Creating Knowledge from Incident Reports

Creating knowledge from events. It is like fitting a line through a number of points. Very valuable, but needs to be carefully done. We experimented with after-action-reports. And sought to include the result into example based knowledge systems. An early experiment in AI. From the HBS:

" ... much research has focused on the underuse of incident-reporting systems. After all, the thinking went, a system used to collect and report incidents will only help an organization learn from its mistakes and lead to better safety results—to the extent that employees report information that can be used for process improvement.

For incident-reporting systems to fulfill their promise, employees must use the system to "speak up" when they encounter a problem. Managers receive additional value when reporters speak up constructively by offering suggestions that facilitate process improvement ... "