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The third Learning Fragility Cycle: learning happens in bursts after crises, then stops until the next crisis. Post-mortems produce recommendations that fade within months. Crisis creates temporary openness to change; stability returns the institution to its default mode.
After a major failure, a company commissions a review, implements reforms, and declares the problem solved. Within 18 months, the reforms have eroded and similar failures recur.
ILA Section 3.3