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REASON® Root Cause Analysis |
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REASON® 6
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The REASON Lessons Learned System
Information is only as useful as it is organized. It would be pretty hard to find anything specifically interesting in a public library if it was not for the Dewey Decimal system. The same thing is true of the information concerning events that we as organizations investigate and collect. A unique feature of the REASON system is that the investigation process automatically orders the facts, issues and solutions associated with an event. The fact that REASON investigations do not just collect the facts of a case but also records how those facts came together to produce an event is an important , unique aspect of REASON to recognize. The fact that REASON records how facts come together (cause and effect) creates a body of data about your events that can be searched in terms of cause and effect. The ability to trend, search and track for the patterns of cause and effect ( in an organization’s problem events) is an extremely powerful and unique ability of the REASON system. This feature enables trends to be seen and dealt with before they become costly, larger issues. Lessons Learned has been a feature of the REASON system since REASON® 4. Yet, in REASON 6 new automatic reports and customizable ad-hoc trending and reporting capabilities have been enhanced. The Lessons Learned features in REASON 6 help an organization to better see trends and organizational tendencies while the problems are still small and isolated. It is often those smaller events that are happening all over the organization that don’t get attention until they network together, and suddenly the organization is faced with a serious loss event. REASON6 makes it possible for an organization to have a "heads up" when there is a trend of problematic events (operations, safety, etc.) before it is too late to act. |