This document discusses embracing failure and creating a culture where failure is seen as an opportunity to learn and improve. It emphasizes the importance of blameless postmortems to understand root causes of failures and identify better solutions. It also stresses that failure is inevitable given complexity and that a just culture is needed where human errors are seen as learning opportunities rather than punishable offenses.

1. #WelcomeFailure!
Sabine Wojcieszak
Easier said than done!

2. #Anger

4. Sabine Wojcieszak
Enthusiastic Agile & DevOps Enabler
#ViewfromOutside #Motivator
#Feedbackgiver
#Comforter
#Mirror
#Changer
#Inquirer
#TheRealPain
#Inspiration
#Sparringspartner
@SabineBendixen
fb
linkedin
#Troubleshooter

5. #DoingTheRightThing

6. #Chaos
Assumptions
Theories
“Experiences“

7. #QuestionofGuilt
And don´t forget...

8. #TheKnownProblem
Valve vs Nail?
Workaround Solution

9. #NoSuperHeroes

10. #BlamelessPostmortem
Context

11. Name it!

12. #ErrorLog
#relevanteStorage
#Maintenance
#faultyTool
#NewCustomer
#Uncertainty

13. C omplexity
A mbiguity
U ncertainty
V olatility
Failure –
result of many decisions in the past

14. #AppearanceIsFake
Missunderstanding
Poor Communication
Priorities
Lack of Definitions

15. Onboarding of new
employees

16. Results of Blameless Postmortems
Shared Understanding
Root Cause
Better Solutions
Health Check

17. The real Benefit
#Resilience

18. #Errorculture

19. Always?

20. How everything starts...

21. #fall
#standup

22. #learnfromfailure
WinningFormula

23. #Punishment

24. Fail = Lose?

25. Try to hide

26. Keep quiet!

27. Is the Boss
allowed to
hear about
failure
?

29. #WelcomeFailure
#FailFast
#FailEarly
#FailOften

31. Mars Climate Orbiter
30.09.1999

32. 26041986 1983 Lithuania
#avoidable!

34. #JustCulture
Human Error
At Risk Behavior
Reckless Behavior

35. #ups

36. Absent-minded action #Routine
John Reason
#Automation

37. Failure will happen!

38. #JustCulture20
Sydney Dekker

39. #Expert

40. #ChangeOfPerspective

41. Why?

42. #NoBalancingAct
Psychological Safety

43. Be Prepared!
Pre-Mortems
Emergency protocol
Fuck-up trainings
Knowledge Sharing
Healthy Culture

44. "Maybe I’m saying you did something wrong, but it only
happens to be you. It could have been any of us."
Malcolm Handley / Asana
Time to think about! Thank you!