Tuesday, November 08, 2005

After Action Reviews - The Road to Problem Prevention

An After Action Review is an assessment conducted after a project or major activity that allows employees and leaders discover (learn) what happened and why. It may be thought of as a professional discussion of an event that enables employees to understand why things happened during the progression of the process and to learn from that experience.

Conducting an After Action Review is particularly useful after a GMP violation is noted, either by a formal or informal internal audit, or by an FDA inspector.

Here are some questions to help you conduct an effective After Action Review.

  • What happened?
  • What factors most contributed to the event?
  • What was the genesis or root cause of the event?
  • Was there a "turning point" in causing this to occur? If so, what was it?
  • What did the organization fail to do in picking up any signals that may have alerted us to the problem before it occurred?
  • Did our organizational culture lead us in this direction?
  • What did our organization do correctly, in terms of responding?
  • Can this problem re-occur?
  • What can we do to prevent this from happening again?
  • How can we make this prevention action a priority?

This method - an After Action Review - can help you make progress in Problem Prevention.

Read David Markovitz' latest article - Problem Solving is Not Good Enough: Problem Prevention is the Key to Success.

Find the article at http://www.gmptrainingsystems.com/asp/articles.asp

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