Post-mortems or How to Walk Away Happy from a Carnage
summary
A practical guide to running focused post‑mortems for major incidents: schedule a session soon (but not immediately), limit attendees to relevant people (under eight), and timebox it to 2–4 hours with three roles (facilitator, timekeeper, scribe). Build a dated objective timeline of events, use dot‑ or emotion‑voting to identify hotspots, apply root‑cause tools (5 Whys, Ishikawa, experience mapping), and produce specific, owned actions with verification dates prioritized by Pareto.
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chapters (11)
- 0:00Post-mortem introduction
- 1:47Definition and goals
- 3:34Practical setup
- 6:23Meeting flow
- 8:51Timeline of facts
- 12:00Pain points
- 13:50Root cause analysis
- 17:47Solutions
- 20:41Improvement actions
- 21:49Conclusion
- 23:36Q&A
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