Success Stories
Click on the titles below to read TapRooT® success stories involving root cause analysis, investigations, safety, quality, production, and healthcare quality.
These are examples and neither System Improvements nor the companies mentioned guarantee similar results at your facility. Also, any specific corrective action mentioned is not guaranteed to work at your facility and the companies involved should not be construed as endorsing the TapRooT® System. To access a particular story, just click on the title of the Success Story below.
"TapRooT® helped us develop corrective actions that previously would have been missed." - Hydro One"The entire staff (investigation team, those who made the mistakes, and hospital management) was impressed [...] TapRooT® helped people focus on what happened and what could be done to improve performance, rather than focusing on who to blame." - Good Samaritan Hospital"By using TapRooT® we have achieved our goal of improved investigations, root cause analysis, and corrective actions. This is helping us improve transit safety and operations and will eventually lead to cost savings." - Greater Cleveland Regional Transit Authority"We used TapRooT® and FMEA to proactively improve our medication administration." - Jackson County Memorial Hospital"I immediately noticed improvement in the quality and thoroughness of investigations and reports." - Enmax Corporation"Within weeks of instituting TapRooT® as the investigative tool, we had dramatically improved the investigation of accidents." - Bi-State Development Corporation"The question and answer process in the TapRooT® Root Cause Tree® helped us identify the root causes of the problems with the procedures. This helped us simplify the procedures and make them easier for the mechanics to use." - Otis Elevator, Russia"TapRooT® helps us find root causes and improve aviation safety." - Alaska Airlines"The total impact has been so broad and pervasive that it's hard to measure in dollars" - ExxonMobil"In the five years prior to purchasing the license, the FEMP experienced an average of over 100 reportable occurrences per year. In the five years after licensing, we have reduced our incident rate to about 46 per year." - Fluor Fernald, Inc."Was this incident simple human error? Our answer is that there was much more to it than that. TapRooT® helped us find the answer." - ARCO (now ConocoPhillips)"TapRooT® is a key part of our safety improvement program that has helped us stop injuries and save lives." - Canyon Fuel Company"We used TapRooT® to improve process reliability and saved $40,000,000 in first two years." - Rohm & Haas"Since implementing TapRooT® in 1996, we have cut the procedural incident rate by 12% leading to improved network reliability" - BellSouth"When we investigate an incident using the TapRooT® System and get the corrective actions applied, the incident does not repeat. This has contributed greatly to our excellent safety performance." - Intel"After increasing our use of TapRooT® to analyze near-misses and first aid incidents, our injury rate was cut in half. We have since rolled out TapRooT® across our company." - PCS Phosphate, White Springs, Florida"We used TapRooT® to get consistent root cause analysis at our fleet of nuclear plants." - Exelon Nuclear"TapRooT® helped us logically and quickly lay out what happened and understand the specific root causes" - Huntsman"At just one site we are saving over $1,000,000 per year in workers' compensation claim costs after implementing TapRooT® as a part of our ergonomics improvement program." - Ciba Vision, a Novartis Company
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About TapRooT® |
TapRooT® is a book, a system,
training, and software for
root cause analysis of problems. The TapRooT® System helps people solve problems by
finding and fixing root causes that, when corrected, stop problems from happening over
and over again.
TapRooT® is used by leading companies around the world to investigate and fix the root causes of major accidents, everyday incidents, minor near-misses, quality issues, human errors, maintenance problems, medical mistakes, sentinel events, productivity issues, manufacturing mistakes, production delays, environmental releases, … - in other words, almost every type of problem you can think of.
The TapRooT® System is based on advanced, proven human performance and equipment reliability technology - theory and models of human performance and equipment performance from experts including Heinz Bloch, Dr. Jens Rasmussen, Mark Paradies, Dr. James Reason, Linda Unger, Dr. Charles Hopkins, Andrew Marquardt, Jerry Lederer, Larry Minnick, Ed Skompski, Smoke Price, Dr. Chris Wickens, James Haddon, and many more. This knowledge was built into the TapRooT® System so that every person investigating problems can take advantage of the knowledge of experts without having to spend years studying human and equipment performance.
The TapRooT® System, Training, and Software have a long history of development and improvement that continues today.
We spent 6 years researching human performance, researching the best incident investigation and root cause analysis systems, putting these systems together into a coherent investigation philosophy, and then trying and refining the system in the field. We've performed formal user testing and informal focus group appraisals. We've received feedback from thousands of students. In 1991, we wrote the first TapRooT® Manual that put all of this experience together into the best incident investigation system - TapRooT®!
But we didn't stop there. For the next 14 years we improved the system with the feedback of an ever-larger international user base. We improved the book and our courses. And we developed software to improve investigation productivity. To this day we continue our constant efforts to make TapRooT® even better. Our ground breaking research and development and our continuing improvement efforts are the reasons that TapRooT® is so highly praised by users and is chosen by so many industry leaders as their standard root cause analysis tool to analyze mission critical problems.
However, TapRooT® isn't just for complex problems or high risk operations. The common sense approach and straightforward nature of the system is why people use it to analyze every day problems.
So try TapRooT® – We know you'll agree that it is the most useful problem solving tool that you have ever tried!
The TapRooT® book was written by Mark Paradies and Linda Unger (the system's creators).
The system is based on laws, rules, and theories of human and equipment performance and the
application of these rules to performance improvement. Mark and Linda created a system that
can be used by improvement experts and employees in the field to analyze problems, learn
their real causes, develop effective corrective actions, and achieve measurable performance
improvement.
The system is used by companies around the world to solve quality, safety, production, and
reliability problems. Users say that the most amazing part of the system is how effective
it is while still being easy to use. Also the system points to root causes without finger
pointing and blame.
Perhaps that's why companies like Intel, GE, ExxonMobil, BP, NASA,
Novartis, Phillips, Chevron, Pirelli, BellSouth, CSX, Huntsman, New Brunswick Power,
Arch Coal, Entergy, Bayer, North Star Steel, Koch, Halliburton, Otis Elevator, Alaska
Tanker Co., Duke Energy, Exelon, Children's Hospital, North Broward Hospital,
Pfizer, OSHA, & GA Pacific, Rio Tinto, Barrick Gold, Alaska Airlines and Fluor
(to name just a few) use TapRooT® to investigate problems & improve performance.
How Does TapRooT® Work?
The two main tools are SnapCharT® and the Root Cause Tree®.
The SnapCharT® diagram helps investigators understand what happened and explain what
happened to others. A SnapCharT® diagram of a simple maintenance problem is shown above.
The Root Cause Tree® (an 8.5"X11" analysis guide) and the Root Cause Tree®
Dictionary (a pocket-sized hardback book) help the investigator perform a systematic
analysis of the root causes of the incident's human performance and equipment related
causal factors. The Root Cause Tree® includes a Human Performance Troubleshooting Guide
that helps investigators ask the right questions to solve human performance problems.
The TapRooT® System also includes four other techniques (Equifactor® Analysis,
Safeguards Analysis, Change Analysis, & CHAP) as well as two techniques for developing
better corrective actions (SMARTER & the Corrective Action Helper® Module of the Root
Cause Tree® Software).
Learn more about the TapRooT® Book.
Learn more about the TapRooT® Software.
Contact Us and check our
weblog for more info!
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