The Joint Commission has determined the 10 most common causes of sentinel events reported in the first six months of 2013. An organization reporting a sentinel event submits a root cause analysis to ...

Please note our website is a growing free resource about Root Cause Psychiatry: just search "root psych" and you'll see us. We offer online root cause diagnostics on top of fast and easy typical psych ...

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 ...

Incident response teams across application reliability, infrastructure resilience, information security, and system and technology support are continuously trying to solve mysteries with missing ...

Do you play pool? I sure don’t. But I know enough about the game to use it as a metaphor for the hidden reasons we don’t do what we say we will. The object is to get balls into pockets using a big ...

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 ...

When there’s a major systems outage or performance issue, IT teams come to the rescue to restore services as quickly as possible. Some IT organizations follow IT service management (ITSM) incident ...