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Finding process barriers before prescribing retraining

Investigate whether a workflow can actually be performed before assuming repeated errors reflect missing training.

Representative research photograph: Finding process barriers before prescribing retraining
Photo: U.S. Air Force photo by Senior Airman Jennifer Gonzales · License: Public domain · Cropped and resized.
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Retraining is an easy and visible response to repeated mistakes. Yet a person may know the correct step while the system or workflow prevents its use. Additional instruction may then leave the problem unchanged. Distinguish a knowledge gap from an obstacle to performing the task.

Scope of the decision

A training record alone does not demonstrate that someone can complete an activity under real conditions. Review access to instructions, conflicting duties and appropriate equipment together. This does not remove individual responsibility; it prevents cause assessment from becoming only an attendance check.

Worked review

Suppose critical results are communicated late. Staff describe the correct route accurately, but the listed decision maker cannot be reached on night shifts. The team establishes a reachable backup route and tests a night-shift example. Training explains that route without being presented as the entire solution to the cause.

Practical checks

  • Ask staff to demonstrate the actual task sequence in their working context.
  • Distinguish known steps from steps that cannot be performed using evidence.
  • Review results under similar workload or shift conditions after the change.

Acceptance and limits

Retraining is meaningful when linked to an identified knowledge or skill gap. A process barrier additionally needs an appropriate change and verification. Improved attendance and timely critical communication are different outcomes; the report should not confuse them.

Frequently asked questions

Can training ever be sufficient by itself?
Yes, for example when a misunderstood task is corrected and its performance is demonstrated.
Does a staff interview count as evidence?
It provides useful initial information and is stronger when considered alongside relevant records and observation.

Sources

  1. FDA — Risk-based monitoring questions and answers
  2. MHRA — Quality and risk proportionality