The Post-Mortem Dilemma: Why Companies Struggle to Learn from Incidents

The Post-Mortem Dilemma: Why Companies Struggle to Learn from Incidents

Photograph of endless binders of paper reports

Security incidents should be a catalyst for improvement, but too often, companies fail to extract meaningful lessons from them. Post-incident reviews are either rushed, incomplete, or focused on blame, leading to missed opportunities for resilience and long-term security improvements.

Organizations that approach incident reviews as a strategic learning exercise rather than a reactive damage assessment are better positioned to reduce future risks, improve response times, and build operational maturity.

Why Companies Struggle to Learn from Incidents

Post-incident reviews often fail for three primary reasons:

  • They are treated as a bureaucratic, pro-forma task – Many companies conduct post-mortems simply because policy requires it, without a clear process for implementing corrective actions.

  • They focus on blame rather than learning – A culture of fear discourages transparency, preventing teams from uncovering systemic failures. It also leads to conflation of proximate and root causes.

  • They lack follow-through – Action items from post-incident reviews are documented but never executed, allowing the same issues to resurface.

Without a structured, actionable approach, post-incident reviews become a checklist item rather than a driver of continuous improvement.

Building an Effective Post-Incident Review Process

A well-structured post-incident review (PIR) helps organizations extract real insights from security events. High-performing teams follow these key steps:

1. Foster a Blameless, Learning-Focused Culture

Teams need to feel safe acknowledging mistakes and process gaps without fear of punishment.

A blameless PIR approach:

  • Encourages honest reporting of contributing factors

  • Shifts the focus from who caused the issue to why it happened

  • Builds trust and transparency, strengthening cross-functional collaboration

If teams fear negative consequences, they will be less likely to share critical insights, increasing the risk of repeated failures.

2. Standardize the Post-Incident Review Format

A structured PIR ensures consistency in evaluating incidents and leads to actionable outcomes. It should include:

  • A factual timeline of events – What happened, when, and how it was discovered

  • Root cause analysis – What factors contributed to the incident?

    • Are you sure that this was a root cause and not a proximate-cause? Does your procedure focus on not conflating these things?
  • Impact assessment – What business functions were affected, and to what extent

  • Corrective actions – What needs to change to prevent recurrence, who owns the action, and what the timeline is for completion

Standardizing the PIR format helps teams compare past incidents, identify trends, and track the effectiveness of improvements over time.

3. Identify Patterns and Systemic Issues

Many companies view each security incident as an isolated event rather than part of a larger pattern. Reviewing multiple PIRs over time allows organizations to:

  • Detect recurring vulnerabilities in processes, infrastructure, or decision-making

  • Identify systemic weaknesses in security controls and response protocols

  • Prioritize high-impact improvements based on trends rather than individual cases

Organizations that analyze incident patterns instead of treating them as one-off failures are better equipped to prevent recurring disruptions.

4. Close the Loop with Accountability and Metrics

One of the biggest post-mortem failures is lack of follow-through on corrective actions. Without accountability, the same risks will continue to impact the organization.

To ensure continuous improvement:

  • Assign specific owners and deadlines for action items

  • Track metrics that measure progress, such as time to resolution, recurrence rates, and mean time to detect (MTTD)

  • Schedule review checkpoints to confirm that corrective actions have been completed and are effective

Incident learning must be an ongoing, iterative process—not just a reaction to individual events.

The Business Case for Comprehensive Post-Incident Reviews

Investing in a structured, learning-driven PIR process provides measurable benefits:

  • Higher executive confidence in risk analyses - Executives can more confidently accept a stated risk of a proposed business-enabling technology decision when they trust the process and understand how risks are managed in your organization.

    • Once they understand that, Executives are also more comfortable approving that a given risk to be mitigated before proceding – without thinking they’re just wasting time.
  • Overall reduction in incident response costs – Improved incident response efficiency means teams respond faster, with better coordination and fewer missteps. This reduces costs of detection, remediation, and reduces the risk of regulatory penalties.

  • Reduced operational risk – Security incidents become learning opportunities, reducing new incidents from a repeated root cause

  • Stronger security posture – Proactive analysis leads to better risk mitigation and resilience

Are You Extracting the Full Value from Your Incidents?

“Never let a good incident go to waste” is a common sentiment in the incident handling world. EPSD helps organizations move beyond blame-driven post-mortems to develop structured, data-driven PIR processes that lead to real improvements. If your company is struggling to turn incidents into learning opportunities, contact us today to refine your approach.