Featured image of post Post-Incident Processing

Post-Incident Processing

目次

Background

  • When a problem happens in daily life, everyone reacts and deals with it in the moment
  • But preparing beforehand, and reflecting afterward once it’s resolved, tend to get neglected
  • This post organizes a way of thinking that turns what happened into a lasting lesson, instead of letting it fade away

Classifying Problems

By cause

Problems can be split into two types based on where the cause lies.

  • Problems you directly caused
    • Problems where your own mistake or judgment was the direct cause
  • Problems that originated from someone else
    • Problems where something outside you (another person, the environment, a system) happened and ended up affecting you

Three phases by timing

Dealing with a problem can be split into three phases along the timeline.

PhaseContent
PreventionTaking action before the problem happens
In-the-moment responseResponding on the spot while the problem is happening
Post-incident reviewReflecting and preventing recurrence after the problem has settled

Why prevention and review get neglected

  • People react strongly and take action the moment a problem occurs
  • But prevention for a problem that hasn’t happened yet rarely gets prioritized, and tends to be put off
  • Once the in-the-moment response is over and the problem has settled, people feel satisfied, and the post-incident review (reflection, recording, prevention) tends to be left undone
  • As a result, similar problems keep happening again and again in different forms

The 4R Framework for Post-Incident Review

  • A framework of four questions for making sure post-incident review doesn’t get skipped
  • Named 4R after its four items
  • Based on the After Action Review (AAR), a method established in US Army training doctrine
    • AAR is built around four questions: “What was supposed to happen?”, “What actually happened?”, “Why was there a difference?”, “What can we learn from it?”
    • The 4R here reworks that into four items for handling everyday problems after the fact
#ItemQuestion
1ReportWhat happened?
2ReasonWhy did it happen?
3RespondHow did you respond?
4Prevent RecurrenceHow will you prevent it from happening again?

4R Framework

Report: What happened?

  • First, record the facts of what happened, objectively
  • Write down when, where, and what happened, without speculation

Reason: Why did it happen?

  • Dig into the cause behind the facts written in Report
  • For a problem you caused, reflect on your own judgment or actions; for a problem that originated from someone else, reflect on the assumptions or systems you were relying on

Respond: How did you respond?

  • Record what you actually did while the problem was happening
  • Also reflect on whether that response was appropriate, or whether there could have been a better one

Prevent Recurrence: How will you prevent it from happening again?

  • Decide what to change going forward, so the same problem doesn’t repeat
  • If there’s something that can be turned into a concrete preventive measure, translate it into a specific action here

What recording the 4R gets you

  • Keeping the 4R as a single set makes it easy to look back later and see, at a glance, when something happened, what happened, why it happened, how you responded, and what you did for the future
  • Keeping a proper log even after the 4R is resolved turns the problem into a reusable lesson, instead of letting it end as a one-off, glossed-over response
  • Prevention is hard to fix structurally, but post-incident review can be covered by a habit — the habit of writing the 4R

Summary

  • Problems can be organized along two axes: cause (yourself / someone else) and timing (before / during / after)
  • People handle the in-the-moment response, but tend to neglect both prevention and post-incident review
  • Logging the post-incident review as a 4R (Report / Reason / Respond / Prevent Recurrence) turns problems into lasting lessons instead of letting them get glossed over

References

  • TC 25-20: A Leader’s Guide to After-Action Reviews (US Army AAR field manual)
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