Run A PDSA After A Checklist Miss
Use PDSA to improve an operations checklist after a missed verification step.
A lockout checklist was signed before the field crew physically verified the tag on the device. PDSA: Plan a theory, Do a small test, Study the result, Act on what was learned The common trap is sending a reminder or adding more checklist boxes without testing whether the change targets the actual failure mode. Plan Theory: the signature box appears before the physical verification cue, so people experience the checklist as complete too early. A good plan predicts a mechanism, not just a desired behavior. Do Test one revised checklist in two drills: move physical tag confirmation directly before signature…
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