What else would you like to see here?

Hello Rob, do you have a Robservation or Insight that addresses a typical response after a "poor" incident analysis…to Retrain the worker? I call them the Big 3 go-tos…Training, Procedures, and Communication…the tendency to focus on these. Are we truly improving the design of the system (a la Don Norman) or are we just following the path of least resistance and an illusion of control? Systems analysis and developing sustainable solutions take time, commitment, and resources…how to overcome challenges? thanks.