When you attend the Summit, you NOT ONLY
- learn best practices
- hear world renowned speakers
- enjoy a great party at Margaritaville with rock musician, Carl Dixon
- take exclusive courses
- visit the entertainment capital of the world
but ALSO have a chance to win amazing prizes just for showing up. Check out these awesome prizes we have waiting for our attendees:
REGISTER TODAY for the 2015 Global TapRooT® Summit.
LEARN MORE about the Summit!
Attending the 5-Day Advanced Root Cause Analysis Course in Hamburg, Germany will be a great experience because the training is exceptional. But you may also be interested in attending the Miniature Wonderland. Watch the following video for more info …
Among the many reasons to visit Cape Town, South Africa, a TapRooT® Course is one of the best. Join us on May 18, 2015 for a 5-Day Advanced Root Cause Analysis Team Leader Training course and gain the knowledge and ability to help improve your business. According to the New York Times in 2014, Cape Town was ranked the best place in the world to visit. The world famous harbour and natural setting in the Cape floral kingdom brings tourists from all over the world to admire its beauty. You will fall in love with this city.
The Test Kitchen: Looking for something a little different? The Test Kitchen offers a warm atmosphere with genuine flavours prepared by their world-famous chef.
Miller’s Thumb: This fun, colorful restaurant is sure to show you a good time and feed you delicious, fresh fish.
Myoga: Relaxation can be a key factor when choosing where to eat dinner. Myoga strives to entertain you with their open kitchen and earthy ambience to bring complete relaxation with your meal.
Table Mountain National Park: Cape Town being on the beautiful harbour, opens up their incredible natural attraction to the public for a fun, unique experience.
The Old Biscuit Mill: Located in the heart of Woodstock, The Old Biscuit Mill brings in local artists to show their passions to the public in an intriguing environment.
Two Oceans Aquarium: Bringing the family with you the Cape Town? Spend the day at Two Oceans Aquarium for an exciting, interactive, educational day.
Click here to register for this course today!
I was e-mailing with a TapRooT® User today and this is part of what they had to say about the Summit …
“… they are the best conferences that I have been to in the over 40 years of my career!!!”
See what he was talking about at:
We’ve been featuring some fun things we like to do in Las Vegas, and so far have a dozen suggestions:
Eat, Drink & Relax
What are your favorite things to do in Vegas? Leave your comments below and share with other attendees, and don’t forget to join us for the 2015 Global TapRooT® Summit, June 1 – 5, 2015 in Las Vegas, Nevada.
One of the final steps in performing a TapRooT® Root Caquse Analysis is finding Generic Causes.
What is a Generic Cause? It is the reason that a root cause is widespread.
For example, a root cause for an error made while using a procedure might be that the procedure have more than one action per step.
4. Remove the drum lid and the polyethylene liner lid, place liner in prepared drum and place in loading position at the final packaging hut. Insert plastic bag in drum liner. Seal the plastic bag with tape to the inside of the drum loading insert.
The fix for this specific root cause might look something like this:
4. Remove the drum lid and the polyethylene liner lid. . . . . . ___
5. Place liner in prepared drum. . . . . . . . . . . . . ___
6. Place prepared drum in loading position at the final packaging hut. . ___
7. Insert plastic bag in drum liner. . . . . . . . . . . . ___
8. Seal the plastic bag with tape to the inside of the drum loading insert. ___
If the team then went to check other procedures and found that this problem was widespread, they would then have a generic problem. The question then becomes: “Why is the problem of ‘more than one action per step’ so widespread? What is the generic Cause that allows us to produce poor procedures?
The root cause analysis team may find that the people writing procedures have no guidance for writing procedures and no training on how to write procedures.
This should cause the team to look for other generic procedure problems.They might also find that procedure formats are confusing, the level of detail is inconsistent, there are excessive references,and the graphics need improvement.
The Corrective Action Helper® Guide provides guidance to fix these kinds of Generic Causes. But the widespread generic procedure problems probably indicate that the company or site doesn’t really know how to produce good procedures. Therefore, the Corrective Action Helper® Book recommendation to fix specific Generic Causes might not be enough guidance.
For example, the Corrective Action Helper® Guide says that for generic “greater than one action per step” problems, the investigators should consider:
“…a general procedure improvement program to remove multiple actions per step from the rest of the facilities procedures.”
However, if the procedures are in really bad shape, more must be done.
Of course, the Corrective Action Helper® Guide provides even more information – references. And if the investigators read the suggested reference, they may look for the additional problems and develop a plan to improve their procedures that is more comprehensive.
That would be great. But how many team read the references? My guess is … not that many. After all, in today’s downsized, super-efficient workplace, people just don’t have time.
That why System Improvements is here to provide assistance.
If you run into generic problems that you think may be important to fix, we can help.
At a minimum, we can coach your team on the development of generic corrective actions.
Beyond that, we can put an evaluation team together to evaluate the scope of the Generic Cause and develop a plan to improve performance by eliminating the Generic Cause and upgrading current systems.
Finally, if you really need help, we can put together a team to help implement the fix. In this cause, a team of experienced procedure writers to help your company fix their current procedures and coach your procedure writers how to write better procedures in the future.
We can even make rerun visits to audit the status of the corrective actions and the work of your procedure writers.
So when you find a Generic Cause that you know your company isn’t good at fixing (or doesn’t have the time to explore and fix), remember that System Improvements can help.
Don’t let problems repeat because Generic Causes are left un-fixed. Get help. Call us at 865-539-2139 or CLICK HERE to end us a message. We can help you improve!
Here are some photos of the recent Onsite TapRooT® course at Fresenius in Reynosa, Mexico.
Click here to inquire about an Onsite Course at your workplace.
Click here to see the many locations of our Public Courses.
SAVE THE DATE for our Global TapRooT® Summit this June 1-5 in Las Vegas. Click here for more information.
Don’t end up “fixing” the same equipment problems over and over again. Don’t let equipment issues cause quality, operations, and safety issues. Find the real root causes of your equipment reliability issues and develop effective fixes that will keep them from happening again by using this systematic process.
Did you know that we have 3-day and 1-day courses? What’s the difference? 3-Day Courses include the 1-Day Equifactor® Course along with the 2-Day Incident Investigation and Root Cause Analysis Course so you have it all in one. The 1-Day courses are just the separate Equifactor® course that requires a previously taken 2-Day course along with it, not necessarily all in one trip.
Why take an Equifactor® course? You will not only receive invaluable knowledge for your business, but also a Free single-user copy of TapRooT® Software. (A $2890 Value!) You can’t get a better deal than that.
Still deciding? Watch the video below to hear our Equifactor® instructor, Ken Reed, talk about why this course is right for you.
Steps to register for the course and Free Software.
1) CLICK HERE
2) Select a 1-Day Equifactor® Course of your choice (Having already taken a 2-Day course or accompanying it with a 2-Day course)
3) Register for the course and add it to your cart
Upcoming Equifactor® Public Courses:
Antoine de Saint-Exupery
Usually you think about goals when you are setting budgets or maybe at the start of the year. But now that we are well into the year (the first quarter is complete), I thought it might be time to review your goals and your progress on them for the year (and into next year).
I though I would start off by providing a list of the Top 10 Goals that would be applicable to most TapRooT® Users. You could review them, see if any of them are on your list, and reflect on how you are doing on achieving them.
Then, once you have contemplated your goals, I have a suggestion for for you to consider for each goal.
So let’s get started. Here are the Top 10 Goals.
TOP 10 IMPROVEMENT GOALS
1. Improve safety to eliminate fatalities and serious injuries at our facilities. (If you are at a hospital, you might modify this goal to be: “Improve patient safety to eliminate sentinel events.” If you are responsible for equipment reliability you could say: “Improve equipment reliability to eliminate unexpected key equipment downtime.” If you are responsible for quality, you might say: “Improve quality before a major quality issue impacts a customer.”)
2. Improve management participation in improvement efforts.
3. Improve employee participation in improvement initiatives.
4. Motivate people to exhibit positive behaviors that result in success at work and at home.
5. Learn proven best practices from industry leaders that I can apply to our improvement initiatives to make them more effective.
6. Improve our corrective actions so that problems never repeat once they are effectively investigated and fixes are implemented.
7. Learn how to stop “normalization of deviance” to ensure our safety policies are effectively applied.
8. Develop proactive performance measures to better understand trends in safety, equipment reliability, and production performance.
9. Become a better TapRooT® User to continuously improve your root cause analysis initiatives.
10. Identify the gaps in our improvement initiatives and find ways to make those gaps into our strengths in the future.
These top ten goals are rather safety oriented, but if you are responsible for equipment reliability, quality, production, patient safety, you can modify the goals with your improvement efforts in mind and the “safety” list can be converted into a patient safety list, an equipment reliability list, or a production efficiency list.
Now, see how many of these goals match those goals on your top 10 list…
Do you have some goals that you need to add to your list?
How are you doing this year meeting your goals?
Have you made enough progress in the first quarter so that you feel confident
that by the end of the year you will have accomplished all of these goals?
TapRooT® Training and the 2015 Global TapRooT® Summit can help you achieve all 10 of these goals. How? Read on …
GOAL 1. Improve safety to eliminate fatalities and serious injuries at our facilities. (If you are at a hospital, you might modify this goal to be: “Improve patient safety to eliminate sentinel events.” If you are responsible for equipment reliability you could say: “Improve equipment reliability to eliminate unexpected key equipment downtime.” If you are responsible for quality, you might say: “Improve quality before a major quality issue impacts a customer.”)
Did you know that the best way to eliminate a problem is to become proactive in fixing problems? That means you must identify problems and fix them (using tapRooT® Root Cause Analysis) BEFORE an accident, sentinel event, equipment failure, quality issue, or production failure occurs.
How are you becoming more proactive? Here are several suggestions…
Proactive Improvement Suggestions
- SAFETY: Did you know that there is a “Proactive Use of TapRooT® Course”? It was developed to teach people how to become more proactive by using TapRooT® Root Cause Analysis to find and fix the causes of problems before major accidents happen. If you are trying to be more proactive, this just might be the course for you. WARNING: There is only one public Proactive Use of TapRooT® Course scheduled for this year. It is on June 1-2 in Las Vegas. If you want to become more proactive, register NOW by CLICKING HERE. Or get more information by clicking here. Also, consider attending the 2015 Global TapRooT® Summit where you will learn about developing proactive performance measures as part of the Safety Improvement Track. Register for both the Summit and the course by CLICKING HERE.
- EQUIPMENT RELIABILITY: If you are interested in improving equipment reliability by the use of effective troubleshooting and root cause analysis tools AND you would like to use those tools proactively, I have a suggestion. First, if you haven’t already attended an Equifactor® Course, sign up for the one on June 1-2 in Las Vegas. These techniques come highly recommend and are based on a combination of the work done by equipment reliability expert Heinz Bloch and root cause analysis expert Mark Paradies. Then you can stay for the Equipment Reliability Improvement and Troubleshooting Track at the 2015 Global TapRooT® Summit where you will meet Heinz Bloch and Mark Paradies and here the latest information about improving equipment performance. See the course description by clicking here. See the track schedule by clicking here. And register for both (and get a discount) by clicking here.
- PATIENT SAFETY: Improving patient safety has been a focus of the Global TapRooT® Summit since the late 1990s. This year we;ve combined a pre-Summit 2-Day TapRooT® Root Cause Analysis for Sentinel Events & Healthcare Quality Improvement Course with the Improving Healthcare Quality and Patient Safety Track at the Summit so that those who aren’t familiar with TapRooT® can learn the techniques and discover how to apply them proactively to improve patient safety. See the course details by clicking here. See the 2015 Global TapRooT® Summit Healthcare Quality and Patient Safety Track schedule by clicking on the track button at this link: http://www.taproot.com/taproot-summit/summit-schedule. Register for both the course and the tracy by CLICKING HERE.
- QUALITY/OPERATIONS: If you would like to apply TapRooT® to improve quality or add it to your Lean/Six Sigma Program, then you should attend the pre-Summit TapRooT® Quality/Six Sigma/Lean Advanced Root Cause Analysis Training. Then attend the Process Quality and Corrective Action Program Track at the 2015 Global TapRooT® Summit. Lean/Six Sigma improvement efforts can be made even more effective (and more proactive) when effective root cause analysis (TapRooT®) is embedded into the program. CLICK HERE to register for both the course and the track.
GOAL 2: Improve management participation in improvement efforts.
Is your management involved in your improvement efforts as much as they should be? Many say that a lack of management support is one of they major problems that have when trying to improve performance.
One thing that improvement managers must realize is that it IS NOT management’s job to stay excited about an improvement program. It is the improvement program manager’s job to keep management excited and to let them know if they fail to show support for the improvement effort.
This is especially true because of the recent downturns in the oil and mining industries. Several people have told me that travel and training bans enacted because of budget cutting efforts are devastating their efforts to benchmark improvements with others and learn new best practices to keep their program moving forward. When these “global bans” get in the way of making improvement progress happen, improvement managers have to point the problem out to management and let them know that this is sending a clear message that the improvement effort is clearly NOT a top priority and clearly falls behind profitability on the list of things management cares about.
Remind your managers that cutting back on improvement is actually expensive because of the costs of poor quality, accidents, equipment failures, and production upsets.
GOAL 3: Improve employee participation in improvement initiatives.
If your employees don’t seem to be involved in improvement efforts, maybe it is because you haven’t provided the opportunity?
Have you trained your employees to use advanced root cause analysis to solve problems and to use the same tools proactively?
If you need to get your employees fully committed to improving, give them the tools they need. Have an on-site TapRooT® Root Cause Analysis Course. Call us at 865-539-2139 or CLICK HERE to request more information about an on-site course.
GOAL 4: Motivate people to exhibit positive behaviors that result in success at work and at home.
Motivating people is a difficult topic. Perhaps the best advice I’ve ever heard about motivation employees was a talk I heard from Dr. Beverly Chiodo. That’s why for the last decade I’ve had her to speak at the Global TapRooT® Summit. And she is speaking again this year in two sessions. The first is the opening keynote talk on Thursday. Her talk is titled “Character Driven Success” and it will have an impact on your life.
She will speak again on Thursday afternoon in a breakout session. Her talk for this session – Praising the 49 Character Traits – will give you practical ideas for changing behavior by properly praising your employees.
If behavior is important to your improvement efforts, don’t miss these two talks. Register for the 2015 Global TapRooT® Summit today.
GOAL 5: Learn proven best practices from industry leaders that I can apply to our improvement initiatives to make them more effective.
How do you learn about new best practices from inside and outside your industry? Inside and outside your profession?
Two standard methods are:
- Industry/professional trade magazines.
- Industry/professional conferences.
There are some excellent conferences to consider in any industry/profession.
What I’ve found is that even at the best of these conferences, there tend to be industry or professional silos. For example:
- Oil industry folks tend to learn best practices from the oil industry,
- Nuclear industry folks learn from the nuclear industry
- Aviation … aviation
- Heathcare … healthcare
- Manufacturing … manufacturing
- Quality folks tend to meet and share best practices with quality folks,
- Equipment reliability … equipment reliability
- Safety … safety
And to make matters worse, we then tend to look inside out own geographic area/culture/language. US people attend conferences in North America. Europeans … Europe. Australians … Australia.
That’s why when we created the TapRooT® Summit we wanted to do something very different. We wanted to cross geographic, industrial, and professional boundaries.
And we wanted to create an environment where benchmarking and sharing experience is fun.
The feedback that we get after every Global TapRooT® Summit is that we’ve done a very good job of that.
For example, a process safety person from a chemical plant learns best practices from a licensing engineer in the nuclear industry. A healthcare quality improvement professional learns best practices from a flight safety professional. And a nuclear safety engineer learns things from an equipment reliability specialist from a foundry.
Not only do they learn, but they have a good time doing it!
That’s why I’ve had many TapRooT® Summit participants tell me that it is the BEST networking experience that they have ever experienced. Better than any industry conference that they go to.
Thus if you haven’t yet met your goal of learning valuable best practices that you can implement to keep your improvement program fresh and progressing, you should consider attending the 2015 Global TapRooT® Summit. See all the track schedules at THIS LINK.
GOAL 6: Improve our corrective actions so that problems never repeat once they are effectively investigated and fixes are implemented.
How is your CAPA program doing in preventing repeat incidents? If your goal is to improve, there are several ideas that I could suggest.
- Perform better root cause analysis. If you haven’t taken a TapRooT® Root Cause Analysis Course, take one SOON! See the course schedule by clicking on your continent at THIS LINK.
- If you already use TapRooT® and want to improve your use of the technique. Attend an 5-Day TapRooT® Advance Root Cause Analysis Team Leader Course. See the course details (which should convince you to attend) at this LINK.
- TapRooT® Users should also consider attending the 2015 Global TapRooT® Summit where there are several track that may be of interest including the Incident Investigation and Root Cause Analysis Best Practice Track, the Process Quality and Corrective Action Program Track, the Safety Improvement Track, and the Improving Healthcare Quality and Patient Safety Track.
- There is actually a pre-Summit course – Creative Corrective Actions Course – that is targeted toward people that want to develop better, more effective, corrective actions. See the details by CLICKING HERE.
At least one of those four ideas should help you jumpstart efforts to reach your goals in 2015/2016.
GOAL 7: Learn how to stop “normalization of deviance” to ensure our safety policies are effectively applied.
Mark Paradies is presenting a session about “How to STOP the normalization of deviation” at the 2015 Global TapRooT® Summit in Las Vegas the Human Error Reduction & Behavior Change Track. The talks is in Session 5. Be sure that you are there if you are interested in this topic and want to STOP the normalization of deviation.
GOAL 8: Develop proactive performance measures to better understand trends in safety, equipment reliability, and production performance.
This is another topic being covered at the 2015 Global TapRooT® Summit. Finals details of this session are not yet posted on the Summit site because the talks are still being developed. But you can be sure that new, interesting, useful information on proactive performance indicators will be presented and that you will develop indicators for your facility.
GOAL 9: Become a better TapRooT® User to continuously improve your root cause analysis initiatives.
You can start your journey to performance improvement by simply attending a 2-Day TapRooT® Incident Investigation and Root Cause Analysis Course. But all TapRooT® Users know, this is just the start. Practice, coaching, and advanced training are part of the journey to becoming an expert root cause analysis investigator.
The 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Training is designed to help you become a root cause analysis expert.
But what do you do to improve your skills after you have attended a 2-Day and 5-Day Course? There are several options.
The 2015 Global TapRooT® Summit includes the following nine tracks:
- Safety Improvement
- Equipment Reliability & Troubleshooting
- Human Error Reduction & Behavior Change
- Improving Healthcare Quality & Patient Safety
- Incident Investigation & Root Cause Analysis
- Process Quality & Corrective Action Programs
- TapRooT® Software
- TapRooT® Certified Instructor
- Special Topics
This is an excellent source of knowledge to improve your performance improvement skills. But beyond the knowledge you learn, you will also make great contacts – friends – across many industries and professional disciplines that can also help you expand your performance improvement network.
Second, before the Summit we hold special advanced training for performance improvement experts to help them refresh and broaden their skills. Before the 2015 Summit, the following advanced courses will be offered that you can use to become a better root cause analysis expert:
- Creative Corrective Actions
- Root Cause Analysis for Sentinel Events & Healthcare Quality Improvement
- Understanding and Stopping Human Error
- Combatting Fatigue
- Interviewing & Investigation Basics
- Proactive TapRooT® Use
- Hazard Recognition
- Getting the Most from Your TapRooT® Software
- TapRooT® Quality/Six Sigma/Lean Advanced Root Cause Analysis
- Risk Assessment and Management Best Practices
- TapRooT® Analyzing and Fixing Safety Culture Issues
- TapRooT® Advanced Trending Techniques
- Advanced Causal Factor Development
- Special 2-Day Equifactor® Equipment Troubleshooting and Root Cause Analysis Course
That’s a great list of courses full of advanced knowledge to help you improve.
When and where are the pre-Summit Courses and the 2015 Global TapRooT® Summit? The courses and Summit will be held in Las Vegas on June 1-5, 2015. Register now to make sure that you get your first choice for training.
GOAL 10. Identify the gaps in our improvement initiatives and find ways to make those gaps into our strengths in the future.
Every TapRooT® Session Track at the 2015 Global TapRooT® Summit includes a session focussed on identifying the gaps in your performance improvement program and developing ideas to improve your improvement efforts to eliminate the gaps. So if you are interested in eliminating the holes in your improvement program, attend the 2015 Global TapRooT® Summit and make your improvement efforts sizzle with new best practices, new ideas, and lessons learned from industry leaders.
That’s it. Ten goals and the ways that TapRooT® Training and the TapRooT® Summit can help you meet those goals.
Don’t waste 2015 and 2016 standing still. Get your performance improvement program moving at the speed of light by getting the training and networking that you need to accelerate your program and your career.
Nancy Hitchins and I are teaching the 5 day course this week in Houston. Here are some pictures of the day one morning activities:
Why not join us for the next course? You can see the schedule and enroll HERE
Watch this video and see if you think they learned all the lessons they should have learned …
Here is an exciting update on the 2-Day Hard Recognition Course that will be offered just prior to the 2015 Global TapRooT® Summit, June 1 and 2, 2015, Las Vegas, NV.
This course focuses on the tried and true methods of hazard recognition including at risk or unsafe behavior, legislation implications, and hazard identification & rectification. The instructor, Peter Berkholz over 30 year of mining and industrial experience. The course includes a site visit to the local Caterpillar Franchise on Day#2, where participants have the opportunity to put into practice the theory learned on Day#1 during a hazard identification exercise.
The course is run to allow participants to learn about different methods of Hazard identification (Day #1) and then apply the learnings through an actual on site hazard identification exercise (Day #2).
Check out the schedule below:
What are hazards?
Why hazard identification is critical in the workplace.
Duty of care and legislative requirements
Hazard/barrier, safeguard model
Hazard identification and rectification
Hazard ID and Risk management tools.
Site visit at the local Las Vegas Cashman CATERPILLAR Equipment outlet. Where we will inspect selected mobile CAT equipment using various hazard identification documents
Feedback on site visit and the use of Hazard ID tools.
REGISTER for this 2-Day Hazard Recognition Course.
LEARN MORE about the 2015 Global TapRooT® Summit.
The employees of Stracon in Lima, Peru worked hard at their recent Onsite TapRooT® Course taught by Hernando Godoy.
Interested in having an Onsite TapRooT® Course at your company? Click Here.
Learn why the Global TapRooT® Summit coming up this June 1-5 is the perfect training and networking opportunity for your company.
Take out your calendars! TapRooT® will be in Nairobi, Kenya May 4-8, 2-15 for a 5-Day Advanced Root Cause Analysis Team Leader Training. You won’t want to miss this opportunity to travel to Nairobi. From a simple rail depot founded by the British in 1899 to the center of the coffee, tea and sisal industry today, Nairobi has grown to be the 14th largest city in the entire continent of Africa. As it continues to grow, so does its business culture and international business hub. Take advantage of this opportunity to travel to the up and coming city of Nairobi with TapRooT®.
Tamambo Karen: Enjoy this modern, gourmet coffee garden with a variety of flavors on the menu.
Naked Pizza: This unique, delicious pizza place in Nairobi is well known and loved by the locals. Enjoy it even from their foodtruck!
Eagles Steak House: Want a more fine dining experience? The’ve got excellent food, view and service.
Nairobi National Park: You can’t go to Kenya without visiting their famous National Park and wildlife.
Nairobi Railway Museum: See the original railway that started up the city of Nairobi back in 1899.
The David Sheldrick Wildlife Trust: If you have a heart for the protection and preservation of Nairobi endangered species, then you’ll want to visit.
REGISTER HERE for this Nairobi, Kenya course on May 4, 2015.
SAVE THE DATE for the upcoming annual Global TapRooT® Summit held in Las Vegas this June. Click here for more information.
Sydney, New South Whales, Australia
Upcoming TapRooT® Public Courses:
New South Whales:
For more information regarding our public courses around the world, click here.