Learning From Incidents Print

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Improving after something goes wrong.

WHAT TO DO AFTERWARDS

Record what happened Establish why Identify what would have prevented it Identify what made recovery slow Change those things

WHAT TO ASK

Could it have been prevented? Was it detected quickly? Did the plan work? What took longer than expected?

THE DETECTION QUESTION

If it went unnoticed, monitoring is the gap.

THE RECOVERY QUESTION

If recovery was slow, preparation is the gap.

WHAT TO CHANGE

Whatever the answers indicate.

WHAT NOT TO DO

Recover and move on without reviewing.

The same thing will happen again.

WHAT TO DOCUMENT

The incident, the cause, and the changes.

WHY

If it recurs, that record is where you start.

And it demonstrates diligence if anyone asks.

WHAT TO TELL OTHERS

What changed and what is expected of them.

WHAT THIS PRODUCES

A business that becomes more resilient with each incident, rather than repeating them.


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