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Strong vs. Weak Responses

Strong vs. Weak Responses. No effect at all RCA examples: Train/retrain Blame/Reprimand. Strong vs. Weak Responses. Almost no effect RCA Examples: Write a new procedure/policy Add another step Add just a little more technology. Strong vs. Weak Responses. More Effective RCA Example:

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Strong vs. Weak Responses

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  1. Strong vs. Weak Responses • No effect at all • RCA examples: • Train/retrain • Blame/Reprimand

  2. Strong vs. Weak Responses • Almost no effect • RCA Examples: • Write a new procedure/policy • Add another step • Add just a little more technology

  3. Strong vs. Weak Responses • More Effective • RCA Example: • Double checks

  4. Strong vs. Weak Responses • A Bit More Effective • RCA examples: • Feedback from devices • Redundancy

  5. Strong vs. Weak Responses • More Effective • RCA examples: • Increase staffing/decrease workload • Reduce distractions

  6. Strong vs. Weak Responses • More Effective • RCA examples: • Checklist/cognitive aids/decision support • Enhance communication • Hearback, readback, etc.

  7. Strong vs. Weak Responses • A Lot More Effective • RCA examples: • Physical changes to environment • Simplification/removal unnecessary steps • Standardization

  8. Strong vs. Weak Responses • Most Effective • RCA Examples: • Forcing functions • Constraints

  9. Weak Responses to an RCA • Train/retrain • Blame/Reprimand • Write a new procedure/policy • Add another step • Add just a little more technology • Double checks

  10. Strong Responses to an RCA • Forcing functions • Constraints • Physical changes to environment • Simplification/removal unnecessary steps • Standardization

  11. Intermediate Responsesto an RCA • Increase staffing/decrease workload • Reduce distractions • Checklist/cognitive aids/decision support • Enhance communication • Hearback, readback, etc. • Feedback from devices • Redundancy

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