PBL, I understand your fine irony, but finally you showed some emotion and they lead you on the correct way:
You as a specialist should ask *yourself* exactly that question you asked me:.
- Recommendations how to detect such errors
- How to overcome such problems
- Corrective actions in training, cockpit design, CRM
aso
But, please!!!, stop all this endless reasoning about the causes, may it be primary, secondary, contributing, fitting a criterion or not.
Dani