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REASON® Root Cause Analysis |
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REASON® |
Lessons Learned and REASONQuick Links
What Lessons Learned Will Do for Your Organization Tactical Uses for Lessons Learned How the REASON System is Different from Conventional Lessons Learned Systems REASON Lessons Learned: The Future
Trending and Tracking: A
Gardener’s Perspective An Executive’s Perspective“Those who cannot remember the past are condemned to repeat it.” A Lessons Learned system can be measured for value only on the basis of the unique prevention benefits it provides to the organization When a problem on the job occurs, employees, supervisors and managers need information on how to deal with the situation now if their chances for mistake and injury are to be reduced. Conventional Lessons Learned systems failed to provide this immediately accessible data. If we can overcome the shortcomings of the conventional approaches, rapid and cost-effective implementation of a successful Lessons Learned system is possible. Click here for more on this subject
What the REASON Lessons Learned System Will Do for Your Organization
Knowledge BroadcastingUnencumbered Knowledge Sharing A successful RCA/LL system must use the organization’s investment of time on investigation and analysis, which then feeds an automatic system that targets and broadcasts the lessons to the organization. A Lessons Learned system that will meet the demands and needs of a large organization must automatically broadcast lessons learned knowledge out to the people who need it in all facilities without bureaucratic obstacles. With REASON, managers, supervisors and workers can set up a search profile for Lessons Learned, which will specify tools, equipment, materials, process, or any other factors that affect their operations and jobs. Then, when a problem is released to Lessons Learned anywhere in the organization containing any of the factors specified in the profiles, the users will receive an e-mail with an abstract of the case. Click here for more on this subject
Knowledge MiningExpedite Problem ResolutionProblem solvers can tap into knowledge acquired in the past in order to expedite problem resolution in the present and into the future Click here for more on this subject
Provide an Early Warning System to ChangeREASON Lessons Learned deployed organization wide is an incredible oversight tool for tracking and trending new industry patterns, trends and changes. The ability to see emerging patterns and issues within the problems experienced by your organization allows you to take proactive, preventative steps before those issues make you pay a bigger price later as a consequence of not remembering past lessons. Click here for more on this subject
Provide metrics to measure effectiveness of policiesIn many industries, the organization-wide lessons learned system should provide a standard for metrics that can be used reliably to represent, calculate, anticipate and compare. REASON Lessons Learned gives the organization a solid base of reference beyond assessments and opinions. Click here for more on this subject
Tactical Uses for REASON Lessons Learned
Investigators of current problems can search the Lessons Learned database for problems similar to his or for factors similar to those contributing to his problem.
Workers beginning a job or task that they are not familiar with can do a quick search of Lessons Learned to acquaint themselves with potential problems involving the tools, equipment, materials and processes they will be using in the new task.
When evaluating various Corrective Opportunities uncovered in REASON investigation, Managers can run key terms from Root Cause statements through Lessons Learned to see if similar breakdowns in control have been causing problems more widespread than the one which contributed to the current investigation.
Managers, supervisors and workers can set up a profile and receive an e-mail when any case worldwide is submitted to Lessons Learned involving tools, equipment, materials and process that affect their operations and jobs.
How the REASON System Supercedes Conventional Lessons Learned SystemsTraditional word searches set their sights upon the whole document as the target. If the words appear anywhere in the document, it is listed as a "hit." When searching conventional Lessons Learned systems, you get an unmanageable number of "hits." The user has to read through all of the reports located by the search in the hope that one of them will relate to his interests. Often, only a small number of these "hits" are even loosely associated with the information you were seeking The screening effort required of the user is a disincentive to use the system. REASON solves the user's dilemma by providing (1) a data-targeting method that allows users to better target their searches; (2) a means to significantly simplify the data screening process for the user.
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Finding the Lessons1. Better TargetingDocument SearchTraditional key word searches set their sights upon the whole document as the target.If the words appear anywhere in the document, it is listed as a "hit."“Situational,” Causal-Interaction SearchInstead of using the entire report document as a target for the word search, REASON narrows the search to only the factors which interacted causally. Because the REASON search engine seeks out an interaction of causes instead of just looking for key words in a document, irrelevant cases that would have been included in conventional key word searches are weeded out. The result is smaller yields with richer content. Click here for more on this subject
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