Collection
Catch weak signals before they become expensive errors
Use near misses, risky successes, repeated workarounds, leading indicators and layered safeguards to find weak points before harm repeats, while keeping reporting separate from verified improvement.
8 elements · Explore in any order.
3 principles · 4 protocols · 1 question
8 elements
Capture the near miss while the evidence still exists
A near miss is most useful before it turns into a polished story.
Read the idea QuestionAsk what stopped the near miss from becoming harm
A good ending can hide whether the system was protected or merely lucky.
Read the idea PrincipleReview a risky success, not only a visible failure
Success can be a bad process wearing a good outcome.
Read the idea ProtocolTreat a repeated workaround as a process-design signal
A workaround solves today's task and can hide tomorrow's defect.
Read the idea ProtocolTrack a precursor you can act on before the failure
The best early metric points to a decision, not merely to an earlier number.
Read the idea PrinciplePair the early signal with the outcome it is meant to protect
A preventive metric can improve while the protected outcome stays flat.
Read the idea PrincipleLayer safeguards so one miss is not the last chance
One safeguard is also one point of failure.
Read the idea ProtocolRecheck the safeguard after the workflow changes
A control can stay documented after the situation it controlled has moved on.
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