March 21, 2013 | Barb Carr

Having a Great Time at the 2013 Global TapRooT® Summit – Day 2



The general session this morning featured Mark Paradies sharing his insights on process safety, how it’s often mis-defined and misunderstood. Ed Skompski also spoke about some lessons learned from the Joplin tornado disaster.




Mark Paradies’ session, Serious Injuries & Fatalities, included lessons learned. Participants broke into groups and discussed real life examples of SIFs it near misses in their workplace, and shared the implications with the class.



Mitch Miller discussed his TapRooT® implementation at Weatherford. He noted the successes and challenges of the process, including senior management buy-in, proving ROI, and choosing TapRooT® over scores of root cause analysis options. Stay tuned in the next few weeks for a video series on his session, especially if you’re interested in your own TapRooT® implementation.



At the end of the day, Chris Jerry shared the reasons blame is not the answer when it comes to medical errors. When medical errors are made, emotions tend to run high and people like to place blame. Chris Jerry shared that there are many reasons for medical errors and that simply punishing the one who makes the mistake does not solve the underlying root cause of the problem. His story is all the more powerful because his daughter was the victim of such an error. We’re all very inspired by this story of forgiveness, and reminded why we work to solve problems and save lives.

Root Cause Analysis
Show Comments

Leave a Reply

Your email address will not be published. Required fields are marked *