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Processes, and why they get missed

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.

stories · operations

Four famous process failures, and the one thing they share

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.

processes · operations

Why documented processes get skipped (and it isn't laziness)

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.

processes · documentation

How a correction should flow back into the document

"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.

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