A safety incident report usually identifies the precipitating event. It doesn’t identify the small failures that led to it. In many cases, those failures aren’t just three deep but far deeper. One way ...
Sakichi Toyoda created the "Five Whys" (5Ys) as a method for identifying root causes of errors or problems way back in the early years of Toyota. He claimed that by asking "why?" five times, one could ...
While the company is still analyzing the error that caused many Windows systems to crash, it said a logic error in a channel file was the cause. The Saturday blog ...
Three weeks after a massive IT outage brought the world to its knees, CrowdStrike has just unveiled a detailed Root Cause Analysis report. The July 19 systems crash left an indelible mark, causing ...
According to the U.S. Bureau of Labor Statistics, a worker died every 96 minutes from a work-related injury in 2022, a 5.7 percent increase over the previous year. Worksite fatalities and incidents ...
The Joint Commission has released 10 years of sentinel event root cause data. The data covers events reported to the organization between 2004 and the second quarter of 2014. Here are the top causes ...
UChicago Medicine is one of 12 hospitals in the nation with a 26-year, Leapfrog straight-“A” streak and Stephen Weber, MD, said the secret is to never be satisfied. “Whether I’m seeing patients or ...
Over 50% of frontend ASIC hardware engineering time is spent on debugging and root cause analysis, spent churning through millions of lines of code and terabytes of waveform data. Despite this, there ...