Short pieces on documented processes: why teams skip them, what famous failures have in common, how training actually sticks, where queues pile up, and how a correction should make it back to the page.
Every process has one stage that sets its pace. A short guide to spotting it with Little's law and utilisation, why adding people elsewhere doesn't help, and how to simulate a change before making it.
Knight Capital's $440 million, an AWS outage from a typo, the crash that invented the checklist, and the checklist that cut surgical deaths. Different industries, the same lesson about documented procedures.
The forgetting curve applies to runbooks too. Why a single onboarding session on a procedure doesn't hold, what retrieval practice and spaced refreshers change, and how to tell who actually knows the process.
Teams write the process down and still miss the step. The reasons are structural: distance, timing, stale documents and invisible adherence. What each one looks like on a real ticket, and what fixes it.
"That's wrong, we do it differently now" is the most valuable sentence in operations and the most often lost. A design for the loop from correction to precedent to suggested edit to retraining.