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Conor fitzgerald aviation_online_testconf_finalversion
- 1. The Lessons wecan learn from the Aviation Industry Conor Fitzgerald conorfi.com @conorfi
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- 3. A Journey ofExploring@conorfi
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- 11. 1. Checklist ”They cameup 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. 1. Checklist ” Providereminders 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. 2. Black BoxThinking @conorfi ● Bright Orange ● Electronic Instructions ● Cockpit Conversations
- 14. 2. Black BoxThinking @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. 3. Blameless Culture ●Report Errors ● No blame (Root Cause) ● Correct Errors Quickly @conorfi
- 16. 4. A Cultureof Questioning ● Cultural Reorientation ● Speak Up Outliers by Malcolm Gladwell @conorfi
- 17. 5. Functioning withOthers @conorfi ● No Heroes ● Crew Resource Management
- 18. 5. Functioning withOthers 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. Learnings from Aviation @conorfi 1.Checklists 2. Blackbox Thinking 3. Blameless Culture 4. Culture of Questioning 5. Functioning with Others
- 20. Outcomes @conorfiRed line: 5year average Statistics/data from: http://aviation-safety.net/
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- 22. Prevention Prevention is Betterthan 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. Cultural Issues • Blameand 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. Checklist/Questioning @conorfi • Columbus Children'sHospital • “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. Blameless/Blackbox thinking @conorfi • VirginiaMason 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. 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
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- 28. 1. Checklists Checklists • API/UI •Definition of Done Once defined Automate @conorfi
- 29. 2. Black BoxThinking • Retrospectives • Incident Post-mortems @conorfi
- 30. 3. Blameless Culture Etsy'sBlameless Culture 1.Assume Goodwill 2.Identify Causes not Culprits 3.Take your Time @conorfi
- 31. 4. A Cultureof 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. 5. Functioning withOthers ● 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
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- 34. Learnings from Aviation @conorfi 1.Checklists 2. Blackbox Thinking 3. Blameless Culture 4. Culture of Questioning 5. Functioning with Others
- 35. Personal Learnings @conorfi 1. People 2.Quality and Culture 3. Blackbox Thinking
- 36. 1. People @conorfi ”No matterhow 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. 1. People @conorfi “The Improvementsin the Customer Experience in Aviation and HealthCare has come from focusing on the Employee rather than the Customer” Conor Fitzgerald
- 38. 2. Quality andCulture @conorfi “Quality is doing it right when no one is watching” Henry Ford
- 39. 3. Blackbox Thinking @conorfi “Weinstead 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. Explore other Industriesand Disciplines @conorfi
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- 42. Books ● Black boxthinking Matthew Syed ● The Checklist Manifesto: How to get Things Right Atul Gawande ● The Design of Every Day Things Dan Norman @conorfi@conorfi
- 43. Books ● Lessons Learnedin 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. 737 MAX What wentwrong 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