This eight-hour workshop will present a plain English approach to determining the causes of events based on ordinary logic and proven analytical techniques that may be applied in concert with any other causal methodology currently in use.
Workshop content is directly relevant to “Learning Group” members, causal analysts, and those who review, approve and use their outputs. After completing the workshop, participants will be able to apply the learning in their next day at work.
Appropriate emphasis is placed on: (1) why assigning “Blame” is inappropriate for causal analysis efforts of any kind; (2) why “Blame” is a ‘red flag’ indicating a seriously flawed analysis; and (3) how to avoid participating in the “Blame Game.”
This workshop is presented as a case study.
A number of specific analytical tools are also presented. Following descriptions of each tool, participants engage in group discussions and hands-on exercises that internalize the subject matter.Appropriate emphasis is placed on: (1) why assigning “Blame” is inappropriate for causal analysis efforts of any kind; (2) why “Blame” is a ‘red flag’ indicating a seriously flawed analysis; and (3) how to avoid participating in the “Blame Game.”The event scenario and background material are provided as the training unfolds throughout the day.This workshop is for professionals whose current or near-term future duties involve:- Dealing with the impact of consequential organizational events.
- Sponsoring, leading, supporting, or reviewing the output of Learning Groups assigned to analyze adverse events.
- Sponsoring, conducting, or reviewing root cause analyses of adverse events or their precursors.
- Managing or training event investigation teams of any variety.
- Assessing the effectiveness of event investigations.
- Managing the outcomes of event investigations.
- Managing or assessing corrective action programs.
Defending the regulatory aspects of event investigationsThis workshop is not for people who want to continue thinking that:- Future events can be entirely prevented through increased focus on “Human Performance” and “Trending.”
- Causal Analysis is an appropriate tool for assigning blame.
- “Root Cause” is “Old Thinking” that is no longer valid.
- The use of “Learning Groups” is a fad that is not a valid investigatory approach.
- Event investigation is a well-defined science about which nothing new can be learned.
- There is a single right way to investigate events.
- For every consequential event there is one single root cause.
- Event consequences are not controlled by business decisions.
- Event investigation should be done mainly to satisfy outside agencies