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PAPod 450 - CHOL Keynote Speech PART TWO

PreAccident Investigation Podcast

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The Importance of Free Agency in the Management of Error

If error is not a choice, then you can't ask people to not make mistakes. What organizations manage are that error likely situation and those error prone events. They manage the consequence of the inevitable error that's going to happen in a system. A mistake is an unintended deviation from an expected outcome. It's a mistake. And so our challenge is that we really, at a fundamental level, are talking about this idea of free agency"

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