Writing
For purposes of this project, a critical incident is a key
occurrence, but it is not a sentinel event. A bow-tie analysis places the
critical incident at the center of the framework and identifies in graphic
format the root cause leading up to the incident on the left side of the
critical incident. On the right side of the incident, key preventive measures
are graphically represented. In one image, you will capture the incident (at
the center), the causes for failure in quality, and (on the right) preventive
measures a manager can put in place to stop this failure from happening in the
future. The final graphic will appear as a bow-tie.
For purposes of this project, a critical incident is a key occurrence, but it is not a sentinel event. A bow-tie analysis places the critical incident at the center of the framework and identifies in graphic format the root cause leading up to the incident on the left side of the critical incident. On the right side of the incident, key preventive measures are graphically represented. In one image, you will capture the incident (at the center), the causes for failure in quality, and (on the right) preventive measures a manager can put in place to stop this failure from happening in the future. The final graphic will appear as a bow-tie.
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