Achieving Closure

  1. Determine and rank the steps that should be taken to change the conditions that brought the incident in the first place.
  2. To keep the learning review focused, prioritize and discuss these action items in separate follow-up meetings with the relevant people.
  3. The facilitator must publish the learning review write-up as widely as possible. Both successes and failures should become part of institutional memory.
  4. If the incident negatively impacted people, consider using the 3 Rs to structure the writeup. The Rs stand for ‘Regret, Reason, and Remedy’ as it provides a straightforward formula for a meaningful, satisfying apology.

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