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The biggest problem we have in making our system reliable is the bias we have that we know the answer...
When we think we know the answer we don't look at the problem.   The safety Pyramid is a great example of safety mythology becoming hardwired in to our safety thinking.  It is not right.  It is not empirical.  It is just made up - and yet I'll bet in your company there are folks right now who think that if they stop a first aid they will have stopped a fatality.  
Ahhhhhhh  Dogma.... the sweet belief that we have it right.  It totally gets in the way of thinking, learning, and changing.  
Happy Holidays and See you next year!