipline in following prudent procedure and in functioning with others. The Checklist Manifesto: How to Get Things Right Atul Gawande @conorfi
  19. 19. Learnings from Aviation @conorfi 1. Checklists 2. Blackbox Thinking 3. Blameless Culture 4. Culture of Questioning 5. Functioning with Others
  20. 20. Outcomes @conorfiRed line: 5 year average Statistics/data from: http://aviation-safety.net/
  21. 21. HealthCare @conorfi
  22. 22. Prevention Prevention is Better than Cure • Preventable Medical Errors • Third biggest killer in the United States • 200,000 preventable medical deaths every year* • Equivalent to 3 fatal Airlines Crashes per Day @conorfi *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4710114/
  23. 23. Cultural Issues • Blame and Hierarchy • Questioning Discouraged • Poor Communication • Teamwork Ratings low • No Reporting of Errors • Investigations are Challenging @conorfi* January 2007, the World Health Organization a two day meeting
  24. 24. Checklist/Questioning @conorfi • Columbus Children's Hospital • “Cleared for Takeoff ” checklist • Metal tent ”After ten months,100 per cent of patients got the right antibiotics at the right time” The Checklist Manifesto: How to Get Things Right Atul Gawande
  25. 25. Blameless/Blackbox thinking @conorfi • Virginia Mason Hospital(Seattle) • Reporting system(Aviation/Toyota) • Patient Safety Alerts Increased • Praised not blamed • One of the safest hospitals in the world Black Box Thinking Matthew Syed
  26. 26. Functioning with Others @conorfi • Toronto, Hopkins and Southern California • “Surgery Preflight Checklist” • Team Huddle • Willingness to Speak Up Nurse turnover - dropped from 23 percent to 7 percent The Checklist Manifesto: How to Get Things Right Atul Gawande
  27. 27. Tech @conorfi
  28. 28. 1. Checklists Checklists • API/UI • Definition of Done Once defined Automate @conorfi
  29. 29. 2. Black Box Thinking • Retrospectives • Incident Post-mortems @conorfi
  30. 30. 3. Blameless Culture Etsy's Blameless Culture 1.Assume Goodwill 2.Identify Causes not Culprits 3.Take your Time @conorfi
  31. 31. 4. A Culture of Questioning “Programmers like to talk about their work, ask them questions.” Lessons Learned in Software Testing: A Context-Driven Approach Cem Kaner, James Bach, Bret Pettichord BDD “Biscuit Driven Development” Alexandra Schladebeck @conorfi
  32. 32. 5. Functioning with Others ● Banish Hero Culture ● Teamwork ● Pairing/Mobbing/Bug Bash “Fresh Eyes Find Failures” Lessons Learned in Software Testing: A Context-Driven Approach Cem Kaner, James Bach, Bret Pettichord @conorfi
  33. 33. Wrap Up @conorfi
  34. 34. Learnings from Aviation @conorfi 1. Checklists 2. Blackbox Thinking 3. Blameless Culture 4. Culture of Questioning 5. Functioning with Others
  35. 35. Personal Learnings @conorfi 1. People 2. Quality and Culture 3. Blackbox Thinking
  36. 36. 1. People @conorfi ”No matter how it looks at first, it's always a people problem.” The secrets of consulting Gerald M. Weinberg “People, not methodologies or tools, make projects successful.” Agile Testing: A Practical Guide for Testers and Agile Teams Lisa Crispin Janet Gregory
  37. 37. 1. People @conorfi “The Improvements in the Customer Experience in Aviation and HealthCare has come from focusing on the Employee rather than the Customer” Conor Fitzgerald
  38. 38. 2. Quality and Culture @conorfi “Quality is doing it right when no one is watching” Henry Ford
  39. 39. 3. Blackbox Thinking @conorfi “We instead want to view mistakes, errors, slips, lapses, etc. with a perspective of learning.” John Allspaw – Former CTO (Etsy) “This is the Paradox of Success: its built upon failure.” Matthew Syed– Author Black Box Thinking
  40. 40. Explore other Industries and Disciplines @conorfi
  41. 41. Q&A @conorfi
  42. 42. Books ● Black box thinking Matthew Syed ● The Checklist Manifesto: How to get Things Right Atul Gawande ● The Design of Every Day Things Dan Norman @conorfi@conorfi
  43. 43. Books ● Lessons Learned in Software Testing: A Context-Driven Approach Cem Kaner, James Bach, Bret Pettichord ● More Agile Testing: Learning Journeys for the Whole Team Janet Gregory and Lisa Crispin ● Perfect Software: And Other Illusions about Testing Gerald M. Weinberg @conorfi@conorfi
  44. 44. 737 MAX What went wrong https://www.nytimes.com/interactive/2019/business/boeing-737-crashes.html Boeing 737 MAX Certification Flight Waiting on Software Validation https://www.aviationtoday.com/2020/04/30/boeing-737-max-certification-flight- waiting-software-validation/ @conorfi

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  • ssuserf04360

    May. 21, 2020

As testers, we typically focus on metaphors from Engineering and Manufacturing and learn from the related disciplines, yet there is so much to gain by learning about other industries and Disciplines. The Aviation industry recently has had a lot of bad press yet it still much we can learn from in terms of Quality Culture. Aviation has a history of continually learning and improving through the use of checklists, black box recorders, blameless culture, cockpit re-design and Crew Resource Management (CRM). In this talk, the stories of the origins of these innovations will be shared based on the findings from two significant Books that have focused on the Aviation Industry, The Checklist Manifesto by Atul Gawande, and Black Box Thinking by Matthew Syed. – The Relationship between Culture and Quality. – Willingness to learn from other Industries and Disciplines, and apply the lessons learned. – Keys Learnings from the Aviation Industry that you can apply in your testing role

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