Scroll down for an interesting article from "The Patient Safety Monitor." If you change the word "physician" to "employee"; or "colleague" how does it apply...
1722
mspyoung01
Sep 1, 2004 12:05 pm
Bill, This article could not have come at a better time. Just Monday, there was an incedent where an employee/colleague pitched a fit because she felt that...
1723
Bob Latino
reliability2003
Sep 1, 2004 12:08 pm
Thanks Bill, Unfortunately (as the article states), this is not uncommon in healthcare. This is what makes it difficult to even get doctors to participate in...
1724
Jack Stanford
jackstanford53
Sep 1, 2004 2:02 pm
Thanks, Bob, I wish that I could say that this surprises me, but it does not. I find the medical profession to be weak in this area (and that seems to be...
1725
Dr. Bill Corcoran
drbillcorcoran
Sep 1, 2004 2:42 pm
Paula, Thanks. In the nuclear power plant Fitness for Duty (FFD) Programs there is a concept called "aberrant behavior," which includes these types of...
1726
Dr. Bill Corcoran
drbillcorcoran
Sep 1, 2004 2:49 pm
Jack and Bob, Thanks for chiming in. The point is not that the MD's are "one sandwich short of a picnic," but to inquire about the extent of an aberrant...
1727
Bob Latino
reliability2003
Sep 1, 2004 3:05 pm
Hi Bill, If teh RCA's are conducted in-house in healthcare, rarely. If conducted with the help of a contract facilitator, it might get acknowledged, but by the...
1728
mspyoung01
Sep 1, 2004 3:09 pm
Bill, Seems like the more I think of this, the more I can relate this topic with the Professionalism topic. Someone who is a professional should not exhibit...
1729
Terry Herrmann
tjhsbh79
Sep 1, 2004 5:38 pm
Bill, You're right - the FFD program is intended to identify "aberrent"; behaviors. I can't speak for other places, but I've personally seen this work very well...
1730
Salot, William
wjsalot
Sep 1, 2004 5:59 pm
Bill C., You are right. Aberrant behaviors associated with medical conditions is probably an issue in all industries that employ human beings. It pops up ...
1731
Dr. Bill Corcoran
drbillcorcoran
Sep 1, 2004 6:25 pm
They only get into root cause analysis by the way of their impact on the consequences: actual, expected and/or potential. The impact could be adverse or...
1732
Michael Mulligan
steamshovel2002
Sep 1, 2004 8:39 pm
Bill, I have been on a work site where the majority of the employees in my group where on Proza, or one of the more modern versions of this mood enhancer -as...
1733
Dr. Bill Corcoran
drbillcorcoran
Sep 2, 2004 9:54 am
For those who are experts in TOC, consider this solicitation from the Navy Dept.: ________________________________________________ DON Naval Air Systems...
1734
Harjono
harjono_darto
Sep 2, 2004 10:34 am
Dear Dr. Bill Corcoran, How do aberrant behaviors get into a Root cause Analysis? Because some aberrant behavior cause trouble, and has not anticipate by the...
1735
Bob Latino
reliability2003
Sep 2, 2004 11:17 am
Hi Bill C. How are you defining "aberrant"; behaviors (for those of us of simple mind)? Thanks Bob L. ... From: Harjono [mailto:harjono@...] Sent:...
1736
Dr. Bill Corcoran
drbillcorcoran
Sep 2, 2004 3:30 pm
Harjono, You are undoubtedly correct that: 1. Aberrant behavior is triggered by a specific stressful situation. 2. Aberrant behavior may be a system...
1737
Salot, William
wjsalot
Sep 2, 2004 4:06 pm
Bill C., The way I look at it, a "describable" aberrant behavior that has an "impact on the consequences", in an ideal world, should "get into root cause ...
1738
Dr. Bill Corcoran
drbillcorcoran
Sep 2, 2004 4:09 pm
Bob, There are official definitions in Fitness for Duty Programs. The ones I have seen include behaviors such as: a.. Obvious lying b.. Covering up one's desk...
1739
Dr. Bill Corcoran
drbillcorcoran
Sep 3, 2004 10:25 am
Bill Salot, Thanks for airing these serious concerns. One of the highest ethical values for rooticians should be directed at establishing evidence-based,...
1740
Dr. Bill Corcoran
drbillcorcoran
Sep 3, 2004 11:07 am
Mike, Good question. If a worker is taking tranquillizers would they be more likely to accept safety-significant anomalies? I don't know, but anyone who is...
1741
Terry Herrmann
tjhsbh79
Sep 3, 2004 11:26 am
Bill, The list you provided are "examples"; of what could be considered aberrant behaviors. The NRC, in 10 CFR Part 26, requires "Persons assigned to escort ...
1742
Dr. Bill Corcoran
drbillcorcoran
Sep 3, 2004 11:35 am
Bill Salot, Rooticians should avoid the "helpless victim syndrome." When rooticians allow the system to interfere with the determination of influences they are...
1743
Dr. Bill Corcoran
drbillcorcoran
Sep 3, 2004 11:38 am
Terry, Good input. Thanks. Could you (or any other member) give us an official definition of or description of "aberrant behavior?" What are supervisors...
1744
Dr. Bill Corcoran
drbillcorcoran
Sep 3, 2004 11:44 am
Paula, I hear you. This results in "Casablanca" Root Cause Analysis. 1.. "Round up the usual suspects." 2.. "Play it again, Sam." 3.. "This is the beginning of...
1745
Salot, William
wjsalot
Sep 3, 2004 12:21 pm
Bill C., We agree. Fortunately, this issue does not come up often; invariably management is aware of and deals with the confidential factors; and generally the...
1746
Dr. Bill Corcoran
drbillcorcoran
Sep 3, 2004 12:25 pm
Thanks, Terry. In the early 2000's would it have been aberrant behavior at Davis-Besse to point out that reddish deposits on the reactor vessel head plus...
1747
Dr. Bill Corcoran
drbillcorcoran
Sep 7, 2004 4:11 pm
Colleague, I have pasted below the outline for the Performance Improvement Track. Please contact me if you would like to be a speaker in any of the four...
1748
susovan123
Sep 10, 2004 9:19 pm
Hi friends, Plant Operation & Maintenance Club is conducting a series of seminars by innovatively using the message board, which you all are familiar with. The...
1749
Dr. Bill Corcoran
drbillcorcoran
Sep 16, 2004 10:49 am
Have any of you ever investigated an incident in which a trailer decoupled from a tractor truck? What I mean is that the king pin came loose from the fifth...
1750
Dr. Bill Corcoran
drbillcorcoran
Sep 18, 2004 12:50 am
What do you think? Take care, Bill Corcoran W. R. Corcoran, Ph.D., P.E. Nuclear Safety Review Concepts 21 Broadleaf Circle Windsor, CT 06095-1634 Voice and...
