What are some effective case studies on post-mortems?

What are some effective case studies on post-mortems?

Post-mortems are critical for learning from failures. One effective case study is from the tech industry, where a company analyzed a major outage. They identified root causes, implemented changes, and improved their system's resilience.

Can you give me another example?

Sure! In healthcare, a hospital conducted a post-mortem after a surgical error. They reviewed the incident, involved all stakeholders, and developed new protocols that significantly reduced similar errors in the future.

What are the key components of a successful post-mortem?

Key components include a clear agenda, open communication, a focus on facts rather than blame, and actionable follow-up items.

How often should organizations conduct post-mortems?

Organizations should conduct post-mortems after significant projects or incidents, but regular reviews can also be beneficial to foster a culture of continuous improvement.