Ownership Fails Before Systems Do
Systems break where problems are seen—but not owned.
Most systems don’t fail because of one big mistake.
They fail because of a series of small problems that no one owns.
When investigators studied the Japan Airlines Flight 123 crash, they didn’t find a single failure.
They found a chain of issues that were known but never fully resolved.
Organizations work the same way.
If no one owns the problem, the problem owns the system.
Seen. Discussed. Revisited.
But never owned.
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The thing is when you do that in an organization you get inefficiency maybe failure and go out of business and you do that with your body you get things like cancer fibromyalgia dementia long-term problems that cause serious suffering all because we won't bother to learn the language and act on what we hear.