Opportunity to Improve Vision
(Taken from Book 1: TapRooT® Root Cause Analysis Leadership Lessons, used by permission of System Improvements)
The Opportunity to Improve Vision
What does the Opportunity to Improve vision look like?
If there is a problem, the people, either individually or in teams, work to solve the problem. Everyone views this as an opportunity to improve. The team doing the investigation knows better than to just address the symptoms. They are NOT looking for someone to blame. They ARE looking for the root causes. They know that if they find and fix root causes they will prevent the problem’s recurrence.
As W. Edwards Deming said:
“Management’s job is to improve the system.”
This is the Opportunity to Improve Vision. Improving the “system” is the key to improving performance.
But what is the system? The system is equipment, procedures, tools, communication techniques, training, human factors design, supervisory techniques, resources (time), policies, and rules that all impact the ability to achieve the intended goal. These are all things that management can change to improve performance.
The Opportunity to Improve Vision sees each incident as an opportunity. Not an opportunity to find a scapegoat (someone to blame). Not an opportunity to survive yet another crisis. The Opportunity to Improve Vision sees each incident as an opportunity to improve performance by changing the system.
If you are living in the Blame Vision or the Crisis Management Vision, this may seem like a fairy tale. But the Opportunity to Improve Vision exists at many sites using TapRooT® Root Cause Analysis. And TapRooT® helped them achieve the vision when they started finding the real root causes of problems rather than placing blame and using “quick fixes” that really didn’t work.
Would you like to learn more about TapRooT® Root Cause Analysis? Attend one of our public 5-Day TapRooT® Advanced Root Cause Analysis Team Leader Courses. See: