In the two previous paradoxes, we talked about control and trust.
To close this chapter, one question remains: what happens after the mistake?
When a mistake occurs, the organizational reflex is often quick: more control, more sign-offs, more monitoring.
As if the only possible response were to stop it from happening again.
But a mistake that is reported can become a source of learning.
And when it is truly analyzed, it becomes a lesson learned.
● What research tells us
Chris Argyris distinguishes two ways of learning.
Single-loop learning: we correct the mistake.
Double-loop learning: we question what made it possible (the rules, the habits, the processes).
Most organizations stop at the first.
James Reason, and later Sidney Dekker, showed that a mistake is rarely the work of a single person. It is often the meeting point of several weaknesses: missing information, a poorly designed process, an incomplete handover, a particular pressure.
Hence the idea of a "just culture": distinguishing honest mistakes from unacceptable behavior, so that only what deserves sanction is sanctioned.
The U.S. Army, for its part, formalized the After Action Review around four simple questions:
→ What was supposed to happen?
→ What actually happened?
→ Why was there a difference?
→ What will we do differently next time?
In other words: correcting the mistake is not enough. We need to understand what made it possible, without looking for someone to blame, and draw a lesson from it for the whole team.
● My point of view
I believe we sometimes ask the wrong question after a mistake.
We ask:
"Who got it wrong?"
When perhaps we should start with:
"What is this mistake teaching us?"
This does not mean denying accountability, or treating every mistake as acceptable.
But distinguishing between mistakes, accountability, negligence and system failure seems essential to me.
Learning from experience then turns an individual experience into collective learning:
→ understand what happened;
→ identify what can be improved;
→ correct what needs to be corrected;
→ improve practices;
→ pass on what has been learned.
Because an organization that learns never to make mistakes mostly learns to hide them, work around them or avoid them.
An organization that learns from its mistakes develops something else: its ability to improve.
So a mistake is not yet a lesson learned.
It becomes one when we are willing to look at it, understand it and turn it into a concrete solution for the future.
In other words, this may be where the loop we opened with control and trust comes to a close: a mistake can only become a lesson learned if it could be spoken about in the first place.
○ Open question
And in your organization, what happens to a mistake once it has been reported?
Is it simply corrected, controlled, sanctioned… or turned into a real lesson learned?
The Performance Paradoxes is a series of points of view on talent strategy, human capital and the conditions for creating value in organizations.
Sources & References:
Chris Argyris & Donald Schön, Organizational Learning: A Theory of Action Perspective (1978).
Chris Argyris, "Teaching Smart People How to Learn," Harvard Business Review (1991).
James Reason, Managing the Risks of Organizational Accidents (1997).
Sidney Dekker, Just Culture: Balancing Safety and Accountability (2007).
U.S. Army, A Leader's Guide to After-Action Reviews, TC 25-20 (1993).
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