Common examples of sophisticated causation analysis models
Kepner Tregoe Causation Model
Stair – Step Model of Causation
Failure Modes Effects Analysis (FMEA)
Ishikawa Fishbone Diagram
We have seen how our thinking can be influenced by a wide range of social interpretations and how, in turn, our behaviours influence the way we approach incident investigation.
We can only hope to create a culture of continual improvement in the organisation if we change our thinking and assist others to not only follow but practice these improved skills.
The more people we encourage to adopt an analytical approach to systems design & improvement the faster will be the transition to a culture based on the prevention of error.