2019 Human Performance, Root Cause, & Trending (HPRCT) Conference
June 17-21, 2019
Cheyenne Mountain Resort
Colorado Springs, Colorado
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Thursday, June 20 • 4:00pm - 4:50pm
Reacting when things go wrongly, and how to improve without poor outcomes

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Reacting when things go wrongly matters.  This talk presents a common type of reaction, that asks what went wrong, who is responsible, what should the punishment be, and gives some problems with these types of questions.  It presents the anatomy of an event, and the problems with retrospective understanding.  It then presents a different view of human performance, and asks questions that could be asked when things are not going wrongly.  It then presents a few tools (root cause analysis of normal work, post job brief questions, and prioritizing learning) to help organizations learn more about themselves, and become safer in the process.  

avatar for Tanya


Canadian Nuclear Safety Commissiopn
Tanya Hewitt received her PhD in Population Health from the University of Ottawa. She has a BSc in Physics from the University of Guelph, an MSc in Medical Physics from Carleton University, and a Graduate Certificate from the University of Ottawa in Risk Assessment and Management... Read More →

Thursday June 20, 2019 4:00pm - 4:50pm MDT
Rio Grande/Gunnison

Attendees (3)