This might be true if your only options are "find someone to blame" or "add more bureocratic process", but in a lot of cases you also have the option "fix the technology"

Even in aviation and surgery, improving the technology tends to be more effective than firing the pilot/surgeon or adding more paperwork. If you find there's a button that crashes the plane, fix the button. Don't fire the pilot or add another hour of education on how to not press that button.