Bill Salot, I understand. Someone told me that lists are like Wagner's operas; they're not as bad as they sound. I will be giving a presentation to a group...
Concerning preflight checklists: I flew perhaps 100 hours with my mentor, most of them at the controls at a pretty young age. Erne was RELIGIOUS about...
Bill C., You continue to prod me to agree that RCA reviewers at my plant site should have a "written" plan. And I continue to scratch for reasons to justify...
Bill Salot, I am a firm believer in "Plan your work and work your plan." I also believe in Plan-Do-Monitor-Adjust. I recommend that one allocate 5-10% of the...
Some places call this 3-part communication or 3-way communication: 1.. Give order 2.. Repeat back order to giver 3.. Giver of order acknowledges correctness of...
Operating Experience Apparently OSHA expects all facilities of the same company to learn from the experiences of one of them. Is this fair? Take care, Bill...
Not only is it "fair" - but it is a negligent business practice (at minimum) to do otherwise (IMHO). 1. In nuclear we consider this an essential characteristic...
Being ex-Navy I am probably biased in this case - :) - this strikes me as a "duh-huh". We practice 3-part communication (as Bill described) for a wide...
Jim, Several sets of QA criteria require, in essence, that important activities be done in accordance with procedures and that these procedures include...
I have a client who has asked for six sample/ example root cause analysis reports to train professional root cause analysis report evaluators. These reports do...
The "readback" procedure alluded to in the article is a new JCAHO requirement for transmitting medication orders by telephone. It adds one step to the "3-part"...
This has been a requirement of our accrediting agency for several years. The example cited is a bit unusual since it is really not that common for a physician...
Just an FYI for those fellow healthcare folks interested (see attached)! US healthcare is ranked lowest in patient safety but highest in effectiveness - ...
I think I would have to question the "effectiveness" (either measure or definition) if patient safety is lowest.... Something does not sound right with that...
Bill C., Your request for examples to train evaluators is an intriguing idea, and perhaps a flawed one. Let us assume that your client chooses you (Who else?)...
Bill C. (continuing the distinction Bill S. makes) . . . here is a thought: Your client asks for 6 examples of RCAs for training purposes. Take 6 from their...
Gentlemen, In my experience, one of the biggest challenges to having good examples is to make them relevant to the topic without having it pull the students...
Terry and Randy, Thanks ever so much for your help. As of today I have eight examples that I got off the internet and from colleagues who have had them pried...
Colleagues, Regardless of the techniques that each of you employ in your respective training opportunities, I hope the you won't get so caught up in the ...
Terry . . . a thought for your managers (and it may recall the "bad" ol' days, working with "the Prince of Darkness"): the man who is good with a hammer sees...
Good point... That is a key coaching I try to always use for our root cause teams - that, once the "why" is understood, their next responsibility is to...
Randy, Things have changed a LOT since then. Some of our most ardent root cause supporters are in our senior management ranks. They aren't perfect, but it's...
Bill This is not a completed RCA but the reports may be of interest to members of the list. Buncefield fire linked to overflowing tank 09/05/2006 19:21 By Tim...
Larry and Steve, In the spirit of COMMUNICATION via "repeat-back", here is what I read into your messages below: Apparently there are two COMMUNICATION issues:...
If I remember my Effective Communications training correctly, you are paraphrasing to ensure understanding - repeat-backs are generally expected to be...
Bill S. - Yes sir, you are. My only caveat would be the desirable condition of assuring that in both instances, some non-complex techniques be employed to ...
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