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Root Cause Analysis Concepts and Best Practices for IT ...

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Root Cause Analysis Concepts and Best Practices for IT ...

Root Cause Analysis Concepts and Best Practices for IT Problem Managers ... The problem management component of the Information Technology Infrastructure Library (ITIL)1 ... how do I know what the root cause is?

http://www.sologic.com/sites/default/files/Root-Cause-Analysis-Best-Practices-for-IT-Problem-Managers-Indust-Engin-April-2010.pdf

Date added: February 8, 2013 - Views: 68

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Still trying to figure out what went wrong?

Root Cause Analysis for IT Incidents Investigation ... to Information Technology discipline. ... time, the root causes identified across the population of occurrences can be used to target major opportunities for improvement.

http://hosteddocs.ittoolbox.com/GJ102105.pdf

Date added: November 25, 2011 - Views: 90

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ROOT CAUSE ANALYSIS - Clark County School District

Improvement > Templates and Resources >2012 CCSD School Improvement Template. Assessment, Accountability, ... technology competencies collaboration evaluation ... Modalities of Root Cause: Although root cause analysis is most frequently used

http://ccsd.net/resources/aarsi-school-improvement/pdf/planning/school-improvement-planning-basics-root-cause-analysis.pdf

Date added: June 18, 2012 - Views: 43

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Root Cause Analysis - QSEN

Root Cause Analysis: A Creatvie Teachni g Tool ... To use Information and Technology to manage knowledge & support decision-making. Error reduction. Data-base for quality. Evidence Based Practice ... template for use in complex situations. ...

http://www.qsen.org/docs/2012_conference/QSEN_2012_Hodges.pdf

Date added: July 15, 2013 - Views: 6

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Root Cause Analysis Template - Mind Tools

information about Root Cause Analysis, visit www.mindtools.com/rs/RCA. Issue Likely Root Cause Possible Solutions Description Source Criticality Description Likelihood Information Description Risks Measure of Success Level (High ... Root Cause Analysis Template Created Date:

http://www.mindtools.com/pages/article/worksheets/RCAtemplate.pdf

Date added: November 20, 2011 - Views: 817

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Using Root Cause Analysis to Reduce Falls in Rural Health ...

Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities Patricia Ruddick, RN, MSN; Karen Hannah, MBA; ... PSIC, including the project manager for the AHRQ Health Information Technology (HIT) Implementation Grant, ...

http://www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf

Date added: February 21, 2012 - Views: 38

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Understanding Root Cause Analysis - TÜV NORD | Making our ...

9.2 ‘5 Whys’ Route Cause Analysis Template ... Investment in new technology ... Incomplete initial root cause analysis Incorrect root cause conclusions (ie the true root cause was not established) Multiple root causes ...

http://www.tuv-nord.com/cps/rde/xbcr/SID-F093116E-97F04569/tng_be_nl/bijlage-nieuwsbrief-januari-2013-brc-understanding-root-cause-an.pdf

Date added: May 5, 2013 - Views: 49

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Root Cause Analysis - AF

For a particular product problem, Root Cause is the factor that, when you fix it, ... • Root Cause Analysis is a method to focus our efforts on the true “Root Causes” of escapes, so that we truly prevent their reoccurrence.

http://www.au.af.mil/au/awc/awcgate/nasa/root_cause_analysis.pdf

Date added: October 20, 2011 - Views: 254

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Ch 5 Root Cause Analysis Template

TEMPLATE: Root Cause Analysis (Tool set 2b) ... Inappropriate tools, equipment, technology, or resources available to the performer _____% j) AMR - Inappropriate work load distribution or design of work space, job, tasks, policies, procedures,

http://performanceandroi.com/uploads/Ch_5_Root_Cause_Analysis_Template.pdf

Date added: June 13, 2013 - Views: 9

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Application of root cause analysis in improvement of product ...

Application of root cause analysis in improvement of product quality and ... Anjani Kumar National Institute of Technology (INDIA) [email protected]; [email protected] Received ... To identify the root causes, Root Cause Analysis tools were used with Management Oversight ...

http://www.jiem.org/index.php/jiem/article/download/3/5

Date added: May 31, 2012 - Views: 21

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Root Cause ppt. - Clark County School District

Root Cause Analysis: ... Monitor personal technology. Pay attention to hand signals. Provide feedback in the “Parking Lot. ... Inquiry Process in SIP Template Time to work with yyour site team to ...

http://ccsd.net/resources/aarsi-school-improvement/pdf/planning/root-cause-analysis-school-level-teams.pdf

Date added: November 28, 2012 - Views: 45

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Root Cause Analysis Webinar Introduction v2

Root Cause Analysis Webinar Sponsored by Ops A La Carte DfR Solutions SigmaQuest ... Over 500 failure analysis and root-cause investigations in the past 4 years, ... Example 8D worksheet/ report template ...

http://www.opsalacarte.com/pdfs/Tech_Papers/RCA_Webinar_by_Ops_A_La_Carte.pdf

Date added: December 18, 2011 - Views: 63

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Stories of Airline Success with New Analytical Capabilities

caught out by new risks arising from changing technology. For example, while ... TapRooT® Root Cause Analysis Tool at Alaska Airlines ... The Global Aviation Information Network (GAIN) ...

http://flightsafety.org/files/analysis_tools.pdf

Date added: February 1, 2012 - Views: 28

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Yarnell Hill Fire cause-and-effect relationships supported ...

Problem Solving • Incident Investigation • Root Cause Analysis "The risk and exposure of the wildland fire ground is well documented, ... For a free copy of our Root Cause Analysis Template in Microsoft Excel, used to create this page, ... Consider use of GPS technology to allow for

http://www.thinkreliability.com/pdf/CM-yarnellhillfire.pdf

Date added: April 26, 2014 - Views: 1

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Business Case Analysis - United States Navy

Department of the Navy (DON) Standard Case Analysis (BCA) Template User ... • Promote the rigorous analysis necessary to identify the root cause of a ... DON CIO memo of 15 April 2011, Subj: DON Enterprise Information Technology Standard Business Case Analysis Template (g) DON CIO ...

http://www.doncio.navy.mil/Download.aspx?AttachID=3769

Date added: August 1, 2013 - Views: 12

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Analyze, Document, Communicate and SOLVE PROBLEMS EFFECTIVELY

Effective Root Cause Analysis Analyze, Document, ... relationships so that everyone sees the same information. The Cause Mapping approach can be immediately applied to all types of problems in your organization. ... Information Technology Regulatory Agencies

http://www.thinkreliability.com/pdf/Root-Cause-analysis-houston-workshop.pdf

Date added: October 30, 2011 - Views: 11

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Sample Risk Management Plan for a Community Health Center

Sample Risk Management Plan for a Community Health Center ... • Information technology ... Root-cause analysis and systems analysis can be used to identify causes and contributing factors in the occurrence of such events. e) ...

http://bphc.hrsa.gov/ftca/riskmanagement/riskmgmtplan.pdf

Date added: October 22, 2011 - Views: 122

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Root cause analysis for fire events at nuclear power plants

fire protection technology and related analytical techniques. Likewise, ... ROOT CAUSES Root cause analysis provides a tool for gaining further detailed insights into the causes of the fire event with particular attention to the identification of plant design, operation,

http://www-pub.iaea.org/MTCD/publications/PDF/te_1112_prn.pdf

Date added: May 5, 2012 - Views: 4

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RCA Final B. Soule - Nevada

– SE are investigated using root cause analysis (RCA) ... Technology Deferred Maintenance Sporadic Training Zero Fault Tolerance TRIGGERS Source: James Reason ... –Address a root cause –Offer a long-term solution to the problem

http://health.nv.gov/HCQC/HAI/Infection-RelatedRootCauseAnalysis.pdf

Date added: March 13, 2012 - Views: 27

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Sample Maintenance Audit Report - Lifetime Reliability

4.6 Information Technology ... Appendix H Sample Major Stoppage (Root Cause Failure Analysis) Process Appendix I Sample Job Types, Status, Priorities Procedure ... history analysis. 3.3 Maintenance Process Capability Performance and Stability

http://www.lifetime-reliability.com/consulting/maintenance-management/Sample_Maintenance_Audit_Report.pdf

Date added: October 27, 2011 - Views: 262

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ROOT CAUSE ANALYSIS REPORT OF PLUTONIUM SPILL AT BOULDER ...

... Booz Allen Hamilton’s “Root Cause Analysis Report of Plutonium Spill at ... information technology and outsourcing, oil and gas exploration, ... Root and Contributing Causes . Root Cause . Contributing Causes : Summary Findings : 1. Inadequate

http://www.nist.gov/public_affairs/releases/upload/root_cause_plutonium_010709.pdf

Date added: March 4, 2012 - Views: 19

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BIRT Performance Scorecard Root Cause Analysis and Data ...

4 BIRT Performance Scorecard Root Cause Analysis and Data Visualization Root Cause Analysis and Data Visualization Options BIRT Reports Interactive web reports for business users or developers

http://www.actuate.com/download/brochures-datasheets/bi-brief.pdf

Date added: December 19, 2013 - Views: 7

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Root Cause Analysis Teleclass Slides, Apr.7

•A credible root cause analysis has to be completed ... Technology Deferred Maintenance Sporadic Training Zero Fault Tolerance TRIGGERS Source: James Reason Blunt and Sharp End Model Policies, procedures, ... ÊAddress a root cause

http://webbertraining.com/files/library/docs/29.pdf

Date added: March 13, 2012 - Views: 33

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USING DEFECT ANALYSIS FEEDBACK FOR IMPROVING QUALITY AND ...

analyzed for identifying root causes. Based on this analysis, defect prevention ... changing the process or the technology might also be taken. ... the root cause analysis and for determining the solutions are done in the same

http://www.cse.iitk.ac.in/users/jalote/papers/DefectPrevention.pdf

Date added: December 21, 2011 - Views: 26

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Understanding Root Cause Analysis for Packaging

9.2 ‘5 Whys’ Route Cause Analysis Template ... Investment in new technology End of production/shift countersigning by production or line manager ... P054 Issue 1 Understanding Root Cause Analysis for Packaging

http://www.brcglobalstandards.com/Portals/0/media/files/Certification/P054%20-%20Understanding%20Root%20Cause%20Analysis%20for%20Packaging.pdf

Date added: May 24, 2013 - Views: 5

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Root cause Analysis - Syndicate of Hospitals in Lebanon

F. Swiss Cheese Model High Technology Systems Many defensive layers Engineered Rely on people Depend on procedures & administrative controls ... Root Cause Analysis 38 SWISS CHEESE THEORY Pt having pacemaker procedure Physician attempting placement of leads RN has never

http://www.syndicateofhospitals.org.lb/workshop/Root%20cause%20Analysis.pdf

Date added: November 22, 2011 - Views: 60

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Analysis of Root Causes for Chemical Accidents Basis on ...

a Tokyo Institute of Technology, 2-12-1, O-okayama, Meguro-ku, Tokyo 152-8552, ... a novel template approach across all principal activities was used. This template configures five types of activities, ... Applying the Business Process Model for Root Cause Analysis To analyze the root causes, ...

http://www.aidic.it/lp2013/webpapers/170fuchino.pdf

Date added: August 6, 2013 - Views: 2

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Operational Analysis Template - BLM - The Bureau of Land ...

Operational Analysis Template FY 2008 1. Administrative Information Investment Title ... Based on the customer and user analysis and performance analysis, discuss the root cause of the gap, and what, ... include investing in technology compliant with the BLM EA; BPR; ...

http://www.blm.gov/pgdata/etc/medialib/blm/wo/Information_Resources_Management/policy/im_attachments/2008.Par.18446.File.dat/IM2008-052_att1.pdf

Date added: November 1, 2011 - Views: 20

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Using SAP Root Cause Analysis & System Monitoring for SAP ...

... used under license for technology invented and implemented by Netscape. SAP, R/3, xApps, xApp, SAP NetWeaver, ... ROOT CAUSE ANALYSIS FOR SUP IN SOLUTION MANAGER ... 1.2 Activate and Apply the Monitoring Template ...

http://wiki.scn.sap.com/wiki/download/attachments/328468178/Root_Cause_Analysis_for_SUP.pdf?version=1&modificationDate=1368019980415

Date added: November 24, 2013 - Views: 8

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The Application of Formal Methods to Root Cause Analysis 0f ...

to perform a root cause analysis (or “incident post mortem”) following recovery from such ... Applying formal methods to the analysis of root cause is a logical next step in producing ... Technology. January, 2004.

http://www.utica.edu/academic/institutes/ecii/publications/articles/A0B62ABA-F4C9-CBCE-8B9812B7B4055CAC.pdf

Date added: January 28, 2012 - Views: 24

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An Introduction to Root Cause Analysis in Healthcare 1 ...

An Introduction to Root Cause Analysis in Healthcare ... candidate root cause of the incident. ... Evidence Report/Technology Assessment Number 43, Agency for Healthcare Research and Quality. 2001. Available from: http://www ...

http://www.dcs.gla.ac.uk/~johnson/papers/Pascale_book/incident_analysis.PDF

Date added: December 16, 2011 - Views: 77

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Performance Improvement (PI) Plan and Template

Performance Improvement Plan Participants and Respective Responsibilities ... adopting new technology to enhance the capacity of the staff to communicate, ... Template for Root Cause Analysis A. WHAT IS A ROOT CAUSE ANALYSIS (RCA)? Root cause analysis ...

http://www.hcanj.org/files/2013/09/HCANJ_GuidelinePerformanceImprovement_4.pdf

Date added: November 4, 2013 - Views: 18

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Conducting the Post Mortem a.k.a. Root Cause Analysis ...

In the following Post-Mortem example, ... He had also used the technology in a way that prevented him from seeing the newest data as soon as it came in. Figure 2: "Another example" ... productive root cause analysis includes tough self-reflection.

http://www.wdtb.noaa.gov/courses/risk-comms/module_2/documents/Post-Mortem.pdf

Date added: December 31, 2012 - Views: 21

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PATIENT SAFETY Optimizing FMEA and RCA efforts in health care

“Failure mode and effect analysis” (FMEA) and “root cause analysis” (RCA) are becoming commonplace terms in work environments and in the literature. This article will demonstrate that these terms, ... The introduction of technology to conduct analyses

http://www.fmeainfocentre.com/papers/ashrm_paper_vol24no3.pdf

Date added: January 16, 2012 - Views: 59

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VERSION 07.22.08 20.2.7 NMAC – EXCESS EMISSIONS ...

INSTRUCTIONS FOR ROOT CAUSE AND CORRECTIVE ACTION ANALYSIS SUMMARY FORM. PLEASE NOTE: ... including an act of God that caused the source to exceed a technology-based emission limitation in ... root cause analysis methodology, ...

http://www.nmenv.state.nm.us/aqb/enforce_compliance/documents/RootCauseAnalysisFormInstructions.pdf

Date added: January 28, 2012 - Views: 29

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Analyzing Errors: Improve Quality, Reduce Risk by Identifying ...

cesses are root cause analysis (RCA) and failure mode and effect analysis (FMEA). ... technology controls - compliance planning - auditing and monitoring A CNA HEALTHPRO RISK MANAGEMENT BULLETIN FOR ALLIED HEALTHCARE FACILITIES 3. Published by CNA.

http://www.cna.com/vcm_content/CNA/internet/Static%20File%20for%20Download/Risk%20Control/Medical%20Services/AnalyzingErrors-ImproveQuality,ReduceRiskbyIdentifyingUnderlyingCauses.pdf

Date added: December 2, 2011 - Views: 19

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NIST SP 800-115, Technical Guide to Information Security ...

Computer Security Division Information Technology Laboratory National Institute of Standards and Technology ... root cause analysis, ... Appendix B provides a template for creating Rules of Engagement (ROE) ...

http://csrc.nist.gov/publications/nistpubs/800-115/SP800-115.pdf

Date added: November 22, 2011 - Views: 45

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Fact Gathering Worksheet - Institute For Safe Medication ...

ISMP ROOT CAUSE ANALYSIS WORKBOO FOR COMMUNITY/AMBULATOR PHARMACY Fact Gathering Worksheet The RCA team leader may use this optional tool as a method to systematically investigate the event and to record findings and observations gathered

http://www.ismp.org/tools/rca/RCA-Fact-Gathering-Worksheet.pdf

Date added: March 17, 2014 - Views: 1

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Game Plan for Pressure Ulcers, Part 2: Quality Improvement ...

– Use information technology to assist: ... A root cause analysis training program., J Healthcare Quality. 2005; 27(5): ... Quality Institute. References 1. AMDA. Pressure Ulcers in the Long -Term Care Setting Clinical Practice Guideline. 2008. 2. Baranoski, ...

http://louisianaqio.eqhs.org/PDF/Patient%20Safety/Webinars/Game%20Planfor%20PU%20Part2.pdf

Date added: October 13, 2012 - Views: 11

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EFFECTIVE OPTIONS FOR REDUCING THE TIME TO PERFORM ROOT CAUSE ...

THE TIME TO PERFORM ROOT CAUSE ANALYSIS OF VMWARE FC SAN ... •Troubleshooting VM Application Performance Issues with Brocade Fabric Vision technology ... Corporate Presentation Template Author: Brocade Communications Created Date:

http://www.brocade.com/community/events/vmworld2014/brocade-speaking-session-1-ppt.pdf

Date added: October 21, 2014 - Views: 1

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A Re-Examination of Failure Analysis and Root Cause Determination

Root-cause failure analysis provides this understanding. Fully implemented, it seeks not only to solve the immediate problem, but to provide valuable guidance to ... the weld root. IMPORTANT FAILURE ANALYSIS PRINCIPLES REPRESENTED IN THIS CASE

http://www.plant-maintenance.com/articles/ReExaminationofFailureAnalysisPart12.pdf

Date added: January 28, 2012 - Views: 57

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CONTRACT RESEARCH REPORT 325/2001 - Health and Safety Executive

... (SRP) Root Cause Analysis System 22 6.3 TapRooTTM 24 6.4 Human Performance Investigation Process (HPIP) 26 ... - Event analysis - Root cause determination • Correct ... The Research Centre of Systems Safety of the Berlin University of Technology in

http://www.hse.gov.uk/research/crr_pdf/2001/crr01325.pdf

Date added: December 23, 2011 - Views: 25

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Security Incident Response Plan Template For IET Unit ...

Security Incident Response Plan Template ... Staff from each Information and Educational Technology (IET) unit has contributed ... Additional details of the steps taken to resolution. Root cause analysis. ...

http://security.ucdavis.edu/pdf/iet_irp.pdf

Date added: May 2, 2013 - Views: 38

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Strengths and weaknesses of available methods for assessing ...

Strengths and weaknesses of available methods ... Information technology and electronic medical records 35 Administrative data 38 Autopsy ... and to submit a root cause analysis of these events (see http://www.jcaho.org/index.htm).

http://www.who.int/patientsafety/research/P_Michel_Report_Final_version.pdf

Date added: February 27, 2012 - Views: 13

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General Aviation Technically Advanced Aircraft FAA ...

... at Root Cause Analysis (performed in the same way as in ... 5. The general template exists for enabling pilots to extract this available safety ... But every new technology in aviation has always had the effect of increasing the

http://www.faa.gov/training_testing/training/fits/research/media/TAA%20Final%20Report.pdf

Date added: February 15, 2012 - Views: 3

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RISK MANAGEMENT GUIDE FOR DOD ACQUISITION - Welcome to AT&L

Top-Level Guidelines for Effective Risk Management • Assess the root causes of program risks and develop strategies to manage these risks ... - Use technology demonstrations, modeling and simulation, ... Program root cause identification and analysis integrates the technical performance

http://www.acq.osd.mil/se/docs/2006-RM-Guide-4Aug06-final-version.pdf

Date added: October 2, 2012 - Views: 49

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Send your resume to: Motorola Technology Sdn Bhd Plot 2 ...

... information technology and electronics components, products, ... engineer in root cause analysis and conducting standard experiment/testing ... submissions testing and ensuring raw data complies with defined standards template.

http://www.psdc.org.my/WebLITE/Applications/jobposting/uploaded/Docs/Motorola_28July10.pdf

Date added: January 6, 2013 - Views: 4

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Technology Readiness Assessment Guide - Lawrence Berkeley ...

Technology Readiness Assessment Guide ... Appendix H: Template Guide for a Technology Maturation Plan ... In an April 2008 report on the root cause analysis of contract and project management deficiencies within DOE, ...

http://www2.lbl.gov/DIR/assets/docs/TRL%20guide.pdf

Date added: July 7, 2014 - Views: 1

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Corrective Action Plan - Virginia Information Technologies Agency

Corrective Action Plan August 28, 2009 Prepared for: ... The Root Cause Analysis will aid in the parties’ ability to be proactive and predictive regarding events ... Information Technology Manager (AITR), ...

http://www.vita.virginia.gov/uploadedFiles/Communications/VITA_Corrective_Action_Plan.pdf

Date added: November 9, 2011 - Views: 43

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Health Information Technology (HIT) Guide for the Delta Rural ...

Health Information Technology (HIT) Guide for the ... This change needs to be managed in order to help individual staff adopt the new technology. Workflow analysis and future workflow ... Identify potential problems in current workflows and processes and determine their root cause Study the ...

http://www.adph.org/ruralhealth/assets/HITGuideWorkflow.pdf

Date added: October 17, 2012 - Views: 4