About this interactive
The lesson's follow-up comes down to two questions.
First: what was the cause, and what safeguards stop it happening again? That means a full root cause analysis, then corrective actions that are actually scheduled and done, such as fixing the code, replacing the faulty part or closing the way in. These cut the number of incidents.
Second: how can we respond better? How did we detect it, and how could we be told sooner? How could the analysis, containment, eradication and recovery go better? Who should be brought in, and when? These shorten the incidents that still happen.
Both kinds of action go into the after-action report, which summarizes what happened, the root cause, trends and the procedures used. And both feed the preparation for the next incident, so the cycle keeps improving.
A quick test: once this action is done, could the same incident happen again for the same reason? If not, it prevents a repeat. If it could, but the team would notice it, handle it or talk about it better, it improves the response.
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