Before we get into what a precursor is, I would suggest that we discuss for a moment the circumstances in which things labeled as “precursors” are...
9518
DR WILLIAM CORCORAN
drbillcorcoran
Mar 1, 2011 12:51 pm
Andy, Thanks ever so much for weighing in on this one. Would you be so kind as to give some real life examples of the two dysfunctional approaches to...
9519
Sam Hobbs
samhho
Mar 1, 2011 1:32 pm
Dr. Bill, Why do you refer to the paper as a “somewhat” dated view? Introductory or preliminary perhaps, but not necessarily “dated.” Sam From:...
9520
DR WILLIAM CORCORAN
drbillcorcoran
Mar 1, 2011 1:38 pm
Sam, Thanks. There are more precursor types in "The Rootician's Dictionary." Take care, Bill Corcoran Mission: Saving lives, pain, assets, and careers through...
9521
Michael Mulligan
steamshovel2002
Mar 1, 2011 3:53 pm
Hmm, how do you weight the risk of the results of action and inaction? I can think of a host of cascade accidents...TMI being one of our "tiny" examples....
9522
Mitchell, Glen
pxeng1
Mar 1, 2011 6:24 pm
Aren’t we really looking in hindsight even in the preemptive mode? It seems to me the precursors “forecasted” in even a new process/design are only...
9523
Mitchell, Glen
pxeng1
Mar 1, 2011 6:24 pm
We could call them CATS- Conditions Adverse to Safety- or PUCs Potentially Unsafe Conditions ☺ glen 806-477-4953 From:...
9524
DR WILLIAM CORCORAN
drbillcorcoran
Mar 2, 2011 3:11 pm
Glen, You said: ________________________________ We could call them CATS- Conditions Adverse to Safety- or PUCs Potentially Unsafe Conditions ...
9525
Salot, William
wjsalot
Mar 2, 2011 5:48 pm
They are PP's: potential precursors ________________________________ From: Root_Cause_State_of_the_Practice@yahoogroups.com ...
9526
Dillard, Tedd A (E S ...
tedd.dillard@...
Mar 2, 2011 6:08 pm
It seems to me that the use of the word precursor is so dependent on the understanding of the listener that it is unhelpful to have so many different...
9527
Michael Mulligan
steamshovel2002
Mar 2, 2011 9:14 pm
potential precursors Why isn't their a value judgment on it like a class 1, 2, or 3 potential precursors...like the consequences could be $1000, $10...
9528
Mitchell, Glen
pxeng1
Mar 3, 2011 12:52 pm
My tongue was actually in my cheek with those suggestions. I was just taken with multiple definitions and types and etc. Question: When we do a process...
9529
DR WILLIAM CORCORAN
drbillcorcoran
Mar 3, 2011 2:11 pm
What could be simpler than the concept of "direct factors?" A factor is just something that affects an effect. Right? And a direct factor is just a factor that...
9530
Noga, Scott T
rebus3
Mar 3, 2011 4:56 pm
Dr. Bill, Good write-up. Two thoughts come to mind: 1) There are always intervening intermediate (rather redundant terms) factors. Cause and effect can...
9531
DR WILLIAM CORCORAN
drbillcorcoran
Mar 4, 2011 2:43 pm
What should be fixed as a result on an issue investigation? 1. Fix the problems 2. Fix the processes that produced the problems. 3. Fix the processes that...
9532
Dillard, Tedd A (E S ...
tedd.dillard@...
Mar 4, 2011 3:27 pm
In an ideal world all 5 would be addressed, effectively. In the real world in most cases only number 1 is usually even worked on and that only superficially. ...
9533
Mitchell, Glen
pxeng1
Mar 4, 2011 5:41 pm
We attempt to identify the significance of the event and address each issue on a published "graded approach." We are somewhat successful at doing that, but all...
9534
Arsenault, Gerry
aarsenau1g
Mar 4, 2011 6:34 pm
UNRESTRICTED | ILLIMITÉ Dr Bill, I had to send this to you. Last Monday, Feb 28th, I saw a general surgeon on a referral from my family physician. That was my...
9535
Dillard, Tedd A (E S ...
tedd.dillard@...
Mar 4, 2011 6:54 pm
Very interesting, I wonder what would have happened if the other guy had been there for very similar work. Since it was a small hospital it would seem to be...
9536
Michael Mulligan
steamshovel2002
Mar 4, 2011 8:04 pm
A year ago I was in the hospital for a herniated disc operation (Dartmouth Hitchcock). I don't have any back aches now and i have recovered the full use of my...
9537
Lee, Ron
w.ronlee
Mar 4, 2011 8:21 pm
Michael – I am curious, besides surgery, what did you do to recover full use of your foot? Ron From: Root_Cause_State_of_the_Practice@yahoogroups.com...
9538
nancy.roper@...
Mar 5, 2011 12:14 am
I will be out of the office starting 03/04/2011 and will not return until 03/14/2011. I will respond to your message when I return. If you need immediate ...
9539
Michael Mulligan
steamshovel2002
Mar 5, 2011 10:31 am
Ron, Everyone accuses me of being a bit of a odd ball... Well, once out of the operating room I didn't use any pain meds. It is not as hard as it sounds for...
9540
DR WILLIAM CORCORAN
drbillcorcoran
Mar 5, 2011 12:13 pm
Joe, Thanks for the great pictures. How did you come to the opinion that unions have been effective in improving safety? Are unionized activities safer than...
9541
Dr. Bill Corcoran
drbillcorcoran
Mar 5, 2011 12:54 pm
Joe, Thanks. What's wrong with that picture? Who's running the shipyard? Who acts as if they are accountable for safety? Take care, Bill Corcoran Mission:...
9542
Noga, Scott T
rebus3
Mar 7, 2011 4:15 pm
What should be done: Identify and fix all of them that make business sense to implement primarily from a cost/benefit standpoint (not limited to just direct...
9543
Lee, Ron
w.ronlee
Mar 7, 2011 5:12 pm
Mike Over the course of 16 years I have had 3 Low back herniated disc surgery’s. I don’t have foot drop, but I do have numb toes – I am not diabetic so...
9544
Sam Hobbs
samhho
Mar 8, 2011 1:34 am
I got this email from a friend. Name changed to protect the innocent and/or guilty and/or the inappropriately uninvolved: "Update on my friend JANE DOE: She...
9545
Sam Hobbs
samhho
Mar 8, 2011 2:08 am
Surgery was a hip replacement. Getting up early is likely a good thing. Other things weren’t. Anyone else want to weigh in? Sam From:...
9546
J. Brandon
jhbrandus
Mar 8, 2011 6:11 am
Sam, I don’t know what would be helpful to you, but I had a wide variety of experiences over the last five months that my mother lived. She was being...