---
title: [OR] [P2] [S5] [LL] [C4] Sources and Triggers for Capturing Lessons Learned
description: [OR] [P2] [S5] [LL] [C4] Sources and Triggers for Capturing Lessons Learned
image: https://blog.bcm-institute.org/hubfs/OR%20Implement%20Mapping%20Graphic/OR%20Implement%20Series%20Lesson%20Learned%20Morepost/%5BOR%5D%20%5BP2%5D%20%5BS5%5D%20%5BLL%5D%20%5BC4%5D%20Sources%20and%20Triggers%20for%20Capturing%20Lessons%20Learned.jpg
---

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###### Improving Lessons Learned: Strengthening Operational Resilience Through Continuous Improvement

![OR BB P2S5_LL_04](https://blog.bcm-institute.org/hs-fs/hubfs/OR%20Implement%20Series%20BB_Pic/OR%20BB%20P2S5_LL_04.jpg?width=2000&height=1333&name=OR%20BB%20P2S5_LL_04.jpg "OR BB P2S5_LL_04")

# \[OR\] \[P2\] \[S5\] \[LL\] \[C4\] Sources and Triggers for Capturing Lessons Learned

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A common weakness in many organisations is that **lessons learned are only captured after major incidents**. This reactive approach limits the organisation’s ability to proactively strengthen resilience.

In a mature operational resilience framework, lessons learned must be:

- **Continuously captured**
- **Triggered by multiple events and conditions**
- **Embedded into daily operations and decision-making**

Learning opportunities exist not only in failures but also in:

- Near misses
- Minor disruptions
- Testing outcomes
- External events

This chapter explores how organisations can establish a **comprehensive and proactive approach** to identifying and capturing lessons learned.

[![New call-to-action](https://no-cache.hubspot.com/cta/default/3893111/2545ed73-a288-4ae5-9525-acc4b7887e4c.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/2545ed73-a288-4ae5-9525-acc4b7887e4c)

[Moh Heng Goh](https://blog.bcm-institute.org/ebook-or/author/moh-heng-goh) May 14, 2026

###### Operational Resilience Certified Planner-Specialist-Expert

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### \[P2\] \[S5\] Chapter 4

### [![New call-to-action](https://no-cache.hubspot.com/cta/default/3893111/4b69ddd1-f01e-4fa9-a2e1-ffa60ba221fc.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/4b69ddd1-f01e-4fa9-a2e1-ffa60ba221fc) Sources and Triggers for Capturing Lessons Learned

#### **Introduction**

![0005 OR Framework P2 Implement](https://blog.bcm-institute.org/hs-fs/hubfs/OR%20Implement%20Series%20BB_Pic/OR%20Implement%20Series%20%5BP2%5D%20%5BS5%5D%20%5BPictures%5D/0005%20OR%20Framework%20P2%20Implement.png?width=300&height=200&name=0005%20OR%20Framework%20P2%20Implement.png)

A common weakness in many organisations is that **lessons learned are only captured after major incidents**. This reactive approach limits the organisation’s ability to proactively strengthen resilience.

In a mature operational resilience framework, lessons learned must be:

- **Continuously captured[![\[OR\] \[P2\] \[S5\] \[LL\] \[C4\] Sources and Triggers for Capturing Lessons Learned](https://no-cache.hubspot.com/cta/default/3893111/856c1acb-96c5-49ed-afa3-ffbb8e61d9e6.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/856c1acb-96c5-49ed-afa3-ffbb8e61d9e6)**
- **Triggered by multiple events and conditions**
- **Embedded into daily operations and decision-making**

Learning opportunities exist not only in failures but also in:

- Near misses
- Minor disruptions
- Testing outcomes
- External events

This chapter explores how organisations can establish a **comprehensive and proactive approach** to identifying and capturing lessons learned.

#### **Purpose of the Chapter**

To identify and define the **key sources and triggers** for capturing lessons learned, ensuring that organisations systematically recognise learning opportunities from disruptions, testing activities, and operational experiences across the operational resilience lifecycle.

#### **Types of Triggers for Lessons Learned**

Triggers are events or conditions that initiate the lessons learned process. These triggers can be categorised into four main types:

##### ** Event-Driven Triggers**

- Operational incidents
- Service disruptions
- System outages
- Cybersecurity breaches

##### **Test-Driven Triggers**

- Scenario testing exercises
- Crisis management simulations
- Business continuity exercises

##### **Risk-Driven Triggers**

- Near misses
- Emerging risks
- Control failures

##### **Review-Driven Triggers**

- Internal audits
- External audits
- Regulatory reviews

A comprehensive framework ensures that **learning is not dependent on major failures alone**.

 

#### **Operational Incidents as a Primary Source**

Operational incidents remain one of the most significant sources of lessons learned.

##### **Types of Operational Incidents**

- Technology failures (system downtime, application errors)
- Process failures (transaction errors, processing delays)
- Human errors (manual mistakes, misjudgements)
- Third-party failures (vendor outages, service disruptions)

##### **Capturing Lessons from Incidents**

For each incident, organisations should:

- Conduct structured post-incident reviews
- Identify root causes and contributing factors
- Assess impact on **Critical Business Services (CBS)**
- Evaluate response and recovery effectiveness

##### ** Importance of Timely Capture**

Lessons should be captured:

- Immediately after incident stabilisation
- While information is still fresh
- Before normal operations fully resume

 

#### **Scenario Testing and Exercises**

Scenario testing is a **controlled environment for generating lessons learned**.

##### **Types of Exercises**

- Tabletop exercises
- Simulation exercises
- End-to-end scenario testing
- Crisis management drills

##### ** Value of Testing-Based Lessons**

Testing allows organisations to:

- Identify hidden vulnerabilities
- Validate assumptions
- Test interdependencies
- Assess decision-making under stress

##### **Structured Debriefing**

Post-exercise reviews should include:

- What worked well
- What did not work
- Gaps in processes or controls
- Opportunities for improvement

Testing-based lessons are particularly valuable because they:

- Do not involve real customer impact
- Provide a safe environment for learning

 

#### **Near Misses: A Critical but Underutilised Source**

Near misses are incidents that **could have resulted in disruption but did not**.

##### **Importance of Near Misses**

Near misses:

- Reveal vulnerabilities before they cause harm
- Provide early warning signals
- Enable proactive improvements

##### **Examples of Near Misses**

- System performance degradation without outage
- Failed cyber attack attempts
- Temporary process breakdowns
- Vendor issues resolved before escalation

##### ** Encouraging Near Miss Reporting**

To capture near misses effectively, organisations must:

- Promote a **no-blame culture**
- Encourage reporting at all levels
- Provide simple reporting mechanisms

Organisations that ignore near misses often face **repeat incidents**.

 

#### ** Audit and Regulatory Findings**

Audits and regulatory reviews provide structured insights into organisational weaknesses.

##### **Internal Audit**

- Identifies control weaknesses
- Highlights process inefficiencies
- Assesses compliance with policies

##### **External Audit**

- Provides independent validation
- Benchmarks against industry standards

##### ** Regulatory Reviews**

- Highlight gaps in resilience capabilities
- Provide guidance on expected improvements
- Identify systemic risks

##### **Integrating Audit Findings into Lessons Learned**

Organisations should:

- Treat audit findings as lessons learned
- Integrate them into improvement plans
- Track remediation actions

 

#### **Third-Party and Supply Chain Disruptions**

Third-party failures are a growing source of operational risk.

##### **Types of Third-Party Disruptions**

- Vendor system outages
- Service delivery failures
- Cybersecurity incidents
- Financial instability of vendors

##### **Lessons from Third-Party Failures**

Organisations should assess:

- Dependency risks
- Contractual weaknesses
- Monitoring and oversight gaps

##### **Extending Lessons Beyond the Organisation**

Lessons learned should:

- Inform vendor management strategies
- Strengthen due diligence processes
- Enhance contingency planning

 

#### **Customer Feedback and Service Disruptions**

Customers often provide early indicators of service issues.

##### **Sources of Customer Feedback**

- Complaints
- Service requests
- Escalations
- Social media feedback

##### **Value of Customer Insights**

Customer feedback helps organisations:

- Identify service gaps
- Understand customer impact
- Improve service delivery

##### **Linking Feedback to CBS**

Customer insights should be mapped to:

- Critical Business Services
- Service delivery processes
- Customer journey

 

#### **External Events and Industry Learning**

Organisations can learn from events that occur outside their own environment.

##### **Industry Incidents**

- Banking outages
- Cybersecurity breaches
- Market disruptions

##### **Regulatory Publications**

- Guidance papers
- Enforcement actions
- Industry advisories

##### **Peer Benchmarking**

- Comparing practices with industry peers
- Identifying best practices

##### **Benefits of External Learning**

- Avoid repeating industry-wide mistakes
- Anticipate emerging risks
- Enhance preparedness

 

#### **Real-Time vs Post-Event Learning**

Lessons learned can be captured at different stages:

##### **Real-Time Learning**

- Captured during incidents or exercises
- Provides immediate insights
- Supports dynamic decision-making

##### **Post-Event Learning**

- Conducted after incident resolution
- Allows deeper analysis
- Enables comprehensive root cause identification

A balanced approach ensures both:

- **Immediate improvements**
- **Long-term enhancements**

 

#### **Establishing a Structured Capture Mechanism**

To ensure consistency, organisations must implement structured mechanisms.

##### **Standardised Templates**

- Lessons learned forms
- Incident review templates
- Exercise debrief templates

##### **Centralised Repository**

- Maintain a lessons learned database
- Enable tracking and analysis
- Provide organisation-wide visibility

##### **Trigger Thresholds**

Define clear thresholds for triggering lessons learned processes:

- Impact tolerance breach
- High-severity incidents
- Regulatory impact
- Repeated issues

 

#### **Challenges in Capturing Lessons Learned**

Organisations often face challenges such as:

- Failure to recognise learning opportunities
- Over-reliance on major incidents
- Poor documentation
- Lack of reporting culture
- Siloed information

Addressing these challenges requires:

- Clear frameworks
- Strong governance
- Cultural alignment

 

#### **Embedding a Proactive Learning Approach**

To move beyond reactive learning, organisations should:

##### **Expand Scope of Learning**

- Capture lessons from all events, not just failures

##### **Encourage Continuous Reporting**

- Make reporting part of daily operations

##### **Integrate Across Functions**

- Combine insights from:

##### **Leverage Data and Analytics**

- Identify trends and recurring issues
- Predict potential disruptions

[![\[Banner\] \[Summing\] \[OR\] \[E2\] \[C13\] Improving Lessons Learned](https://no-cache.hubspot.com/cta/default/3893111/71190ffb-94e6-4ae9-b40a-8f29585ab4ec.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/71190ffb-94e6-4ae9-b40a-8f29585ab4ec)

Capturing lessons learned is not a passive activity—it requires a **structured, proactive, and multi-source approach**. By recognising diverse triggers and sources, organisations can significantly enhance their ability to learn and improve.

A mature organisation captures lessons from:

- Incidents
- Testing
- Near misses
- Audits
- External events

This comprehensive approach ensures that:

- Learning is continuous
- Improvements are proactive
- Resilience capabilities are strengthened

 

##### **Transition to Next Chapter**

Having identified the key sources and triggers for capturing lessons learned, the next chapter will present a **structured lessons learned framework and methodology**, detailing how organisations can systematically capture, analyse, validate, and implement improvements.

 

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| **C1** | **C2** | **C3** | **C4** | **C5** | **C6** |
| --- | --- | --- | --- | --- | --- |
| [![\[OR\] \[P2\] \[S5\] \[LL\] \[C1\] Introduction to Lessons Learned in OR](https://no-cache.hubspot.com/cta/default/3893111/b76a622a-f295-4503-87fa-4c58f5f087a8.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/b76a622a-f295-4503-87fa-4c58f5f087a8) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C2\] The Role of Lessons Learned in the OR Lifecycle](https://no-cache.hubspot.com/cta/default/3893111/b9f0d952-dfd0-400d-b37f-24d9c59f2baa.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/b9f0d952-dfd0-400d-b37f-24d9c59f2baa) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C3\] Governance and Ownership of Lessons Learned](https://no-cache.hubspot.com/cta/default/3893111/8e352c01-ff6a-4ff6-b81b-90ad0ad15f46.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/8e352c01-ff6a-4ff6-b81b-90ad0ad15f46) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C4\] Sources and Triggers for Capturing Lessons Learned](https://no-cache.hubspot.com/cta/default/3893111/856c1acb-96c5-49ed-afa3-ffbb8e61d9e6.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/856c1acb-96c5-49ed-afa3-ffbb8e61d9e6) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C5\] Lessons Learned Framework and Methodology](https://no-cache.hubspot.com/cta/default/3893111/c86a2b1e-05a8-44b9-a74f-730d85b6d046.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/c86a2b1e-05a8-44b9-a74f-730d85b6d046) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C6\] Root Cause Analysis (RCA) Techniques](https://no-cache.hubspot.com/cta/default/3893111/b3d2f707-1f82-4f0a-8d51-f3451c78c337.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/b3d2f707-1f82-4f0a-8d51-f3451c78c337) |
| **C7** | **C8** | **C9** | **C10** | **C11** | **C12 ** |
| [![\[OR\] \[P2\] \[S5\] \[LL\] \[C7\] Linking Lessons Learned to CBS](https://no-cache.hubspot.com/cta/default/3893111/f484c1bf-992a-4298-8752-6fec87c33912.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/f484c1bf-992a-4298-8752-6fec87c33912) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C8\] Integration with Scenario Testing and Impact Tolerance](https://no-cache.hubspot.com/cta/default/3893111/5eaa1a40-8d88-414b-8f38-9db2edd6ca0b.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/5eaa1a40-8d88-414b-8f38-9db2edd6ca0b) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C9\] Developing and Prioritising Improvement Actions](https://no-cache.hubspot.com/cta/default/3893111/af3c93f2-7736-4431-84d3-664e4bc9e425.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/af3c93f2-7736-4431-84d3-664e4bc9e425) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C10\] Embedding Continuous Improvement](https://no-cache.hubspot.com/cta/default/3893111/505103ad-4012-41a7-9fb9-afda3baeb58d.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/505103ad-4012-41a7-9fb9-afda3baeb58d) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C11\] Communication of Lessons Learned](https://no-cache.hubspot.com/cta/default/3893111/fba3d8cc-8854-4f13-9408-37d1ebc49091.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/fba3d8cc-8854-4f13-9408-37d1ebc49091) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C12\] Technology and Tools for Lessons Learned Management](https://no-cache.hubspot.com/cta/default/3893111/2b75ccca-cdc3-4327-84ff-e06677302878.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/2b75ccca-cdc3-4327-84ff-e06677302878) |
| **C13** | **C14** | **C15** | **C16** | **C17** |   |
| [![\[OR\] \[P2\] \[S5\] \[LL\] \[C13\] Regulatory Expectations and Compliance](https://no-cache.hubspot.com/cta/default/3893111/516c631b-bb38-4b5f-9446-afcedbe2751c.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/516c631b-bb38-4b5f-9446-afcedbe2751c) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C14\] Common Challenges and Pitfalls](https://no-cache.hubspot.com/cta/default/3893111/afb5b7fb-efcb-4832-a6bd-44f3f36c97ee.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/afb5b7fb-efcb-4832-a6bd-44f3f36c97ee) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C15\] Practical Case Study (Banking Sector Example)](https://no-cache.hubspot.com/cta/default/3893111/9769f9fc-a994-4962-b5cf-7b2aa9ad5875.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/9769f9fc-a994-4962-b5cf-7b2aa9ad5875) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C16\] Future Trends in Lessons Learned](https://no-cache.hubspot.com/cta/default/3893111/b0a94161-20fe-4a63-a164-12d2be9c007c.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/b0a94161-20fe-4a63-a164-12d2be9c007c) | [![\[OR\] \[P2\] \[S5\] \[LL\] \[C17\] Key Takeaways and Call to Action](https://no-cache.hubspot.com/cta/default/3893111/edcf7673-1c76-45e7-9b70-12cda97ceac6.png)](https://cta-redirect.hubspot.com/cta/redirect/3893111/edcf7673-1c76-45e7-9b70-12cda97ceac6) |   |

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