" Proper investigation achieves two things: it reveals a crucial learning opportunity, which means that the systemic problem can be fixed, leading to meaningful evolution. But it has a cultural consequence too: professionals will feel empowered to be open about honest mistakes, along with other vital information, because they know that they will not be unfairly penalized—thus driving evolution still further. In short, we have to engage with the complexity of the world if we are to learn from it; we have to resist the hardwired tendency to blame instantly, and look deeper into the factors surrounding error if we are going to figure out what really happened and thus create a culture based upon openness and honesty rather than defensiveness and back-covering. "

― Matthew Syed , Black Box Thinking: Why Some People Never Learn from Their Mistakes - But Some Do