Why post-mortem action items die
You can run the best debrief of your life. Honest timeline, blameless tone, real insights. People leave the room nodding. And then nothing happens. This is the last mile problem of post-mortems - and it's an easy trap to fall into. When you've just been through a stressful incident, getting it back up is the priority. Once it's over, the post-mortem itself can feel like the finish line. You've documented what happened, been honest about it, identified what went wrong. It feels like the work is done.