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The Root

Serving up the newest root cause analysis techniques and must have problem-solving skills

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Angela Jessee
Is Termination Ever Appropriate?
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Mark Harmon
You've Completed a Cause Mapping® Workshop... Now What?
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Mark Galley
How Layers of Protection Reduce Risk
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Angela Jessee
How to Handle Lies and Dishonesty in Incident Investigations
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Ben Dellsperger
Titan Submersible: Initial Insights From an Ongoing Investigation
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Aaron Cross
When and How to Build an Investigation Team
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Ben Dellsperger
Managing Risk: Insights from the NFL’s New Dynamic Kickoff Rule
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Mark Harmon
How to Evaluate Solutions in an RCA Investigation
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Holly Maher
Should the RCA Team Include the Person Involved in the Incident?
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Holly Maher
How Much Detail is Enough in an RCA Investigation?
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Frank Syzmanski
Separating Fact from Fiction in the McDonald’s Hot Coffee Case
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Ben Dellsperger
The CrowdStrike IT Outage: How One Defective File Turned into a Multi-Billion-Dollar Problem
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Ben Dellsperger
What Fireworks Can Teach Us About “Human Error”
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Mark Galley
Beyond the Crash: The Full Impact of the Montparnasse Derailment
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Mark Galley
Unraveling One of History’s Most Infamous Wrecks: The Montparnasse Derailment
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Ben Dellsperger
Mid-Investigation Insights from the Baltimore Bridge Collapse: Visualizing the Electrical Issues Onboard Dali
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Mark Galley
30 Years Without a Lost Bag: How Kansai Airport Achieves High Reliability in Baggage Handling
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Mark Galley
How to Avoid Confusing Correlation and Causation When Investigating Incidents
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Ben Dellsperger
How to Create Good-Looking Cause Map™ Diagrams
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Mark Galley
The Baltimore Bridge Collapse - An Unfolding Case Study
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Mark Galley
How To Investigate Hand Injuries
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Ben Dellsperger
How To Align and Evenly Space Boxes on a Cause Map™ Diagram
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Ben Dellsperger
How to Use Text Replacement Shortcuts to Reduce Errors and Boost Productivity
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Ben Dellsperger
How Do You Merge Arrows In Microsoft Excel?
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Ben Dellsperger
How to Select Objects Instead of Cells in Excel
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Ben Dellsperger
Get Your Arrows in Line: A Guide to Straight Arrow Connectors in Excel
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Mark Galley
How Does Cause Mapping Compare to Other Methods of Root Cause Analysis
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Aaron Cross
Don’t Get Bit! A 5-Why (and Beyond) Cause Map™ Diagram of a Recent Dog Bite
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Need RCA Help? Our Facilitators Can Lead and Document Your Entire Investigation
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Macoy Kaulen
Bacon for Breakfast – A Cause-and-Effect Analysis
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Loyd Hamilton
Investigating the 737 MAX Crashes
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How Combining Perspectives Leads to More Thorough Investigations and Additional Solutions Pt 1 of 2
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How Combining Perspectives Leads to More Thorough Investigations and Additional Solutions Pt 2 of 2
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Loyd Hamilton
Checklists Save Lives and Help Prevent Critical Errors
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Loyd Hamilton
Complacency Can Kill: How Diving Equipment Malfunctions Almost Led to Tragedy
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Aaron Cross
Little League, Big Injury - How to Examine Human Factors
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Mark Galley
Stop Sign Accidents: Causes and Solutions
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Mark Galley
How the Concept of a Handrail to Reduce Risk Applies Far Beyond Stairs
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Mark Galley
Crosswalk Accident: Person Struck by Vehicle
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Aaron Cross
Investigate a Burn: Burn Awareness Week
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Aaron Cross
Why is Root Cause Analysis Important? Addressing Recurring Problems
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Mark Galley
An Introduction to Failure Modes and Effects Analysis (FMEA)
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Aaron Cross
How to Prevent Bathroom Slip and Fall Accidents
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ThinkReliability Staff
Setting Goals: The Cause Mapping Certification Program and Your Problem-Solving Skills
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Aaron Cross
Save Your Holiday Shopping from COVID-19 - A Root Cause Analysis
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Loyd Hamilton
Righting the Ship: Building a Process Map for the Costa Concordia Salvage
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Loyd Hamilton
Case Study: Conception Dive Boat Maritime Disaster
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Holly Maher
High Reliability Organizations: The Problem with Simplifying Problems
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ThinkReliability Staff
Using the Cause Mapping® Investigation Template: The Versions Worksheet
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Aaron Cross
Analyzing the Unfathomable: Child Accidentally Left in a Hot Car
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Katie Wohlust
Analyzing the Cuyahoga River Fire and the Acts of Congress Solutions That Followed
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Loyd Hamilton
Case Study: Causes of the Texas Power Grid Failure
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Katie Wohlust
Root Cause Analysis Case Study: Easter Egg Hunt Turns Rotten
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Aaron Cross
From Vaccine Rollouts to Tardiness: A Tool for Analyzing and Improving Your Processes
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Ely Wilson
When Solutions Seem Out of Your Hands: Understanding Risk and Prevention with COVID-19 and Comorbidities
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Katie Wohlust
Chemo Instead of Antibiotics? Investigating a Recurring Medication Error
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The Causality of Daylight Saving Time and Increased Workplace Injuries
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Becca Broaddus
Using the Cause Mapping® Investigation Template: The Notes Worksheet
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Holly Maher
Reporting OSHA Recordables: Aligning Goals, KPIs and Incentive Programs
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Who Watches the Watchers? Lessons Learned from the 2020 SolarWinds Data Hack
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Mark Galley
Updating the Fishbone Diagram: When Cause-and-Effect Analysis Can Be Improved
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Holly Maher
Retraining Isn't Always the Answer
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Mark Galley
How Did They Figure Out What Happened? The Iterative Analysis of a Complex Problem
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Becca Broaddus
Using the Cause Mapping® Investigation Template: Diagrams and Photos
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Mark Galley
Challenger O-Ring Failure: Breaking One Cause Into Causes
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Holiday Hazards: How to Not Fall Off Your Ladder Hanging Christmas Lights
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Mark Galley
How to Define (and Not Define) a Problem
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Aaron Cross
Cause Mapping® Challenge Reveal: Why Turkeys Explode
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Aaron Cross
Why Do Turkeys Explode? Take the Cause Mapping® Challenge
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Mark Galley
Problem Solving - 3 Basic Steps
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Aaron Cross
Retirement & Expertise Loss: How the Cause Mapping® Method Can Help With Knowledge Transfer
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Renata Martinez
Costumes, Candy and Crosswalks: Reducing the Risk of Safety Incidents on Halloween
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Breast Cancer Awareness: Mapping the Risk Factors
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Katie Wohlust
Halloween Hand Injury: A Case Study of Pumpkin Carving Gone Wrong
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Mark Galley
Making Unknowns Known with Cause-and-Effect Problem Solving
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Aaron Cross
Fundamental Cause-and-Effect Relationships: Investigating a Break
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Mark Galley
Challenger Disaster: Analyzing NASA’s Decision Making with a 5-Why
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Aaron Cross
Levels of Detail: Work Processes as Systems
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Mark Galley
Why Cause-and-Effect Thinking is Important
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Renata Martinez
Investigating Scope Creep: A Laundry (Room) List of Quarantine Qualms
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Mark Galley
How to Make a Timeline
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Loyd Hamilton
The Value of Masks, Timelines & Cause-and-Effect Analysis During a Pandemic
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Mark Galley
4 Formatting Options for Your Investigation Presentation
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ThinkReliability Staff
The Cause Mapping® Investigation Template Explained
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Mark Galley
Why You Should Work Your Problems Backward
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Case Study: The Great Seattle Fire
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Aaron Cross
Vitamin D and Your Immune System: Are You Deficient?
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Aaron Cross
How Vitamin D Can Reduce the Risk and Severity of COVID-19 Infection
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Mark Galley
A Better Problem Definition: Measuring Frequency and Impact to Goals
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Aaron Cross
3 Ways COVID-19 Transmits and Spreads
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Renata Martinez
DIY: How to Facilitate an Incident Investigation Remotely
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Jon Bernardi
But Why? Toilet Paper Hoarding as a Response to COVID-19
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Loyd Hamilton
COVID-19 and Incident Investigations: Why Naming Conventions Matter
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Aaron Cross
How Wearing a Mask Can Prevent Airborne Infection of COVID-19
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Aaron Cross
Lowering the Risk of Contracting COVID-19 Through Surface Transmission
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Aaron Cross
Why a Humidifier May Lower Your Chance of Getting a Respiratory Virus
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Holly Maher
Prevention, Risk Mitigation and the Importance of Word Choice
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Kim Smiley
Case Study: Iowa Caucus Results Delay
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Mark Galley
How 19-Year-Old Solutions Saved a Life at the Daytona 500
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ThinkReliability Staff
Case Study: More Than 160,000 Valentine's Day Text Messages Delayed Nine Months
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Is 'Complacency' the New 'Human Error'?
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Renata Martinez
Why Super Bowl XLVII Was Not Lit
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Mark Galley
Defining ‘Tripped’: The Cause-and-Effect Relationships Within a Fall
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Aaron Cross
3 Ways to Shift Your Problem-Solving Culture from Obligation to Opportunity
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Katie Wohlust
Case Study: Broken Toe Injury
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Jon Bernardi
Case Study: Philadelphia Refinery Explosion and Fire
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Kim Smiley
Getting Started With the Cause Mapping® Template in Microsoft Excel
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Kim Smiley
A Heart-Stopping Error: Medical Procedure Performed on Wrong Patient
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Kim Smiley
Case Study: Customer Complaint Goes Viral
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Jon Bernardi
Case Study: Learning from a Laboratory Fire
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Renata Martinez
Avoiding Nuclear Meltdowns: Detailed Near-Miss and Incident Investigation Lessons
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Katie Wohlust
Case Study: Broken Coffee Mug Hand Injury
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Holly Maher
Typos & Trading Losses: Moving Beyond ‘Human Error’
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Renata Martinez
Avoiding Nuclear Meltdowns: Recognizing and Managing Change Before It’s Too Late
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Aaron Cross
5 Key Elements of a Good Root Cause Analysis
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Loyd Hamilton
Case Study: The Day Big Blue Fell
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Katie Wohlust
How to Investigate a Hand Injury
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Renata Martinez
How to Move an Investigation Past Preconceived Ideas
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Kim Smiley
Case Study: Deadly Blood Transfusion Error
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Now What? Handling Crises and Starting Investigations
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Mark Galley
How Clear Are Your Standard Operating Procedures?
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Kim Smiley
Case Study: Baltimore Cyberattack
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Katie Wohlust
How to Investigate a Spill
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Mark Galley
Reduce Human Error: Focus on Task, Not People
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ThinkReliability Staff
Waking Up During Organ Donation: Patient Mistakenly Pronounced Dead
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Loyd Hamilton
The Nuclear War Near-Miss of 1983
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Kim Smiley
Case Study: The Sinking of the Andrea Doria
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Kim Smiley
The Case of Willie King: A Cause Map of a Wrong-Site Foot Amputation
[ Read More ]
Jon Bernardi
Case Study: Massachusetts Gas Explosions
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Kim Smiley
Case Study: Plane Lands At Wrong Airport
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Katie Wohlust
Case Study: Asthma Attack Death Outside Emergency Room Doors
[ Read More ]
Kim Smiley
Case Study: Notre Dame Cathedral Fire
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Loyd Hamilton
Case Study: Lost on the Appalachian Trail
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Katie Wohlust
Shanking the Ball Won't Get You to the Masters: Why Do I Have the Golf Shanks?
[ Read More ]
Loyd Hamilton
Case Study: Can Tardiness Be Solved With Root Cause Analysis?
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Kim Smiley
Case Study: The Morris Worm Brings Down the Internet
[ Read More ]
Jon Bernardi
Where, Oh Where Does This Cause Go?
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Kim Smiley
Case Study: The Camp Fire - California's Most Destructive Wildfire
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Katie Wohlust
Case Study: Investigating the Millennium Bridge Wobble
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ThinkReliability Staff
ThinkReliability Adds New Root Cause Analysis Training Option
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Holly Maher
How Does Waffle House Help FEMA During Disasters?
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ThinkReliability Staff
The Eradication of Guinea Worm Disease
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Mark Galley
How the Scientific Method is Connected to Root Cause Analysis
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Katie Wohlust
When the Excrement Hit the Rotating Equipment: A Root Cause Analysis of the Common Phrase
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Mark Galley
A Root Cause Analysis for Weight Loss
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Renata Martinez
Focus on the Frontline
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Renata Martinez
A Positive Perspective on Problems
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Holly Maher
Why Did Kevin Get Left Home Alone?
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Kim Smiley
Don't trust a single source: The origin of NORAD's Santa tracker
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Aaron Cross
Who Should be Trained in Root Cause Analysis?
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Jon Bernardi
Piper Alpha & the Rose Garden Lessons from the Disaster 30 Years Later
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Kim Smiley
Case Study: New York Limousine Crash
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Ely Wilson
Root Cause Analysis and the Chicken-and-Egg Causality Dilemma
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Sarah Wrenn
Fire the employee - Problem solved?
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Kim Smiley
Case Study: Chatsworth Train Collision
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Katie Wohlust
Case Study: Prosecco Tank Explosion
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Katie Wohlust
Case Study: Italian Hall Disaster of 1913
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Katie Wohlust
Diagramming How Problems Could Happen: Swimming Pool Risk Reduction Case Study
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Katie Wohlust
Process Mapping: Documenting HOW you do WHAT you do
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Mark Galley
What is a High Reliability Organization?
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Kim Smiley
Case Study: Berkeley balcony collapse
[ Read More ]
Katie Wohlust
Case Study: Lake Peigneur
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Katie Wohlust
Case Study: The Missing Tybee Bomb
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Mark Galley
Why does my Starbucks cup drip?
[ Read More ]
Kim Smiley
Case Study: Three Mile Island
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Mark Galley
5-Why is as Simple as a Shovel
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Kim Smiley
Case Study: Apollo 13
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Katie Wohlust
Case Study: Mississippi oilfield explosion and fatalities
[ Read More ]
Mark Galley
Can I Build the Cause Map™ Diagram Ahead of Time?
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Kim Smiley
Case Study: Amazon Echo
[ Read More ]
Katie Wohlust
Case Study: Teton Dam Failure
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Mark Galley
Prevention, Not Blame
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Mark Galley
Re-thinking 'Procedure not followed'
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Katie Wohlust
Can an incident be too BIG or too SMALL to Cause Map?
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Katie Wohlust
Case Study: Triangle Co Fire
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Mark Galley
Case Study: New York City Helicopter Crash
[ Read More ]
Mark Galley
How to Investigate Workplace Injuries
[ Read More ]
Kim Smiley
Case Study: USS Akron
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Mark Galley
Root Cause Logic - A Common Error
[ Read More ]
Mark Galley
Improving the Fishbone cause-and-effect diagram
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Mark Galley
Top Criticisms of the 5-Why Approach
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Aaron Cross
We've Updated the Cause Mapping Template
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Mark Galley
Case Study: 5-WHY Toyota Welding Robot
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Jon Bernardi
Broken up About Humpty Dumpty
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Kim Smiley
Case Study: Worst School Disaster in US History
[ Read More ]
Mark Galley
How to Investigate a Near-Miss
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Mark Galley
Re-Thinking Human Error
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Mark Galley
Using a root cause analysis template for better documentation
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Mark Galley
How are FMEA and RCA connected?
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George Hale
How Reliable Does Your Work Process Need To Be?
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Mark Galley
What is Root Cause Analysis?
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Holly Maher
Case study: Hawaii False Alarm Creates Panic for 38 Minutes - Work Process Improvement Opportunity
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Katie Wohlust
When your incident investigation ends with 'Fix/Replace'
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Katie Wohlust
When your incident investigation ends with a 'remind employees to'
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Katie Wohlust
When your incident investigation ends with 'Retrain Employees'
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Katie Wohlust
Accountability vs. Blame: The Mattress Mix-Up
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Sarah Wrenn
10 Characteristics of an effective Cause Mapping facilitator
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Jon Bernardi
How much detail is required in your root cause analysis?
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Staci Dekunder
Avoiding procedure horrors in your own little shop
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Kim Smiley
The importance of testing: Issues with the Mark 14 Torpedoes
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