Category: Best Practice Presentations

2018 Global TapRooT® Summit Patient Safety Track

February 12th, 2018 by

The Patient Safety Track is for healthcare professionals and those interested in healthcare. Michele Lindsay shares about what you can expect when you register for this informative track.

Register for the Patient Safety Track.

Learn more about the Summit.

What Will You Learn in the Patient Safety Best Practice Track at the Summit?

January 12th, 2018 by

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Since 1994, System Improvements has included information about improving Patient Safety in the Summit. This year we have a whole best Practices Track dedicated to improving patient safety and a Keynote Speaker talking about a fatal sentinel event.

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Let’s start by telling you about Dr,. Carol Gunn, one of our Keynote Speakers. She is a medical doctor who was trained to use the TapRooT® Root Cause Analysis System before she became a doctor. While she was a doctor, her sister died in a hospital from “complications.” It turns out that those complications were a result of a medical error. She will tell the story of her sisters death and what can be learned when root cause analysis is used properly and what happens when sentinel events are covered up.

Now let’s look at what’s covered in the Patient Safety Best Practices Track:

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Improving Patient Safety – Gaining a Win from a Loss (Michel Lindsay): Michele will share the evolution and success of their system for managing patient safety incidents and the expanded role of the Quality of Care Committee (QCC) on its journey to a high reliability organization at Southlake Regional Health Centre. A serious incident can have devastating outcomes to patients, their families, and to the caregivers involved. Even errors that result in no or mild harm to the patient can be devastating and career changing for staff and physicians. We have created structures and supports for immediate and long term organizational learning and improvements from incidents while maintaining a culture of care. Learn how the process QCC role has assisted in removing the shame and blame from an incident and turned it into a powerful lever for caring, sharing and repairing. Michele will describe the investigation processes using illustrations and case studies to describe how patient safety, learning, performance and culture has been positively impacted by their approach. The presentation includes the input from the COO & SVP Operations, Director of Surgery, the Director of Risk, the Manager of Risk, the Manager of a Cardiac Clinical Program, a Physician and the Quality Specialist.

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Improving Sentinel Event Investigations (Ken Turnbull): Ken is one of the authors of the new book, Improving Patient safety with TapRooT® Root Cause Analysis (to be released somewhere around the time of the Summit) and will share some of the new ideas presented in the book.

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Using Wearables to Minimize Daily Human Errors (Kevin McManus): Look at how wearables are being used both now and in the future to help prevent errors and identify problems more effectively.

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Deep Dive Into the Procedures Basic Cause Category (Ralph Brickey): Procedures (checlists) are almost a new concept being used to improve patient safety. Learn from the TapRooT® procedures best practices including: Learn: the philosophy and practice of using procedures; different types of procedures and how they are addressed in the TapRooT® Root Cause Dictionary and the Root Cause Tree®; and two human performance tools to aid in proper procedure use

Influencing Change (Jonathon Kennedy): Change is what improving performance is all about. What is the best way to influence change? Hear what Jonathan Kennedy has to say.

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Top 7 Secrets of a Great Investigation Interview (Barb Carr): Take your interviewing skills to the next level and collect better quality and quantity of information from your investigative interviews by harnessing the power of the seven secrets.
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TapRooT® Users Share Best Practices (Linda Unger): Share best practices about root cause analysis, investigations, and performance improvement with industry leaders from around the world.

Performance Improvement Gap Analysis (Linda Unger): Evaluate where you are and where you want to go and how you will apply what you have learned at the Summit to improve performance at your facility. The goal of this session is to go back to work with a plan to improve patient safety.

That an impressive list of breakout sessions.

So are you really interested in improving patient safety? Then you should attend the 2018 Global TapRoot® Summit. Register HERE!

2018 Global TapRooT® Summit Updates!

December 19th, 2017 by

There’s been LOTS of exciting news posted lately about the upcoming 2018 Global TapRooT® Summit, so I thought I’d organize it all into one post and help you catch up.

There are NINE Best Practice Tracks you can choose from for your Summit experience (February 28 – March 2):

  1. Human Factors
  2. Investigator
  3. Quality
  4. Safety
  5. Software
  6. TapRooT® Instructor Recertification
  7. Alternative Sessions (More info to come in January)
  8. Asset Optimization
  9. Patient Safety (More info to come in January)

There are TEN 2-day Pre-Summit Courses for you to choose from (February 26 – 27)

  1. TapRooT® Root Cause Analysis Training (Course description)
  2. Equifactor® Equipment Troubleshooting and Root Cause Analysis (Course description)
  3. Advanced Causal Factor Development Course (Course description)
  4. Advanced Trending Techniques (Recent update! | Course description)
  5. TapRooT® Analyzing and Fixing Safety Culture Issues (Recent update! | Course description)
  6. Risk Management – Best Practices & Risk-Based Thinking (Recent update! | Course description)
  7. Getting the Most from Your TapRooT® VI Software (Recent update!Course description)
  8. TapRooT® for Audits (Recent update! | Course description)
  9. TapRooT® Evidence Collection and Interviewing Techniques to Sharpen Investigation Skills (Recent update! | Course description)
  10. Understanding and Stopping Human Error (Recent update! | Course description)

Make plans to attend the Reception with Carl Dixon.

And don’t forget to check out the recently updated Hotel & Travel page for ideas about:

  • where to stay.
  • how to get around Knoxville once you arrive (“Transportation Tips”).
  • what’s happening around town that you may be interested in during your free time.

And CLICK HERE to view our informative short Summit videos.

REGISTER NOW.

Sign up now for the February 2018 Global TapRooT® Summit Quality Track

December 19th, 2017 by

 

Need a jumpstart on your Quality Management System’s improvements to better utilize your company’s product realization? Sign up for the Quality Track during the Global TapRooT® Summit, Knoxville, Tennessee, February 26 – March 2, 2018

Improve Your Resource Usage Management by attending:

Mark Paradies (the creator of TapRooT®)

How to Replace 5 Whys with TapRooT® for Better Results

People argue that 5-Whys is a “good enough” root cause analysis tool. They say it’s simple to ask “why” five times and that people in the field can “understand it.” Well, the time has come to put that argument to bed… 5-Whys is inadequate. It has fundamental flaws that make it inadequate. This session will demonstrate how replacing 5-Whys with TapRooT® provides better results.

 

Kevin McManus– Great Systems!

Stop Daily Goofs for Good

This session has a proactive, process-based focus, and promotes the use of systematic improvements to prevent human error and improve cognitive ergonomics on the job.

Using Wearables to Minimize Daily Human Errors

Look at how wearables are being used both now and in the future to help prevent errors and identify problems more effectively.

 

Barb Carr – System Improvements, Inc.

Top 7 Secrets of a Great Investigation Interview

Take your interviewing skills to the next level and collect better quality and quantity of information from your investigative interviews by harnessing the power of the seven secrets.

 

Improve Your Management Responsibility by attending:

 John Boyle

Making Audits an Integral Part of a Proactive Improvement Program –

This session has a proactive, process-based focus, and promotes the use of systematic improvements to prevent human error and improve cognitive ergonomics on the job. Kevin McManus

 Jonathan Kennedy

Influencing Change

Nothing happens without change. Nothing happens without support of change. Learn techniques to increase the ability to change with full management support.

 

Improve Your Analysis and Improvements by attending:

Christopher Vallee – System Improvements, Inc.

What is a Trend and How Can You Find Trends in the TapRooT® Data?

You have invested in TapRooT® and have root cause data, but do you know what the data tells you? Do you know if what you are measuring has changed for the good or the bad? Do you know how to access your trend-able data in your VI Software? Learn what to look for, what needs to be acted on and how to access the data on VI Software.

Performance Improvement Gap Analysis

Put together everything that you learned this week in your Summit Tracks and from your peers, then develop your action plan to hit the ground running.

REGISTER NOW or

Learn more!

Sign up now for the Investigator Best Practices 2018 Summit Track

December 18th, 2017 by

The 2018 TapRooT® Summit will be in Knoxville, TN February 28 – March 2, with unique and valuable Pre-summit courses on February 26 and 27. Make plans to attend, and sign up early since this will be a blockbuster!

As the coordinator for the Investigator Best Practices Track, I’d like to introduce the speakers and best practice sessions.

How to Replace 5 Whys with TapRooT® for Better Results – Mark Paradies (the founder of TapRooT®)
This session will demonstrate how replacing 5-Whys with TapRooT® provides better results. It is a misconception that 5-Whys is “good enough” for root cause analysis. It has fundamental flaws, not least of which is that it introduces investigator bias. TapRooT® will yield better results also in complex, but also in smaller investigations.

Improving Safety Culture through measuring and grading investigations – Jack Frost (VP Matrix Service, contractor to energy, power and manufacturing)
Continuous improvement is important not just in production but also with the HSEQ efforts. In this session Jack Frost will share how a disciplined approach to incident investigations over three years has improved performance more than 40%, and improved the safety culture in an organization. Central to the approach has been a focus on engineering controls, quality assurance of investigations, and use of KPIs for personal accountability and rewards.

Making sense of complex investigations– Pat Fortune (team lead for EH&S major projects at Suncor Energy)
Pat is an “investigator’s investigator” with dozens of years of experience. He will warn us not to go down the wrong track with investigations, not take shortcuts but be disciplined and use the expertise built into the Root Cause Tree®

Best practices for sharing lessons learned – Pat Fortune
This session focuses on Pat’s take on “the learning organization”, that does investigations of incidents and near misses but also broadly communicates results internally. You will greatly benefit from making this approach part of your company DNA.

The psychology of failing fixes – Kevin McManus (Author and trainer with 35 years experience with Engineering, Training, and as a Plant Manager and Director of Quality)
This will be a top session on understanding the psychology behind insufficient fixes. Learn how blaming individuals and mis-identifying systemic root causes can lead to failing corrective actions

Top 7 secrets of a great investigation interview – Barbara Carr (TapRooT® trainer and co- author of the new book “Evidence Collection and Interviewing Techniques to Sharpen Investigation Skills”)
There are certain techniques and approaches that are proven to work well when doing investigative interviews. Come learn how to collect better quality and quantity of information from people you talk to.

Deep Dive into the Procedures Basic Cause Category – Dr. Ralph Brickey (TapRooT® trainer with a 28 year background in nuclear power maintenance, training and program management)

An investigator looking at an incident may find that performance would have improved if a well-written procedure was used correctly. This Basic Cause category deals with instances where a procedure was not followed, was wrong, or followed incorrectly. Learn what a good procedure looks like, and what pitfalls exist with obsolete or poorly written ones. Ralph will make sure this is a lively and interactive session, as he “is curious about almost everything and interested in the rest.”

Participants in this eminent track will of course also have opportunity to hear the different keynote addresses. Feel free to contact me with questions, and register today!

Are you on Santa’s “Naughty” or “Nice” List for investigative interviewing?

December 12th, 2017 by

 

 

I’m really excited to share the “Top 7 Secrets of a Great Investigation Interview” during Global TapRooT® Summit Week, February 26 – March 2, 2018 in Knoxville, Tennessee. Meanwhile, in the spirit of the season, I want to share some interviewing tips to keep you on Santa’s “nice” list!

.

Santa’s Nice List Santa’s Naughty List
.

Explain to the worker that you want to
interview him/her to find the root causes of
the problem so you can fix them.

.

Explain to the worker that you want to
interview him/her to find out who is responsible
for the mistake because they deserve to be fired.

.

Ask the worker open ended questions.
“Tell me about… ” and then listen
to their narrative without
interruption
.

.

Interrupt the worker whenever you think of a
question or comment he or she may find accusatory,
like, “Mark, isn’t it true that you disregarded company
procedure? Why did you intentionally do that?”
That will pressure him/her to spill the beans!

.

Tell the worker that you will share information
with only those who need to know.

.

Promise total and complete confidentiality. You know
you can’t, but they’ll tell you more if you do.

.

Let the worker know you’ll take notes during
the interview and that you will review them
together upon the conclusion of the interview
to make sure you understood everything
correctly.

Don’t take any notes. You already know
what happened – you’ve seen it a million times.

.

What do you think? What best practices do you use for investigative interviewing? What practices do you think lands an investigator on the “naughty” list?

Software Track at the 2018 Global TapRooT® Summit

December 7th, 2017 by

 

We’re getting closer to the 2018 Summit in our hometown of Knoxville, TN on February 28th -March 2nd (Pre-summit courses February 26th-27th)!

Here’s what you can look forward to in our Software Track sessions:

The TapRooT® Software Sandbox – Dan Verlinde and Angie Comer

In this session, you will have access to the latest TapRooT® VI Software and have an opportunity to navigate throughout the application. You can ask questions and learn tips and tricks from the designer of the software himself!

Instructor Software Updates – Dan Verlinde and Ken Reed

This session is intended for certified TapRooT® Instructors and will provide important updates and information on the software.

What’s New in TapRooT® Software – Dan Verlinde

Learn what’s new in the TapRooT® Software and get a sneak peek at what’s coming soon in 2018!

Building Your Software Incident Report – Dan Verlinde

In this session, you will learn how to create customized reports and templates in the software that you can easily use to effectively share your incident, investigation and audit findings with others.

Software Advisory Board – Dan Verlinde (and Software Advisory Board Members)

A discussion on current software topics will be held in this session with members of the Software Advisory Board.

What is a Trend and How Can You Find Trends in the TapRooT® Data – Chris Vallee

You have invested in TapRooT® and have root cause data, but do you know what the data tells you? Do you know if what you are measuring has changed for the good or the bad? Do you know how to access your trend-able data in your VI Software? Learn what to look for, what needs to be acted on and how to access the data on VI Software.

Best Practices for Sharing Lessons Learned – Pat Fortune

Learn best practices for sharing lessons learned from an experienced TapRooT® Investigator.

Performance Improvement Gap Analysis – TapRooT® Instructor Team

Meet with other TapRooT® users from world leading companies and discuss lessons learned, best practices and favorite takeaways that you can apply to your business and share with team members once you leave the summit.

And of course, all tracks attend the inspiring KEYNOTE SPEAKER sessions.

Also, don’t miss a chance to learn even MORE about the software in our Pre-Summit, Getting the Most from Your TapRooT® VI Software course.

We can’t wait to see you there! To register for the Summit, click HERE.

Register for the Safety Track at the 2018 Global TapRooT® Summit

November 22nd, 2017 by

Dave Janney shares the details about his track with Michelle Wishoun.

Risk Assessment and Management Best Practices Training

October 27th, 2017 by

We are pleased to announce that Jim Whiting will be returning to the Global TapRooT® Summit to teach Risk Assessment and Management Best Practices.

Jim brings his risk management and root cause analysis experience and best practices from around the world (Australia/New Zealand, North America, Asia, Africa, and Europe) to this course. He is an internationally known Risk Engineer and HSE expert with 30 years experience. Jim was former CEO of the National Safety Council of Australia.

If you are interested in improving the efficiency of your improvement efforts by getting the most out of your use of risk management and root cause analysis techniques, join us for this course.

Click here to learn about this February 26-27, 2018 Pre-Summit Course.

Safety Track at the 2018 Global TapRooT® Summit

October 23rd, 2017 by

It is almost here! The 2018 Summit! Join us in our hometown of Knoxville, TN on February 28-March 2 (Pre-summit courses on February 26-27).

As the coordinator for the Safety Track, I wanted to give you a preview of the speakers we have lined up for this track:

How to Replace 5 Whys with TapRooT® for Better Results – Mark Paradies (the creator of TapRooT®!)

People argue that 5-Whys is a “good enough” root cause analysis tool. They say it’s simple to ask “why” five times and that people in the field can “understand it.” Well, the time has come to put that argument to bed… 5-Whys is inadequate. It has fundamental flaws that make it inadequate. This session will demonstrate how replacing 5-Whys with TapRooT® provides better results.

Making Audits an Integral Part of a Proactive Improvement Program – John Boyle

Do you face resistance when asking for audit funding and resources? Does management not see the benefits of conducting audits? Do the people you audit consider audits a waste of their time and resources? We will explore how to shift your improvement emphasis from reactive to proactive by properly planning and executing audits and turning audit findings into meaningful improvement recommendations.

TapRooT®: The One Stop Solution to Managing Risk – Nancy Hitchins

World-class organizations have utilized TapRooT® for years to identify root causes of safety, environmental, and quality incidents, in order to generate and implement effective corrective actions.

The requirement to identify causes of non-conformities, and implementation of effective corrective actions is not new to the OHSAS/ISO management system standards. Utilization of TapRooT® in the investigation of non-conformities has been successfully utilized for this purpose for many years.

The 2015 management system standards emphasize a process approach, rather than element, to assist in understanding the inter-relationships of an organization’s processes, incorporating the P-D-C-A cycle and risk-based thinking. The TapRooT® SnapChart® is a perfect solution for documenting processes, and identifying where, in each process, risks exist. ISO requires that controls be put in place to minimize negative effect of these risks. The TapRooT® Root Cause Analysis of Causal Factors (Risk) facilitates meeting this requirement, leading to effective controls based upon cause of risk.

During this hour, these ISO requirements will be further discussed, including a demonstration of utilization of TapRooT® to support risk management for your organization.

The Psychology of Failing Fixes – Kevin McManus

This session focuses on how failing to find systemic root causes and/or continuing to see human error as a root cause will lead to a very high percentage of fixes being written that have a high likelihood of failing.

Clarifying Common Misuses of Safety Risk Language – Jim Whiting

This session covers how the welcome and necessary shift of HSE management from absolute safety to risk based safety can be adversely affected by common misuses of HSE risk terminology and language.

Examples of clarification of common misuses of risk language will include:

• how to clearly distinguish between the 3 risk terms: potential, possible and probable
• clarifying descriptive and predictive interpretations of the traditional incident / risk triangles and icebergs in general and in particular the supposed 20% of low severity incidents having a high but poorly defined SIF potential rate. (SIF = Serious Injury / Fatality)
• the futility of using pseudo risk terms such as most likely consequence and maximum reasonable severity in decision-making of what kind of incidents require what level of investigation
• unnecessary replacement of the term risk factor by incident precursor
• recognition that many incident / risk scenarios cannot always be described with linear 1 dimensional Swiss cheese-type models / event trees
• confusion between Zero Harm and Zero Risk
• how the expression “Journey to Zero Harm” can be a HSE Culture Carcinogen

How to Communicate Successfully – Vincent Phipps

In this session, you’ll learn how to listen, negotiate, build teams, gain rapport and increase trust. Identify your communication strengths and weaknesses and take your communication skills to a dynamic new level.

Pike River: The Human Story – Karl Berendt

Pike river was the worst workplace disaster in recent New Zealand history.

On November 19, 2010, 29 miners lost their lives when a methane gas explosion tore through the isolated mine located on rugged West Coast of the South Island.

Even though there were warning signs that things were going wrong in the day-to-day running of the mine, Pike River was a classic accident waiting to happen.

Over the last 12 months, Karl has spoken with those closely linked to this disaster. The insights from families, workers and survivors paints a picture about the importance of good corrective actions, communication and what happens when we get it wrong.

And of course, all tracks attend the KEYNOTE TALKS

We hope to see you there! To register for the Summit, go HERE

Users Share Best Practices: Creating A Review Cell For The Incident

November 16th, 2016 by

Our 2016 Global TapRooT® Summit was a great success this year! Our attendees helped one another by sharing some of their best practices. Here Michael Miraglia details how his company creates what they call a “review cell” to investigate an incident.

(Click post title if video is not displaying.)

2016 TapRooT® Summit Best Practice Presentations for All Sessions

August 3rd, 2016 by

Here are the presentations and handouts for the 2016 TapRooT® Summit:

If you can’t find the presentation you’re looking for or you have questions, please e-mail Barb or Gabby.

Best Practice Session 1
Wednesday, August 3, 2016
10:30 a.m. – noon

TapRooT® Users Share Best Practices (Linda Unger, Benna Dortch and Michelle Wishoun)

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Who Really Own the Quality Defect? (Chris Vallee & Kevin McManus)

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The TapRooT® Software Sandbox (Dan Verlinde & Angie Comer)

*There will not be a presentation available for this track.

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Learning From the Best Maintenance Program in U.S.A. (Gary Gardner)

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7 Deadly Sins of Human Performance (Mark Paradies)

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Best Practice Session 2
Wednesday, August 3, 2016
1:30 p.m. – 2:30 p.m.

Weatherford’s Global Journey to HSE & Quality Improvement with TapRooT® (David Smith & Shawn Holden)

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Grade Your Investigations (Mark Paradies & Jack Frost)

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Bhopal Disaster (A Definitive TapRooT® Analysis) (Ken Bloch)

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Using the Optional Techniques in the TapRooT® Software (Dan Verlinde)

*There will not be a presentation available for this track.

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What is Equifactor®? (Ken Reed)

*There will not be a presentation available for this track.

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TapRooT® Changes in the Medical Community (Ed Skompski)

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Best Practice Session 3
Wednesday, August 3, 2016
2:45 p.m. – 3:45 p.m.

Proactive Use of TapRooT® (Dave Janney)

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What’s New in the TapRooT® Software? (Dan Verlinde)

*There will not be a presentation available for this track.

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Human Error Causes of Quality Problems (Chris Vallee & Tommy Garnett)

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How to Do a New Implementation of TapRooT® (Ed Skompski)

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What is RAM Modeling? (Mark Olson)

*This presentation will not be available due to confidentiality reasons.

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A Life of Illusion: Getting to What is Real (Carl Dixon)

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Best Practice Session 4
Thursday, August 4, 2016
10:15 a.m. – 11:45 a.m.

Certified TapRooT® Instructor Recertification Workshop (Linda Unger, Michelle Wishoun, Ken Reed)

*There will not be a presentation available for this track.

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TapRooT® Software Advisory Board- Future APIs (Dan Verlinde, Angie Comer, Leah Cartwright)

*There will not be a presentation available for this track.

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The Business End of Equipment Reliability, Part I (Heinz Bloch)

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Interviewing Behaviors & Body Language (Barb Phillips)

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Character Driven Success (Dr. Beverly Chiodo)

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Improve Accountability, Execution & Performance (David Doyle)

*This presentation will not be available due to confidentiality reasons.

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Best Practice Session 5
Thursday, August 4, 2016
12:45 p.m. – 1:35 p.m.

Deep-Dive Into Procedures & Management System (Ralph Brickey)

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The Right & Wrong Way to Analyze an Audit Compliance Finding (Alethea Arnold & Nancy Hitchens)

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Praising the 49 Character Traits (Dr. Beverly Chiodo)

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Risking Assessing the Perfect Murder (Alan Smith)

*This presentation will not be available due to confidentiality reasons.

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Contract Instructor Software Training (Ken Reed & Dan Verlinde)

*There will not be a presentation available for this track.

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Best Practice Session 6
Thursday, August 4, 2016
1:50 p.m. – 2:40 p.m.

CHAP (Joel Haight)

*There will not be a presentation available for this track.

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The Business End of Equipment Reliability, Part II (Heinz Bloch)

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Writing TapRooT® Driven Preventative & Corrective Actions Workshop (David Davis & Troy Bonar)

*This presentation will not be available due to confidentiality reasons.

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Building Reports & Templates Using the TapRooT® Software (Dan Verlinde)

*There will not be a presentation available for this track.

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Arc Flash Loss Prevention (Scott King & Terry Butler)

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Best Practice Session 7
Thursday, August 4, 2016
2:55 p.m. – 3:45 p.m.

TapRooT® Advisory Board (Mark Paradies, Linda Unger, Dan Verlinde & Ken Reed)

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12 Steps for Conducting a Professional Interview  | Excellent video on Cognitive Interviewing  (Barb Phillips)

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Anatomy of a Medical Investigation (Ed Skompski & Michele Lindsay)

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What’s Holding You Back- Common Barriers to Process Excellence (Kevin McManus)

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TapRooT® in “What If Analysis” (Joel Solomon)

*There will not be a presentation available for this track.

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Fast Investigations for Simple Incidents (Mark Paradies)

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Best Practice Session 8
Friday, August 5, 2016
9:00 a.m. – 10:40 a.m.

Planning Your Improvements (System Improvements Team)

 

If you can’t find the presentation you’re looking for or you have questions, please e-mail Barb or Gabby.

NEW Summit Session: Carl Dixon Teaches the Value of Recognizing the Illusion in Ourselves and in Others

May 26th, 2016 by

Are you building an empire on an illusion? Or is it a dream?

In the course of a lifetime, we are continually obliged to choose thoughts and take actions that support our progress and our very existence. Many times a day we must make a choice of what we are going to do, how we are going to do it, and why we are going to do it. We need a guiding thought on which to base these choices, and as humans have gotten more and more removed from the basic needs of survival we have created the ability to willfully be immersed in a made-up world constructed solely of the thoughts we select.

It’s natural, and perhaps inevitable, that sometimes we meander off the path of what’s best for us when the very powerful human brain can be ordered such that we’ll believe that something false is real, or that something real is false.

Il-lu-sion
noun
1. a thing that is or is likely to be wrongly perceived or interpreted by the senses.
2. A deceptive appearance or belief
3. A false idea or belief

Behaviour driven by illusion on a personal level or on an institutional scale is all around us, and is not a trifling thing. Illusion can lead either slowly or quickly to any and every kind of disaster or dissolution BECAUSE IT FLIES IN THE FACE OF REALITY.

The crash must come. “Reality will rear back and bite and bite like a snake”

When we invest our entire being, our future and our happiness into an illusion it is only a matter of time before all is lost. Yet, humankind must have hope to go forward with life and be inspired to greater effort; reality in itself does not inspire. Hope drives all progress. Humans are creative beings who need to make our world to order. We dream of what could be and set to work creating it.

How valuable then to recognize Illusion in ourselves or in others, with its twisting of what is, and distinguish it from the Real. Acknowledging the Real allows us the Dream.

“The Dream is a ladder; the illusion a wall”

Join CarDixon.Carll Dixon at the 2016 Global TapRooT® Summit for this life-changing session, “A Life of Illusion – Getting to What is Real” (Best Practice Session 3) on Wednesday, August 3, 2016 from 2:45 p.m. to 3:45 p.m.

Dixon is a Canadian rock musician who has been a part of such bands as Coney Hatch, April Wine and The Guess Who. In 2008 he was involved in a near fatal car crash that could have cost him everything. His story is more than a tale of “had it all and almost lost it”; for Carl the story became, “What now?”

“Our thoughts determine our path; if we find ourselves on a bad path it’s never too late to substitute better thoughts in place of unsatisfactory ones. We have the ability to decide our thoughts, to choose strength over weakness, courage over fear, stoicism over complaint. Sure, it’s not always easy, but it can become a habit every time you remember that the strong choice is the better choice”.

Learn more about other alternative sessions you can choose to customize your schedule by visiting http://www.taproot.com/taproot-summit/summit-schedule and clicking on the “Alternative Sessions” radio button on the top left menu bar.  This will display all of the alternative sessions in the red boxes on the schedule.  Let us know if you need help registering for any of them or if you want to change your schedule to add Dixon’s session at: editor@taproot.com.

 

New Session in the Safety Track at the 2016 TapRoot® Summit – What Can You Learn from Criminals???

May 26th, 2016 by

Screen Shot 2016 05 25 at 10 51 12 PM

What can you learn about planning a high risk business activity from the planning for a high risk criminal activity?

Probably much more than you might think!

The Global TapRooT® Summit is all about learning from other industries and disciplines and it certainly is different learning from criminal activities and criminal investigations. This talk is based on Alan’s first hand experience with a murder investigation that will keep you riveted to his every word. Don’t miss it.

We have just scheduled a new talk in the Safety Track at the 2016 Global TapRooT® Summit.  “Risk Assessing the Perfect Murder” will be held on Thursday, August 4, 2016 from 12:45 p.m. to 1:35 p.m.

Alan Smith, a former Detective Superintendant with the Grampian Police in Scotland, is now a TapRooT® Instructor and a Director of Matrix Risk Control in Aberdeen, Scotland and is leading this intriguing course.

See the complete 2016 Global TapRooT® Summit schedule by CLICKING HERE.

Register for the Safety Track at the 2016 Global TapRooT® Summit (August 1-5 in San Antonio, Texas) by CLICKING HERE. Or add Alan’s talk to another track to customize your Summit experience.

Kevin McManus receives distinguished Fellows Award

May 24th, 2016 by
kevin.mcmanus

Kevin McManus

All of us at TapRooT® would like to extend our warmest congratulations to Kevin McManus who received The Fellows Award among 250 leaders in education and business at the 2016 IISE Honors & Awards Dinner held at the Disneyland Resort.

The Fellows Award recognizes outstanding leaders of the profession (IISE – Institute of Industrial & Systems Engineers) who have made significant nationally recognized contributions to Industrial engineering. A Fellow is the highest classification of IISE membership, and has been given to only 400 individuals globally.

Kevin was nominated and selected for his contributions to Industrial Engineering through his volunteer activities. He has been a supporter of IISE for more than 35 years.  He has written 200 articles for the IISE monthly publication; held workshops; spoke at their conferences; and taught as a guest professor at universities globally.  Kevin is an examiner for the National Baldrige Performance Excellence Award (previously the Malcolm Baldrige Quality Award), a position he has held for 16 years.

Kevin will be co-teaching Advanced Trending Techniques during 2016 Global TapRooT® Summit week (August 1 & 2, San Antonio, Texas) with Mark Paradies, System Improvements’ President.  He will also be presenting “What’s Holding You Back – Common Barriers to Process Excellence” and “Who Really Owns a Quality Defect” at the 2016 Global TapRooT® Summit August 3-5, 2016.

Congratulations, Kevin, on your incredible contributions and hard-earned accomplishments!

Chris Vallee invites you to the Quality Track at the 2016 Global TapRooT® Summit

May 20th, 2016 by

The Global TapRooT® Summit offers multiple focused learning tracks for performance improvement. This video introduces the Quality Track. Come to the Summit and maximize improvement at your company!


Starring Chris Vallee. Produced by Benna Dortch.

 

Interested in the Investigation Track? Learn about it here!

Interested in the Asset Optimization Track? Learn about it here!

Interested in the Safety Track? Learn about it here!

Ken Reed Invites You to The Asset Optimization Track at the 2016 Global TapRooT® Summit

April 22nd, 2016 by

The Global TapRooT® Summit offers multiple focused learning tracks for performance improvement. This video introduces the Asset Optimization Track. Come to the Summit and maximize improvement at your company!


Starring Ken Reed. Produced by Benna Dortch.

Learn more about the Summit!

REGISTER NOW

Interested in the Safety Track?  Learn about it here!

Interested in the Investigator Track? Learn more about it here!

Safety Track at the 2016 Global TapRooT® Summit

March 21st, 2016 by

We are busy preparing for this year’s summit, which will be held August 3-5 (with pre-summit courses on August 1-2) in San Antonio, Texas.

I’m very excited about the lineup for this year’s Safety Track. We have some great speakers and topics:

7 Deadly Sins of Human Performance – Mark Paradies, Creator of TapRooT®

Weatherford’s Global Journey to HSE and Quality Improvement with TapRooT® – Mitch Miller, David Smith, Shawn Holden

Proactive Use of TapRooT® – Dave Janney

Interviewing Behaviors & Body Language – Barb Phillips

Marathon Galveston Bay – Ken Bloch

Arc Flash Loss Prevention – Scott King and Terry Butler

TapRooT® in What If Analysis – Joel Solomon

In addition to the speakers in the safety track, all tracks with attend the keynote sessions each morning and afternoon, with top-notch speakers. We also have the famous Wednesday night reception with great food and drinks and featuring live entertainment from Carl Dixon (of the Guess Who, April Wine, and Coney Hatch). And the best part of the summit? Getting to meet other like-minded professionals; we hear every year from attendees that the Global TapRooT® Summit is the best networking opportunity of the year.

So please join us for the Safety Track at this yea’s summit. For more information and to register, go HERE

See you in San Antonio!

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TapRooT® Summit – Get Amped Up in the Investigator Track!

October 28th, 2015 by

 

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Join us in San Antonio, Texas August 1 – 5, 2016 for the Global TapRooT® Summit!

 

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Ken Reed

Our 2016 Global TapRooT® Summit is just around the corner, and I’m REALLY excited about the session line-up we’ve set up for you. I’m the track leader in the TapRooT® Investigator Track, and we’ve got some excellent sessions planned to help you become a better investigator:

We’re going to start off with a session that lets our TapRooT® Users Share Best Practices with you. What better way to learn about best practice ideas than to get them directly from other users who are successfully implementing at their company? This session is always one of the most useful, hands-on sessions at our Summit.

Are your investigations any good? Mark Paradies is going to run a session on how to properly Grade Your Investigations. He’ll give you industry best-practice ideas on what really matters in an investigation. This isn’t just a high-level thought experiment; you’ll walk away with a grading sheet that you can customize for your company that will allow you to put an actual number grade on each investigation. This is a great way to improve each and every investigation.

Are you ready to implement TapRooT® at your company, but not sure how to get started? Ed Skompski will be leading a session on How to do a New Implementation of TapRooT®. We’ve helped many companies figure out what they need to do for a successful, long-term TapRooT® implementation, and he’s ready to share those ideas with you. Wouldn’t you love to have an implementation checklist?!

Barb Phillips is going to have a couple of sessions on individual investigator techniques. Interviewing Behaviors and Body Language will help you learn advanced skills to perform more effective interviews. The Investigation Team Leader session will give you pointers on how to lead more complex investigations from the perspective of the lead facilitator. These are both going to be terrific sessions for all TapRooT® investigators.

Wouldn’t it be nice to ask all the right questions at your very first interview? In addition to Barb’s topic on body language, we’re going to look even more deeply at how to use The 15 Questions To Identify Interview Topics. This will help you better plan your interviews to ensure you minimize the number of follow-up interviews required during your investigations.

We’ve had many requests to speak in more detail about the intricacies of a few of the Root Cause Tree® Basic Cause Categories. This year, we are going to Deep Dive into Procedures and Management Systems. We’ll show you where some of these root causes come from, and how to recognize them during your investigations.

I’m really excited about my track this year. If you are a TapRooT® investigator, you will not want to miss these sessions. Plan on being in San Antonio next year; don’t miss out on this opportunity!!

Learn more: http://www.taproot.com/taproot-summit/

Are You Comfortable With Just Getting By?

June 15th, 2015 by

Getting comfortable with just getting by, accepting failure, accepting broken rules … these attitudes all contribute to an unhealthy workplace culture that allows major and minor accidents. How do we get back on track?

We livestreamed Mark Paradies’ empowering talk, “How to Stop Normalization of Deviation,” at the 2015 Global TapRooT® Summit in Las Vegas. View the recorded session below and learn how to improve the work culture at your facility.

Broadcast live streaming video on Ustream

Need New Ways to Fix Old Problems? Sign up for the 2-Day Creative Corrective Actions Course!

April 27th, 2015 by

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This 2-Day Creative Corrective Actions course is a popular interactive and practical workshop that provides participants with a process and tools to uncover innovative and creative solutions and discover opportunities that will lead to breakthrough thinking. Follow this process for increasing creativity in process improvement, strategic thinking, or product design. Included in this workshop is Dr. Edward de Bono’s Six Thinking Hats™. Quit solving problems with the same thinking that created them, this course will take you outside the box and around the corner to a place where new ideas are designed.

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Michele Lindsay

This course is taught by Michele Lindsay, President, of P2 – Performance Potential Inc. Toronto, Ontario Canada. Michele is the type of leader that inspires others to design a better outcome and gives them the tools they need to go back to their facilities and create an exciting future. She has been working in the field of investigations and root cause analysis for over 20 years and is passionate about helping organizations and individuals access their potential.

A long time out of the box thinker and a focus on high performance has led Michele down a unique career path not only as a technical specialist in left brained, highly analytic root cause analysis, but uses her right brained creativity and connection to others to help her optimize performance with individuals, teams and organizations.

Michele has contributed to the Wiley Publication – Handbook of Loss Prevention Engineering on the topic of Leadership; Creating Conditions to Get Beyond Compliance to High Performance.   As a TapRooT® instructor for 1000s of learners, and a facilitator or reviewer in close to 100 significant investigations, her extensive background focuses not only on the process and system improvements but engaging  people to take performance to the next level.

Michele has developed this 2-day course on innovation and creative thinking intended to move teams to new solutions to old problems.  Join her in the Summit course “Creative Corrective Actions” to take these tools and skills back to your facility.

Course Outline

  • Identify and remove roadblocks to Creativity & Innovation
  • We are not all born creative – understanding how to get there
  • Describe and practice the Innovation process, which includes:
    • Focus – Define the problem or opportunity and bring it into focus
    • Uncover Alternatives – New ways to solve old problems, open the creativity tool box to help build solutions and NEW ideas.
    • Narrow your choices – Effectively and efficiently make decisions in teams that break down walls and create team collaboration including the using the globally renowned Six Thinking Hats™ method.
  • Create alignment in decision making
  • Apply the process and tools to a current business problem or opportunity
  • Lay the groundwork for successful implementation
  • Build a climate of innovation

This is the last chance to register for this course this year!

REGISTER for this course and the 2015 Global TapRooT® Summit (June 1-5, 2015).

REGISTER for this 2-day course only (June 1-2, 2015).

Certified Instructors: How to Recertify at the 2015 Global TapRooT® Summit

April 2nd, 2015 by

Register for the Certified Instructor Track: http://www.taproot.com/taproot-summit/register-for-summit

Learn how to View the Best Practice Sessions on Your Track and How to Customize your Schedule:  http://www.taproot.com/archives/48975

Southlake Hospital Staff Lives Their Values

March 24th, 2015 by

Michele Lindsay, President of Performance Potential Inc. and member of the Quality and Risk Department at Southlake Hospital recently shared this awesome video with us. Join Michele at the Global TapRooT® Summit June 1 and 2 for her exclusive 2-Day Creative Corrective Actions Course and sign up for the Improving Healthcare and Patient Quality track June 3 – 5 to attend her best practice session, RCA of Multiple Events, which is a case study of performing root cause analysis on several incidents that appear to be related. Take the opportunity to learn from many incidents that may not trigger a root cause analysis on their own, but collectively provide significant insights into process and system weaknesses so effective corrective actions can be put in place.

Hope you enjoy the video! Learn more about the 2015 Global TapRooT® Summit at:

http://www.taproot.com/taproot-summit

Don’t Miss Our International Event in Las Vegas! 2015 Global TapRooT® Summit

March 9th, 2015 by

 

The LINQ Promenade – the best dining and entertainment district in Vegas (steps from the conference hotel!)

In less than three months , we’ll be convening in Las Vegas for the 2015 Global TapRooT® Summit, an international event with world-renowned speakers and multiple tracks designed to share best practices within and across industries and professions.

Best Practice Tracks with Award-Winning Speakers

There are NINE learning tracks and the biggest problem may be choosing just one. But we even have a solution to that — you can also create your own custom track by picking any sessions you want to build a custom schedule. If you are unsure of how to customize your schedule, please call Barb at 865.539.2139, and she’ll walk you through it, or contact our admin staff at info@taproot.com with questions about registration.

If you prefer to choose sessions concentrated around a certain topic, choose one of our tracks focused on:

Equipment Reliability Improvement & Troubleshooting

Human Error Reduction & Behavior Change

Improving Healthcare Quality & Patient Safety

Incident Investigation & Root Cause Analysis

Process Quality and Corrective Action Programs

Safety Improvement

TapRooT® Software

If you are a Certified Instructor, register for our Certified TapRooT® Instructor track designed to give you the tools you need to take your facility to the next level and make your job easier.

And don’t forget to add one of our exclusive 2-day Pre-Summit courses to your schedule to make it a career-changing week of learning, sharing and networking.  Check out our Pre-Summit Courses here:  http://www.taproot.com/taproot-summit/pre-summit-courses

Last but not least … book your room in the block!  Room block rates are available for a limited time.  Learn more here: http://www.taproot.com/archives/48587

We hope to see you in Las Vegas June 1 – 5 2015 for the Global TapRooT® Summit!

 

2015 Global TapRooT® Summit Brochure

February 9th, 2015 by

Here is our hot-off-the-press 2015 Global TapRooT® Summit Brochure! We hope you will join us June 1 – 5, 2015 in Las Vegas, Nevada.

For more information, visit:  http://www.taproot.com/taproot-summit

To register, visit:  http://www.taproot.com/taproot-summit/register-for-summit

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