Mobilize whoever is required to solve the problem.
Toyota Andon cord: pull and fire an alarm whenever something goes wrong so that everyone can see. If the problem cannot be solved within a time frame (for example 50 seconds) the whole production line is halted, so that entire organization is mobilized to help solve the problem.
Instead of working around the problem and fixing when we have time, we swarm to fix it immediately.
Swarming enables learning because it prevents loss of critical information due to fading memories.
Swarming of ever smaller problems discovered ever earlier in the lifecycle that we can deflect problems before a catastrophe occurs.
Create a culture that is encouraged to pull the Andon cord.
Instead we need everyone in our value stream to find and fix the problems in their area of control and push the quality and safety responsibilities and decision making to where the work is performed.
It is impossible for a developer to learn anything when someone yells at them for something they broke six months ago - that's why we need to provide feedback to everyone as quickly as possible, in minutes, not months.
We should optimize for downstream work centers by designing for operations, where operational non-functional requirements are prioritized as highly as user features.