The after-action review 场景学习单

The objective was reached, but confusion, delayed information, and one fortunate coincidence concealed several serious weaknesses.

目标已经达成，但混乱、信息延误和一次幸运巧合掩盖了多项严重弱点。

SUPERVISOR

We completed the objective, so the main lesson is that the team performed well under pressure.

我们完成了目标，所以主要教训就是团队在压力下表现良好。

FACILITATOR

A review is useful when it changes the next action, not when it finds the easiest person to blame.

复盘只有改变下一次行动才有用，而不是找到最容易责怪的人。

FACILITATOR

Compare the intended plan with events, identify turning points, separate system conditions from controllable choices, include near misses, and test each proposed lesson.

比较原计划与实际事件，识别转折点，区分系统条件与可控选择，纳入险些发生的事故，并检验每条拟议教训。

SUPERVISOR

Each change will have an owner, a due date, a practice scenario, and evidence that shows whether the weakness was reduced.

每项改进都将有责任人、截止日期、演练情景，以及证明弱点是否减少的证据。

The team keeps its pride in the result while refusing to confuse success with a reliable process.

团队保留了对结果的自豪，同时拒绝把成功误认为流程可靠。