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Why Do Monitoring Upgrades Happen Only After the Second Major Incident?

By Andrew Erickson

December 22, 2026

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Most organizations don't upgrade monitoring because someone wrote a convincing proposal.

They upgrade monitoring because something went wrong... then it went wrong again.

The Second Event Model is defined as the pattern where an organization reacts strongly to the first incident, but only makes durable monitoring changes after the same incident repeats. The first event creates urgency. The second event creates accountability.

This article explains why repeat incidents are common, why "we'll fix it after this outage" often fails, and how to turn the first incident into permanent improvements in remote site monitoring and NOC response.

Second event model

Who this incident-driven monitoring framework is for

This framework is for teams responsible for uptime and response across multiple locations, including:

  • Telecom operators managing remote huts, cabinets, and POPs
  • Utilities operating unmanned stations and field infrastructure
  • IT teams supporting remote branches and edge facilities
  • NOC managers and field ops leaders balancing alarms, staffing, and response time

This article is especially relevant if your team has said:

  • "We didn't know it was failing until it failed."
  • "We had alarms, but we couldn't tell what mattered."
  • "The right person didn't get the alarm."
  • "We can't prove what happened after the reboot."
  • "We meant to fix this last time, but it got buried."

What the Second Event Model means in monitoring and operations

The Second Event Model refers to how organizations behave after incidents, not how networks behave. The network does what it does. The organization (you!) decides what it will change.

What usually happens after incident #1

After the first incident, teams often do real work, but it tends to look like motion rather than change:

  • Service is restored.
  • People stay up late.
  • A postmortem is written.
  • Action items are listed.
  • Normal priorities return.
  • The monitoring work competes with the backlog and stalls.

The organization feels closure because the outage is over. Restored service is important, but restored service is not the same thing as preventing a repeat.

What usually happens after incident #2

After the second incident, the conversation changes:

  • Leadership asks why the same thing happened twice.
  • "We didn't have visibility" stops sounding like an explanation and starts sounding like a fixable gap.
  • Budget and urgency show up at the same time.
  • Monitoring improvements finally get scheduled and completed.

Incident #2 creates a simple question (usually shouted by angry managers wondering about your inability to get the task done): "Why didn't we prevent the repeat?" That question is what pushes monitoring work across the finish line.

Why incident #1 rarely fixes monitoring (even when everyone agrees it should)

Repeat incidents are predictable when monitoring work gets treated as "optional engineering."

Reason 1: Restored service feels like closure

When the network comes back up, pain stops. When pain stops, urgency drops.

This is your expensive illusion: restored service feels like a solved problem. In reality, restored service often means "we survived this version of the failure."

Durable prevention is quieter work:

  • adding detection
  • tightening alarm routing
  • standardizing response steps
  • documenting ownership
  • training backups

Quiet work loses to urgent work unless you protect it.

Reason 2: Monitoring improvements are a chain, and chains break

Monitoring doesn't ship as one task. Monitoring ships as a chain:

  1. Decide what to detect
  2. Connect the signal
  3. Map it to an alarm
  4. Route it to an owner
  5. Define the response
  6. Test the response path
  7. Document it
  8. Train the team

A half-implemented chain produces no visible benefit. Work that produces no visible benefit gets deprioritized.

Reason 3: Cognitive overload is the real problem, and it's hard to measure

Many repeat incidents are not caused by "lack of alarms."

Many repeat incidents are caused by operators drowning in signals without a clean way to tell what matters, what changed first, and who owns the response.

That is cognitive overload.

What cognitive overload means in a NOC (and why it predicts outages)

Cognitive overload is defined as the condition where operators cannot confidently interpret alarms and system state fast enough to respond, because visibility is fragmented across too many tools, dashboards, and inconsistent signals.

Cognitive overload is not a personal weakness. Cognitive overload is a monitoring design problem.

Signs your team is experiencing cognitive overload

Cognitive overload shows up as patterns:

  • Operators must log into multiple devices or portals to assemble the story.
  • The same issue creates duplicate alarms in different formats.
  • People argue whether an alarm is "real" because false positives are common.
  • A few long-tenured experts become the "human master station."
  • Escalations include "I don't know who owns this."
  • The team cannot tell whether an issue is isolated or spreading.
  • After an outage, the team cannot reconstruct the sequence of events with confidence.

A simple operational truth is useful here: confusion is a warning signal. If confusion is rising, the organization is borrowing against future uptime.

Recommended Solution for Centralized Alarm Management: DPS Telecom T/Mon (Master Station)

If alarm information is scattered across tools, we often recommend a master station from DPS Telecom, such as T/Mon, to centralize visibility and enforce consistent alarm routing and escalation. Centralization reduces "who owns this?" delays and lowers the manual correlation burden that creates cognitive overload. Naturally, a single central server leads to better coordination than a fleet of RTUs.

What a precursor warning is (and why overloaded teams miss them)

Many outages have early indicators that appear before the incident becomes customer-visible.

A precursor warning is defined as a signal that appears before a failure becomes an outage and can change the outcome if acted on early.

Examples of precursor warnings at remote sites include:

  • temperature trending upward before HVAC failure
  • battery strings drifting before a power event becomes a full outage
  • intermittent link errors before a circuit fails hard
  • repeated door alarms indicating access issues or environmental exposure

Overloaded teams learn the wrong habit: treat small signals as nuisance alarms. Eventually, the nuisance alarm was the early warning, and the outage arrives with no time to react.

Small Rack-Mount RTU Recommendation: DPS Telecom TempDefender (RTU for small sites)

For small huts, cabinets, and edge rooms where you need "must-have" alarms (power status, door, temperature, a handful of discrete/analog points), we often recommend the TempDefender RTU from DPS Telecom. A focused RTU deployment is a practical way to capture precursor warnings without building an overcomplicated system. The TempDefender is built to mount in a 19" or 23" rack, not on a DIN rail. It can also mount on the wall, but this is less convenient with a full-width rack-mount device. (Keep reading for a DIN-rail-mounted option.)

Why incident #2 creates the "rush fee moment"

Incident #2 changes how organizations value time.

After the first incident, buyers debate price. After the second incident, buyers debate deadlines.

The rush fee moment is defined as the point after a repeat incident when the organization becomes willing to pay extra to implement monitoring quickly, because time-to-fix becomes more valuable than saving money.

The rush fee moment is rational. Repeat incidents are expensive. Repeat incidents also damage credibility internally. Once credibility is on the line, urgency becomes real.

The avoidable cost is also obvious: rushing is more expensive than planning. Waiting for incident #2 turns a manageable project into an emergency project.

How to prevent repeat incidents by turning incident #1 into permanent monitoring change

You do not need a perfect monitoring redesign to prevent a repeat incident. You need a repeatable process that converts incident pain into implemented detection and response.

Step 1 - Write the incident in operational terms, not emotional terms

A useful incident summary answers:

  • What failed?
  • How was it detected (or not detected)?
  • Who responded?
  • What was confusing?
  • What information was missing?
  • What caused the delay?

A summary that identifies visibility gaps is actionable. A summary that only says "everything was bad" is not.

Step 2 - Identify the detection gap: "What did we wish we knew sooner?"

This one question is the bridge between a postmortem and monitoring improvements.

Common detection gaps that cause repeats include:

  • "We didn't know commercial power dropped until batteries were already drained."
  • "We couldn't tell whether the generator actually started."
  • "We didn't know HVAC was failing until the room overheated."
  • "We didn't know if this was one site or multiple sites."
  • "We had alarms, but the right person didn't get them."

Each of these gaps maps directly to a monitoring requirement.

Cabinet RTU Recommendation: DPS Telecom NetGuardian DIN (RTU for compact cabinet/wall deployments where you have a DIN rail)

When you need a compact RTU to collect essential site alarms in tight spaces (and forward them for centralized visibility), we often recommend a NetGuardian DIN RTU from DPS Telecom. Compact RTUs are useful when the monitoring requirement is clear but rack space and deployment time are limited. As its name implies, the NetGuardian DIN mounts on a DIN rail with all of the connectors on the front panel.

Step 3 - Convert the detection gap into an actionable alarm (signal + meaning + owner + action)

An actionable alarm has four required components:

  • Signal: what you're measuring
  • Meaning: what the alarm indicates
  • Owner: who must respond
  • Action: what happens next

If any one of these is missing, the alarm becomes noise.

A short test helps: if an operator reads the alarm at 2:00 AM, can they answer "what is happening" and "what do I do next" in under 30 seconds? Remember, time is money when you have a critical alarm. At minimum, you're adding needless overtime costs and frustrating your team members.

Step 4 - Design escalation so the alarm reaches the right human, every time

A monitoring system is not "done" when the signal exists. Monitoring is done when the right person is reliably notified in time to change the outcome.

Escalation design should answer:

  • Who gets the first notification?
  • What is the acknowledgement expectation?
  • When does it escalate to the next person?
  • What happens after hours?
  • What happens if the first responder is unavailable?

Escalation rules that are vague create "someone will handle it" failure modes.

Step 5 - Implement the smallest set of changes that prevents the repeat

The fastest wins usually come from a short list, not a full rebuild.

A practical target is a "Top 10" list for failure modes that create outages:

  • power alarms that prevent battery-drain surprises
  • generator alarms that confirm the start/run state
  • environmental alarms that prevent heat damage
  • access alarms that surface doors and intrusion events
  • key network element alarms tied to a clear owner

Recommended RTU for Medium-Size Remote Sites: DPS Telecom NetGuardian 216 (RTU with full functions but medium capacity)

When a site has enough complexity that you want more monitoring capacity than a "small" RTU (more points, more systems, fewer blind truck rolls), we often recommend the NetGuardian 216 RTU from DPS Telecom. Additional detail is most valuable when it shortens isolation time and reduces "go look and see" dispatches.

Step 6 - Measure whether the change reduced operational risk

Monitoring improvements should show up in basic operational metrics:

  • time to detect
  • time to acknowledge
  • time to isolate
  • time to restore
  • number of avoidable truck rolls
  • number of repeat incidents for the same failure mode

If you cannot measure improvement, the monitoring work will drift back into "optional."

Large RTU Recommendation: DPS Telecom NetGuardian 832A (RTU for high-consequence sites)

For high-consequence sites where you expect many monitored systems and want headroom for growth, we often recommend the NetGuardian 832A RTU from DPS Telecom. High-consequence sites benefit from a single platform that can cover power, environment, security, and network signals without forcing multiple patchwork monitoring devices trying to behave as one cohesive system.

How to make monitoring improvements stick after the first incident

Repeat incidents are often an organizational failure mode, not a technical failure mode.

Practical ways to make monitoring changes stick:

  • Assign one owner for the monitoring follow-up, not a committee.
  • Define a "done" state that includes routing, ownership, and a tested response path.
  • Set a 30-day implementation window for the highest-impact changes.
  • Schedule a short follow-up review to confirm the alarm fired and the workflow worked.
  • Update documentation and train at least one backup responder.

A durable monitoring change is defined by response reliability, not by installed hardware.

Key takeaways: How to avoid the second incident

  • The Second Event Model explains why monitoring upgrades often happen after the incident repeats.
  • Cognitive overload is an operational risk signal, not a staffing problem.
  • Precursor warnings are easy to miss when alarms are noisy or fragmented.
  • The rush fee moment is expensive and usually avoidable.
  • A simple process can turn incident #1 into permanent monitoring improvements.

FAQ: Second incidents, cognitive overload, and monitoring improvements

What is the Second Event Model in monitoring?

The Second Event Model is the pattern where organizations react to the first incident but only implement durable monitoring changes after the same incident happens again. The second incident creates accountability that forces follow-through.

Why do repeat incidents happen even after a postmortem?

Repeat incidents happen when postmortem action items are not translated into implemented detection, routing, ownership, and tested response. Documentation without workflow change does not prevent repeats.

How can I tell if our NOC is experiencing cognitive overload?

Cognitive overload is present when operators rely on multiple dashboards, tribal knowledge, and manual correlation to understand incidents. Rising confusion, slow isolation, and unclear ownership are reliable indicators.

What is the fastest way to prevent a repeat incident?

Identify what you wished you knew sooner, convert that gap into an actionable alarm with an owner and escalation path, and implement the smallest set of changes that measurably improves time to detect and time to isolate.

Why does incident #2 trigger faster purchasing and implementation?

Incident #2 shifts priorities from price to speed because the organization wants to stop repeat pain and regain credibility. That urgency often causes "rush fee" behavior that would have been unnecessary with proactive implementation after incident #1.

Let's Talk Before Incident #2 Forces the Issue

If you're seeing the warning signs - missed alarms, unclear ownership, long time-to-isolate - don't wait for the second incident to force urgent action. The good news is, you don't need a full system rebuild. You just need to start converting pain into process.

We can help you identify your highest-risk gaps, recommend the right RTUs and master station, and build a monitoring chain that works every time - not just when your top technician is on shift.

Call me before you're in a rush for improvements. We'll map your current state and design a scalable plan that actually gets implemented.

Call 1-800-693-0351
Email sales@dpstele.com

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Andrew Erickson

Andrew Erickson

Andrew Erickson is an Application Engineer at DPS Telecom, a manufacturer of semi-custom remote alarm monitoring systems based in Fresno, California. Andrew brings more than 19 years of experience building site monitoring solutions, developing intuitive user interfaces and documentation, and opt...