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Home » Articles » on Systems Thinking » Page 11

on Systems Thinking

A listing in reverse chronological order of articles by:



  • JD Solomon — Communicating with FINESSE series

  • Robert (Bob) J. Latino — The RCA series

by JD Solomon Leave a Comment

Fabulous Facilitation: How Do Engaging Exercises Create Remarkable Results?

Fabulous Facilitation: How Do Engaging Exercises Create Remarkable Results?

Think about the three best-facilitated sessions you have ever attended. I will bet the facilitator used some type of activity that you remember. The exercise was unexpected, exciting, and effective.

Now consider the worst facilitated session you attended. If there were any, the exercises were as boring and uninteresting as the rest of the facilitation effort. My bet is that standard PowerPoint presentations and a traditional sticky dot exercise were part of the worst sessions.

Engaging Exercises Defined

Engaging exercises are that draw favorable attention or interest. Some synonyms for engaging make the point better: alluring, appealing, captivating, charismatic, enchanting, entrancing, fascinating, glamorous, magnetic, and seductive. From experience, a facilitated session has a good chance to achieve its outcomes if its exercises rise to the level of ‘engaging.

[Read more…]

Filed Under: Articles, Communicating with FINESSE, on Systems Thinking

by Robert (Bob) J. Latino Leave a Comment

Is System’s Thinking Critical to Root Cause Analysis’s (RCA) Success?

Is System’s Thinking Critical to Root Cause Analysis’s (RCA) Success?

Put another way, Can RCA be successful without the incorporation of system’s thinking? What prompted this question was that according to Drs. Leveson and Dekker in their 2014 paper Get To The Root of Accidents, systems thinking is not currently utilized in the application of RCA.

In this paper they cite:

 “An often-claimed ‘fact’ is that operators or maintenance workers cause 70–90% of accidents. It is certainly true that operators are blamed for 70–90%”. 

[Read more…]

Filed Under: Articles, on Systems Thinking, The RCA

by Robert (Bob) J. Latino 3 Comments

Germination of a Failure-Why Does Stuff Really Break Down? – Q&A p2

Germination of a Failure-Why Does Stuff Really Break Down? – Q&A p2

I recently presented a webinar for SMRP and Empowering Pumps, on the title above. There were several questions, post-presentation, that I felt were worthy of expanding on in the form of a blog.

Question #2 (of a total of 5)

How do you manage a situation where people just decide not to use simple tools like RCFA, just comfortable doing things same way? Even when you keep driving it.

[Read more…]

Filed Under: Articles, on Systems Thinking, The RCA

by JD Solomon Leave a Comment

Fabulous Facilitation: Are You Asking Powerful Questions?

Fabulous Facilitation: Are You Asking Powerful Questions?

I knew it was going to be a long week when my co-facilitator asked the group, “So, what happens when a submersible pump fails.” Their eyes spoke louder than the deafening silence. The skinny guy on the front row responded, “Don’t YOU know?” “You are an idiot!” exclaimed the old guy on the left side with a deep stare. The slightly heavy woman in the middle, who looked like everyone’s big sister, retorted, “why don’t you just tell us.” The fat guy in the back looked around, cut his eyes back at me, and said, “Where are the doughnuts?”

Yup, it was going to be a long week. Facilitating Failure Modes and Effects Analysis (FMEA) is never fun. Tag teaming the facilitation usually helps everyone stay fresh. But as Forrest Gump said about the box of chocolates, when you co-facilitate in a Fortune 500 company you never know what you are going to get.

Powerful questions are enablers of better facilitation. Using powerful questions takes awareness, discipline, practice, and self-appraisal. Facilitators need powerful questions to get better participant answers and create better results.

[Read more…]

Filed Under: Articles, Communicating with FINESSE, on Systems Thinking

by JD Solomon Leave a Comment

Fabulous Facilitation: Pre-Session Exchange Is Essential for Meaningful Outcomes

Fabulous Facilitation: Pre-Session Exchange Is Essential for Meaningful Outcomes

“I really liked the pre-workshop survey,” responded an executive team member. “It enabled us to have a fast start and it helped everyone get on the same page.”
No one wants to waste their time. As the leader of any workshop or series of meetings, it is crucial to understand what is effective and what is not. A well-executed pre-session exchange is one of the most frequently cited things that make a facilitated session more efficient, more effective, and more collaborative. [Read more…]

Filed Under: Articles, Communicating with FINESSE, on Systems Thinking

by Robert (Bob) J. Latino Leave a Comment

Germination of a Failure-Why Does Stuff Really Break Down? – Q&A

Germination of a Failure-Why Does Stuff Really Break Down? – Q&A

I recently presented a webinar for SMRP and Empowering Pumps, on the title above. There were several questions, post-presentation, that I felt were worthy of expanding on in the form of a blog.

Question #1 (of a total of 5)

Do we need to categorize the RCAs (based on actual/potential impacts) to decide on the need for the depth of RCA up to Latent Roots? Are all Failures supposed to be analyzed until we reach Latent Roots?

[Read more…]

Filed Under: Articles, on Systems Thinking, The RCA

by Robert (Bob) J. Latino Leave a Comment

A Different View of the Swiss Cheese Model

A Different View of the Swiss Cheese Model

Much has been written about James Reason’s original Swiss Cheese Model described in his book Managing the Risks of Organizational Accidents. Figure 1 is a basic representation of this model. Many today consider this model to be obsolete because of the evolving complexity of systems due to emerging technologies. Therefore, the linearity of failure expressed in this original model, is not as applicable as it was when introduced.

[Read more…]

Filed Under: Articles, on Maintenance Reliability, The RCA

by JD Solomon Leave a Comment

Do You Know These Dirty Secrets of Effective Communication?

Do You Know These Dirty Secrets of Effective Communication?

Things get a little dirty when humans get involved. In any system, human behavior and human understanding “gum up” the process. These are a few of the dirty secrets for effective communications.

Communication

Communication is the exchange of information from one person to another.

Communication requires a sender, a receiver, and a message. Technical professionals (sender) usually believe the decision maker (receiver) cannot understand the message because the decision maker is not as smart as they are. Most of the time, the lack of understanding comes from the noise generated by the sender. The burden of effective communication is on the send (technical professional), not the receiver (decision maker). [Read more…]

Filed Under: Articles, Communicating with FINESSE, on Systems Thinking

by Robert (Bob) J. Latino 2 Comments

How Can v Why: What’s the Difference?

How Can v Why: What’s the Difference?

When facilitating a Root Cause Analysis (RCA), the proper questioning process will make or break the effectiveness of the entire analysis. When we hear of the 5-Why’s as a valid RCA approach, is simply asking ‘Why?’ 5x good enough….or IS IT JUST OK?

Think about it this way, if I asked you ‘How Could’ the crime have occurred versus ‘Why’ the crime occurred, would your answers be different?

I am going to take a very basic (101) case study and format it using a logic tree (graphical expression of cause-and-effect logic). As we are guided through this mental process we will discuss the differences between asking ‘How Can?’ and ‘Why?’.

[Read more…]

Filed Under: Articles, on Maintenance Reliability, The RCA

by JD Solomon Leave a Comment

Effective Communication Is The #1 Thing That Changes Your Life

Effective Communication Is The #1 Thing That Changes Your Life

Effective communication is the one thing that makes your life better, more fulfilling, and more rewarding. That is equally true in personal relationships and in business.

Keep it simple. If you can convey the same information in fewer words, do it. If you can use fewer sentences, use fewer. If you can avoid tangents and parenthetical comments, avoid them. Only about 20 percent of what you normally communicate provides 80 percent of the influence on others.

[Read more…]

Filed Under: Articles, Communicating with FINESSE, on Systems Thinking

by JD Solomon Leave a Comment

The One Thing Your Approach to Communication & Facilitation is Missing

The One Thing Your Approach to Communication & Facilitation is Missing

The one thing is right under your nose. The one thing is the game changer for your career because it enables others to understand the complex and uncertain world where you work. The one thing requires understanding the outcomes you seek before optimizing the separate components.

System Defined

A system is a collection of interrelated or interacting parts, each of which can affect the behavior or outcomes of the whole. One defining property of a system is that it provides a function that none of the parts can accomplish by themselves. The corollary is that a system is not the sum of the parts but the product of their interactions.

Simple examples include the mechanical advantage gained from a system of pulleys or a gearbox. Sports teams or work units are examples of human systems. Systems are essential aspects of our everyday lives.

[Read more…]

Filed Under: Articles, Communicating with FINESSE, on Systems Thinking

by Robert (Bob) J. Latino Leave a Comment

What’s Wrong with the Term “Root Cause”?

What’s Wrong with the Term “Root Cause”?

There is great variation when it comes to a common understanding of the term ‘Root Cause Analysis’ or RCA. 

In a previous, lengthy paper, I wrote an article entitled “The Stigma of RCA: What’s In a Name?“. It focused on common understandings (or misunderstandings) of what RCA means and then described the basic steps of any investigative occupation. I just left it up to the reader to determine if their ‘RCA’ approach had room for improvement. 

[Read more…]

Filed Under: Articles, on Maintenance Reliability, The RCA

by Robert (Bob) J. Latino Leave a Comment

People Forget to be Afraid

People Forget to be Afraid

“Preventing process accidents requires vigilance. The passing of time without a process accident is not necessarily an indication that all is well and may contribute to a dangerous and growing sense of complacency. When people lose an appreciation of how their safety systems were intended to work, safety systems and controls can deteriorate, lessons can be forgotten, and hazards and deviations from safe operating procedures can be accepted.

[Read more…]

Filed Under: Articles, on Maintenance Reliability, The RCA

by Robert (Bob) J. Latino Leave a Comment

What is ‘Reliability Engineering’​?

What is ‘Reliability Engineering’​?

I have been very involved recently with ongoing LI discussions with respected and noted experts in the Safety community, revolving around the perceptions those in Safety have of Reliability, and vice-versa.

In Safety today, there are ‘new’ approaches emerging being lead by noted Safety researchers like Sidney Dekker, Erik Hollnagel and Todd Conklin. Such ‘new’ approaches are being labeled Safety Differently, Safety II, Human and Organizational Performance (HOP), Resilience Engineering and a few more.

[Read more…]

Filed Under: Articles, on Maintenance Reliability, The RCA

by Robert (Bob) J. Latino Leave a Comment

The Pro’s and Con’s of Using Pre-Existing Logic in Root Cause Analysis (RCA)

The Pro’s and Con’s of Using Pre-Existing Logic in Root Cause Analysis (RCA)

There has been an ongoing debate for decades as to whether or not the use of pre-existing logic for conducting Root Cause Analyses helps or hinders the analysis results. Does the use of such pre-existing logic expand the thinking of the team members or does it lead the team to pre-determined conclusions and away from other conclusions not considered in the pre-existing logic? We will explore the fine line between these opposing views and see if there is a middle ground for consensus. [Read more…]

Filed Under: Articles, on Maintenance Reliability, The RCA

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