“Fundamentally, in a learning review, we recognize that we’re most likely working with a complex system, which requires a different approach than working with other types of systems. We know that in complex systems, the relationship between causes and effects can be teased out only in retrospect, if ever. We’re also not looking for a single root cause. Instead, we hope to understand the multitude of conditions, some of which might be outside our control. We also accept that some of the conditions will remain unknown and unknowable.
