The Response to the Hawaii False Alarm Can't End With Firing Someone -- This and other nuclear threats due to bad systems

http://www.leanblog.org/audio243 Saturday, you might have seen the news about a "false alarm" push alert that was sent to many iPhones and other smart phones in Hawaii. An alert was also sent out over many TV channels through the Emergency Response System.

Is the response one that focuses on blame and punishment? Or is it focused on understanding how systems fail and how to improve them to prevent future recurrence?

How does this all apply to your organization?