From: Sharon Pierce To: Dr. Bill Corcoran Sent: Sunday, February 01, 2004 1:54 PM Subject: Re: The Firebird Forum Vol. 7, No. 2, A Healthcare Story This...
From: "Yahoo! Groups Notification" <notify@yahoogroups.com> To: <Root_Cause_State_of_the_Practice_II-owner@yahoogroups.com> Sent: Sunday, February 01, 2004...
What do you think of this one? Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. Nuclear Safety Review Concepts 21 Broadleaf Circle Windsor, CT 06095-1634 ...
Bill and Sharon - I must be a very slow learner - Could not locate The Firebird Forum Vol 7, No 2 regarding Healthcare at the website. Unfortunately, however,...
I believe Americans have use pain killer more than any other place in the world. Might be the underlying assumption of the surgeon doctor to deal with the PAIN...
Does your organization use RCA to Improve Self-assessment and Oversight? Would you be so kind as to give a summary of an example of how your organization did...
Dr. Bill, <snip> ... We work to bring together the two programs and often make use of the same tools. For example, our station self-assessment coordinator is...
Dear All, In some recent postings regarding criminal liability, I was asked if there were definite cases of such actions being taken in the USA. Up until...
If RCA were really working at your facility would you see learning curve effects? What learning curve effects would you see? I await your thoughts. Take care, ...
Off the cuff I would expect to see decreases in the frequency of like events analyzed previously. That is the text book answer. In theory, 1. I would expect...
These comments follow those of Bob Latino - and maybe they are not specific enough - but they come from my experience in working with schools. Several years...
Paul, Are there any learning curves that show the results? If you were making progress, what learning curves would show it? Take care, Bill Corcoran W. R....
Does anyone know about the investigation of this one? Thanks to Tom Sydnor for alerting me. Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. Nuclear Safety...
Bill C. and RCA teams, Here is another RCA definition for y'all's consideration. I like it because I pieced it together from other sources for my own...
Bill T., You are on a roll!! Let's see if I can move it on. Columbia, like Challenger, TMI, Chernobyl, Bhopal, Davis-Besse, and Tokaimura was a victim of no...
Bill C. and Bill T. Thank you for this wonderful dialogue. I enjoyed reading it and commend you both for the thought provoking comments. Bill T. I would like...
Tom, Thanks ever so much. It is tough to decide where to start on your challenge to me. Organizations want to be in "business as usual" and don't want to go to...
Learning from RCAs seems to be primarily "negative learning." People assigned to a RCA learn very fast it is an arduous task and they generally do not seek to...
I'll go along with most of what you said, Tim. For many people, their past experiences with RCA left a bad taste and they are "once bitten, twice shy". What...
Tim, Thanks ever so much for your very insightful, yet depressing message. Does it have to be that way? No. I have worked with organizations in which people...
Colleague, Mix-ups continue to plague the high hazard industries. The latest one is a diver fatally sucked into a circ water pump at a power plant. I just...
I recently chatted with some fellow rooticians about problem statements. One said that every RCA should have one. Another said that a good executive summary...
Bill C., Good to hear from you. Your posts always make me think about the validity of terms I use as well. I am in agreement with the RCA focusing on...
Bill C., Experiences have convinced me that team/stakeholder consensus problem statements are essential upfront before or early in the analysis process. I have...
Terry, Thanks for the feedback. Can you tell me more about the tool that you developed to help get the team moving forward? I am curious if it might help us...
Bill, Thanks for your responses. Our rooticians (me included) could probably do a lot more towards making the RCA experience a positive one. Do you have some...