Person’s Mistake or System’s Fault?
Postedby Shailesh Panth on 07-24-2009
Last week, our Chris Anderson wrote a blog post about the root causes of business problems. In the post, after he listed ten root causes, Chris went on to write, “People don’t make mistakes. Systems make mistakes.” One reader (let’s call her Rachael) took exception to that statement. ”Isn’t it inherent for humans to err?”, Rachael asked.
Rachael is right, of course. As human beings, we all make mistakes (the statement “to err is human” has more than a grain of truth in it). The bigger question, however, is this: Does the system have policies, procedures, and processes in place that help minimize the likelihood of mistakes?
The example I provided to Rachael was about writing articles. In the absence of any policy or process for editing and revising articles, the author might not catch his/her spelling errors or typos (humans err – that’s why newspapers used to have proofreaders). So when customers read the article — multiply the writer’s two eyes by thousands, maybe millions — the likelihood is great that at least one of them will catch the error.
On the other hand, if there is a process in place where a second set of eyes reads the article and necessary corrections are made (or the central idea is validated) before releasing it, the likelihood of mistakes getting out to the reader are vastly minimized.
That’s exactly the process change we implemented here at Bizmanualz, when we realized that our articles or blog posts were sometimes going live with spelling errors, typos, formatting issues, or a confusing theme. We installed a WordPress plugin (Peter’s Collaboration E-mails) that lets the author save the post as “pending review”. Editors get an email alert about the article needing review. The editor can release the article “as is”, release it with minor corrections, or send it back to the author for more comprehensive changes.
This doesn’t mean that mistakes won’t happen. (You may recall that Chris’s post states that 20% of all errors can be attributed to an individual). But here too, the system might have a role to play. Is the individual in the right place? If writing is a requirement for the job, was the individual properly screened or trained? Of course, there are situations where the person is clearly not qualified to do the job — here, too, the system comes into play (i.e., is the selection process foolproof?).
Quality standards and tools are there precisely to increase the likelihood of positive outcomes. You may be surprised at how a simple process change can result in a big drop in error rates.












