Post-Mortem Facilitation Skill
Post-Mortem Facilitation Skill
Learn from failures without blame. Improve systems, not shame people.
Core Principle
Every incident is a gift—an opportunity to make the system stronger. Blame prevents learning.
The Blameless Philosophy
| Blame Culture | Learning Culture |
|---|---|
| "Who messed up?" | "How did the system allow this?" |
| "They should have known" | "Why wasn't it obvious?" |
| "Follow the process!" | "Is the process followable?" |
| "Don't let it happen again" | "How do we prevent this class of problem?" |
Key insight: People did what made sense to them at the time, with the information they had.
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