How to improve by learning from incidents?
We give you the tips and tools.
Our behavior is a pattern of actions. Depending on a happening arouind us, we react a certain way. If someone gets sick, we call the doctor.
Learning is the process of changing our behavior. It’s the process of creating new patterns of reactions – to do something differently.
Learning is the key proess in continous improvement incident-, and risk management.
There are two key aspects of learning to address here:
Single loop learning only focus on the symptoms of the issue. If a production line if overflooded once a month, we stop the production, clean up and update our maintenance plan to reset before this happens. But we don’t dive into the root cause and fix the problem.