Gentlefolks, Thanks to my first submarine XO, Captain Ken Loposer, USN (ret.) for tumbling me to this one. Here is a: 1.. Good example of the successful use of...
Here's one of my favorites. Scroll down for the news story and my letter to the editor. Does your picklist include "task interruption?" OBTW: One of my...
If you were asked to advise a government organization doing a root cause analysis of the human contributions to Katrina consequences, what would you say? ...
I'd suggest asking the Eight Questions and starting a Comparative TimeLine. ... Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21...
I would also look for internet information indicating what the human involvement was. See below the signature line. Take care, Bill Corcoran W. R. Corcoran,...
Hello, This email message is a notification to let you know that a file has been uploaded to the Files area of the Root_Cause_State_of_the_Practice group. File...
Root_Cause_State_of_t...
Root_Cause_State_of_t...
Sep 2, 2005 11:57 am
2539
Stella, Thanks ever so much. I read the article. Earlier this year I corresponded with one of the authors. How did this article affect the way you do root...
1. 200 years of destroying the delta. 2. The siting of the city right in hurricane alley. 3. The levees which helped keep water out for so many years is now ...
Some good books....get caught up... “Into Thin Air” : A Personal Account of the Mt. Everest Disaster by Jon Krakauer “The Perfect Storm” by Sebastian...
More on human choices & problem solving the face of natural disaster /* Escape Fire: Lessons for the Future of Health Care, Donald M. Berwick, M.D., The...
Additionally, consider defense in depth (only a single barrier i.e., one levee, to prevent catastrophic flooding of a city and loss of life, loss of income for...
How should these books affect the way we do RCA? Anyone? Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21 Broadleaf Circle Windsor, CT...
Tore, Thanks ever so much. I inserted your graphic to make discussion easier. See below. Your approach makes perfect sense for the help desk situation and...
Dave, Thanks ever so much. Holding all other factors constant one might expect that there is a "Fatigue Factor" (measured as Blood Alcohol Concentration (BAC)...
Bill C., You said, ". . . one might expect that there is a "Fatigue Factor". . ." That sounds non-committal as to whether one can prove that the fatigue of an ...
Bill Salot, 1.. I think that all organizations with official picklists should trend causes that both a) are identified in their own investigations and 2) are...
Bill Salot, Excellent points, Old Man. 1.. In the Phoenix Approach we have a section of the Root Cause Analysis Report (RCAR) for "Extraneous Conditions...
Tore, Political/ Ceremonial Corrective Action is corrective action that satisfies political or ceremonial purposes and has nothing to do with the basic issues....
Scroll down for the story from http://news.yahoo.com/s/usnews/20050903/ts_usnews/understandingkatrina If you want safety, peace, and justice work for...
Here's my slide of the week. How many organizations have been ground up by the Wheel of (Mis?)Fortune? You are invited to respond with your slide-of-the-week. ...
I never understood how important vocabulary is until I got into trouble……it is the most important unseen infrastructure of our civilization….. mike ...
Mike, Thanks. You might enjoy some of the work of our former neighbor, Benjamin Whorf. Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. NSRC Corporation 21...
Bill S., I think this topic is worth more discussion. Just because something may be difficult to prove, doesn't mean it shouldn't be included or isn't worthy...
Terry, I like your approach to this issue. Could you pass along to us B.F Skinner's list of "factors that tend to drive behavior"? Aren't they all difficult to...
This discussion brings out a question I've had for a while, so I'll just ask it now. I don't really expect "answers". If we have all this research (and no, I...
Hi Kim I have had the same reservations as well. I know in healthcare that when I asked this question about doctor's rotations being 12, 24 and 36 hours...
Having problems with message search?
Fill out this form to ensure your group is one of the first to be migrated to the new message search system.
