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Human Performance, Root Cause, and Trending is an annual conference that fosters learning and open sharing regarding incident prevention, incident response, and operational learning across the spectrum of member organizations.

HPRCT brings together a variety of practitioners and thought leaders from healthcare, power generation, government, petrochemical, manufacturing, and academic organizations to share best practices, reach across disciplines, and add to the human and organizational performance body of knowledge.

Our goal is a safe and highly reliable world through event prevention and organizational learning. Whether your interest is in manufacturing, healthcare, energy, power generation, or oil & gas, you will find practitioners ready to share information to guide your journey, and inspiration to fuel it.

 

THANK YOU FOR JOINING US FOR THIS YEARS HPRCT

 

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Keynote Speakers

Sean Granville

Deputy CNO

Ontario Power Generation

Sean was appointed Deputy Chief Nuclear Officer on November 30, 2015. In this role, he has accountability for Centre Led Functions including Nuclear Projects, Pickering Safe Store Project, Decommissioning, Fleet Operations & Maintenance, Security and Emergency Services and Regulatory Affairs.

Prior to his current position, Sean spent 3 years at Point Lepreau Nuclear Generating Station in New Brunswick as the Site Vice President and Chief Nuclear Officer. In that role he was accountable for leading Point Lepreau Generating Station’s strategic direction to achieve safe, predictable and productive nuclear performance. During his tenure, improvement was achieved as measured by the World Association of Nuclear Operators (WANO) Peer Review.

Sean’s extensive background includes a 30 year career with Ontario Power Generation holding positions such as Deputy Vice President, Director of Operations and Maintenance and Director of Nuclear Programs. Sean was licensed as a Shift Manager at Darlington. He brings expertise in areas such as operational leadership, leader development, performance improvement, organizational effectiveness as well as industry engagement.

Sean’s nuclear industry experience has included being seconded to WANO, served on the Board of Directors of the Canadian Nuclear Association and a voting member of the Candu Owners Group.

Sean has a Bachelor of Applied Science Degree (Mechanical Engineering) from the University of Waterloo. He has completed the Queen’s University Executive Program as well as The Senior Nuclear Plant Manager Program from The Institute of Nuclear Power Operations in Atlanta.

Laurie Shelby

Vice President of EHS

Alcoa Corporation

We welcome Laurie as a General Session speaker this year.
Laurie Shelby is the Vice President of EHS for Alcoa Corporation which includes 12 smelters, 1 rolling mill, 6 refineries, 5 mines, 1 powder plant, and 1 hazardous waste facility.  Operations include 17,000 employees and over 8,000 contractors. She is responsible for implementing Human Performance across the locations and ensuring compliance with regulations and Alcoa Standards.   Prior to her current role, Laurie worked in internal audit, consulting, and the electric utility industry.
Laurie completed her bachelor’s degree in chemistry from Radford University.  She earned her master’s in Biomedical Engineering from Virginia Commonwealth University/Medical College of Virginia.  Laurie is also a Certified Safety Professional (CSP) and Certified Industrial Hygienist (CIH).

Laurie and her husband, Joe, and their 2 daughters live in Richmond Virginia but she spends most of her time on Delta flights.

Title of Presentation:  Integrating Human Performance and Critical Controls – Plan for Failure

At Alcoa, we have integrated Human Performance into all levels of organization, a process that started nearly a decade ago.  During this time, we significantly reduced the DART rate across all businesses.  However, we experienced workplace fatalities nearly every year during this period. To address this, we fundamentally changed the way we address fatality prevention.

We realized that the vast majority of our efforts, with Human Performance and fatality prevention programs, were focused on preventing incidents; we wanted to be that “Zero incident” workplace.

With our extremely complex operating environments, which encompasses diverse businesses such as mining, refining, smelting, casting and rolling, we recognize that failures absolutely will occur.  If we want to prevent fatalities and serious injuries, we need a balanced approach; continuing to focus heavily on incident prevention, while at the same time, being prepared for failures with the right controls so that when we have a failure, we fail in a safe manner.

In this presentation, we will describe this journey, and how we are currently integrating Critical Risk Management with Human Performance, so that our employees can better recognize the hazards that they face, take actions to prevent incidents from occurring, and identify and deploy critical controls so that when a failure occurs, we fail safely.

Dr. Jake Mazulewicz

Owner & Principal

JMA

We welcome Jake back as a General Session Speaker this year!

Before launching his consulting practice in 2015, Dr. Jake Mazulewicz led all Human Performance Improvement (HPI) initiatives for a 3,500+ person business unit within Dominion Energy, a Fortune 500 utility.

In that role, Jake partnered with technical experts in Distribution, Transmission, Substation, Switching, System Operations, System Protection, & Generation. He researched, taught, and advised leaders in these groups how to manage human errors by applying classic Human Performance Improvement (HPI) tools including: Situational Awareness, Checklists, and 3-Way Communication. Jake also applied advanced concepts including Just Culture, and traits of High-Reliability Organizations.

Jake pioneered the use of interactive case-based training modules that dramatically increased application of human performance concepts and helped reduce one technical group's error rate by more than 60% over three years.

Jake also served as the founding chairman of the North American Transmission Forum’s Human Performance Core Team. That group created initial principles of HPI excellence for transmission entities.

Jake served on reliability-driven teams as a firefighter, an emergency medical technician, a wilderness search & rescue field team leader, and a military paratrooper.

Contact Jake at 540-466-1357 or jake@reliableorg.com or visit www.reliableorg.com

Title of Presentation: How to Boost Engagement and Understanding with Interactive Teaching Cases

In 2010, I started teaching HPI to 3,500 employees at Dominion Energy – a Fortune 500 utility. I quickly discovered that most traditional HPI training was a catastrophe -- dry, abstract, and lecture-driven. Even showing examples of real incidents had minimal effect. So, I started designing and leading Interactive Teaching Cases. The results were astonishing – a dramatic boost in engagement, understanding and application to work. In this presentation, you’ll learn the simple four-stage model I use for every case plus enough practical tips and examples for you to start creating your own cases.

After completing this workshop: participants will be able to develop their own Interactive Teaching Case using a four-part model that has proven effective for all levels of students from managers to craft workers

Wendy Harris

Director of Performance Excellence

Baker Hughes

We welcome Wendy as General Session Speaker this year!
Wendy Harris is Director of Performance Excellence at Baker Hughes.  With 20 years of experience in the field of Health, Safety and Environment, she is known for her forward-thinking approaches and her research into organizational HSE culture and measuring HSE climate.

Wendy holds a Doctorate degree in distance education from Regent University, a Master of Science degree in environmental sciences from the University of Houston and a Bachelor of Science degree in biomedical science from Texas A&M University.

Title of Presentation:  What Lies Beneath -- A Case Study for Introducing Human Factors Concepts

It is no longer enough that event investigations dig deep enough to identify the true root cause or causes.  Too often these investigations end with a human behavior as the focus for corrective actions.  Not unexpectedly then, much time, energy, and money are spent on behavior-based safety programs designed to improve individual behaviors.

Instead, current efforts should be focused more on understanding the surrounding context of an individual’s behavior.  Human and organizational factors greatly influence individual decisions and behaviors.  Identifying, understanding, and correcting these influencing factors will ensure corrective actions are more effective and longer lasting.  This presentation will explain in more detail, the importance of looking past human behavior to explore What Lies Beneath.

Bob Nelms

President

Failsafe-Network, Inc,

Bob has been a perennial speaker at the HPRCT conferences, and we welcome him back again this year!
Bob Nelms is President of Failsafe Network, Inc.
He graduated from Texas A&M in 1969 with an Aerospace Engineering degree.  He become employed at McDonnell Douglas as an Aeronautical Loads Engineer from 1970-1974, working on the F-4 Phantom jet.  He then was hired by Allied Chemical Corporation in Hopewell, Virginia as a Reliability Engineer.  It was here that Bob developed a passion for helping people learn from things that go wrong in their lives.
He founded Failsafe Network, Inc. in 1985 and has worked with, and trained thousands around the world in a unique approach to Root Cause Analysis.

He has authored two books, innumerable articles, enjoys public speaking about related subjects, and enjoys his quiet, mountain-home life with his wife in Montebello, VA.

Title of Presentation:  What Happened to Me When I Confronted the Issue of Risk Head-On?

"I don't want to be the kind of person that always sees the downside of things, or worries about things, or feels as if I must protect myself from everything.  I'm an optimistic person that tends to go into things that I think are worthy without thinking too much about the downsides.  I must admit, however, that this tendency has caused problems in my life.  This presentation will take the listener on a journey -- an introspective journey that might be essential for everyone, everywhere working in a high-hazard environment."

Joe Estey

Principal Performance Improvement Specialist

Lucas Engineering and Management Solutions

We welcome Joe as a General Session Speaker this year!

As Principal Performance Improvement Specialist for Lucas Engineering and Management Solutions, Joe Estey mentors and trains executives, managers and front line workers from a variety of industries on Human Performance Improvement, Formality of Operations and Leadership. Clients include national research and development laboratories, manufacturing plants and one of a kind/first of their kind production facilities. As the recipient of three National Awards from the White House Executive Leadership council for his work in public outreach and education, he frequently speaks to public agencies, corporate and small business managers and front line workers across the United States.

Serving on the Board of Directors for the Human Performance Root Cause Trending Organization (HPRCT.ORG), Joe continues to learn from principal investigators and analysts from fields as varied as aviation, pharmaceutical, medical, manufacturing and power generation to implement best management practices for reducing the frequency and severity of human error.

His book, The Tomorrow Tapestry, Life Woven on the Fabric of Change, was one of Publish America’s top ten business books in 2008 and has been used in leadership and organizational development courses throughout North America.

Title of Presentation: Cultural Transformation:  The Real Definition and Practice of Engaging Hearts and Minds

Ask many executives and first line supervisors what their current and future challenges are and ‘employee engagement’ is bound to be listed in the top three. But what is ‘engagement’?

Why do best practices seem to work in some organizations but not in others? Why are some companies the benchmark other companies are seeking to become? The answer to these and similar questions lies in the hearts and minds--the emotional and cognitive power--lying dormant in too many workplaces today. Too many victims have suffered the experience of executives, managers and committee members attending a conference, fired up by a new way of doing things only to have the effort completely fail and falter in their own experiences.

During this ‘engaging’ interactive session, Estey will describe the Engagement Spectrum, how to spot and remedy the common obstacles to engagement and the five keys to transforming a culture by engaging the hearts and minds of the organization.

John S. Carroll

Gordon Kaufman Professor of Management

MIT Sloan School of Management

We welcome John as a General Session speaker this year!
John S. Carroll is Gordon Kaufman Professor of Management at the MIT Sloan School of Management.  He received a B.S. in Physics from MIT and a Ph.D. in Social Psychology from Harvard.  He taught in the Psychology Departments of Carnegie-Mellon University and Loyola University of Chicago before joining the Sloan School faculty in 1983.
Professor Carroll has published four books and numerous articles in several areas of social psychology and organization studies.  His research focuses on individual and group decision-making, the relationship between cognition and behavior in organizational contexts, and the processes that link individual, group, and organizational learning.  Current projects examine organizational safety issues in high hazard industries such as nuclear power, aerospace, and health care; the focus of his work in these projects includes leadership, self-analysis and organizational learning, safety culture, communication, and systems thinking.
Jeff's General Session presentation is titled:

The Invisible Organization or Why Change Fails to Take Root

In this session, John will discuss challenges that arise from the organization and management of work.  In effect, the organization chart and procedure manuals are partly an illusion – an almost invisible organization carries out the work, sometimes failing to comply with design intent, and sometimes filling gaps, responding to surprises, and shouldering risks in ways that designers did not imagine but that produce safety as an ongoing collective accomplishment.  MIT Sloan has developed a framework for understanding organizations called the Three Lenses: Strategic Design, Political, and Cultural.  The framework will be illustrated with examples of organizational practices from several industries, including problem reporting, root cause analysis, safety culture assessment, and improvement practices.

Sidney Dekker

Professor/Founder

Griffith University in Brisbane and The University of Queensland / Safety Science Innovation Lab

We welcome Sidney back for his second visit to our conference.
Sidney Dekker is a professor at Griffith University in Brisbane, Australia, where he founded the Safety Science Innovation Lab. He is also Honorary Professor of Psychology at The University of Queensland.

Previously, Dekker was Professor of human factors and system safety at Lund University  in Sweden, where he founded the Leonardo da Vinci Laboratory for Complexity and Systems Thinking, and flew as First Officer on Boeing 737's for Sterling and later Cimber Airlines out of Copenhagen. Dekker is a high-profile scholar and is known for his work in the fields of human factors and safety.

Dekker's most recent books include "The End of Heaven: Disaster and Suffering in a Scientific Age" (2017), "Just Culture: Restoring Trust and Accountability in your Organization" (2016), Safety Differently: Human Factors for a New Era (2015), '"The Field Guide to Understanding Human Error" (2014), 'Second Victim: Error, guilt, trauma and resilience (2013), Just Culture: Balancing Safety and Accountability (2012), Drift into Failure: From hunting broken components to understanding complex systems (2011), and Patient Safety: A human factors approach (2011).

Sidney will be addressing our conference on Tuesday morning, June 13th

Dr. Todd Conklin

Senior Advisor for ORganizational and Safety Culture

Los Alamos National Laboratory

Dr. Todd Conklin has spent 27 years as a Senior Advisor for Organizational and Safety Culture at Los Alamos National Laboratory.  Dr. Conklin has honed his craft in Human Performance at Los Alamos and through his interactions as an international speaker and thought leader in the realm of Operational Learning.  Conklin holds a Ph.D. in Organizational Behavior from the University of New Mexico and has authored several bestselling books, including Pre-Accident Investigations, and Pre-Accident Investigations: Better Questions.  He speaks all over the world to executives, groups, and work teams who are interested in gaining a better understanding of the relationship between the workers in the field and the organization's systems, processes, and programs.

Conklin also hosts the award-winning Pre-Accident Investigation Podcast.

Rob Fisher

President and Director of Operations

Fisher IT, Inc.

Rob Fisher is a  perennial favorite at the HPRCT Conferences.
He is currently the President and Director of Operations for Fisher IT, Inc. a Native-American (Cherokee) owned business. Rob has extensive experience in performing event investigations, designing performance improvement systems, designing and improving corrective action programs, designing and running procedure programs, and educating staff.  He is routinely invited to speak at international, national and regional conferences on safety, procedures, performance improvement, human performance and event investigation.  Fisher IT has most recently been recognized internationally as instrumental in reducing fatalities and serious / life-altering injuries in high hazard industries using human performance and procedure concepts.
Fisher IT, Inc. provides training and consulting services in Human Performance Improvement, Root Cause, Corrective Action Program and Procedures / Programs / Processes for multiple industries. Current projects include US Nuclear, Non-Nuclear power generation and transmission, US Industrial and Petrochemical, Department of Energy and international clients.
Fisher IT, Inc. is known world-wide for the creation of practical application error reduction tools for use from the Senior Leaders to the hands of the field worker.
Rob will be presenting at a General Session and instructing a Workshop
General Session: Using the Essential Leadership Cycle to drive HP
This talk will educate attendees on how leaders can be better prepared and utilized to lead HP and CAP
4-hour Work Shop Thursday June 15th: Advanced Error Reduction in Organizations
This is a Leader Level session on understanding Advanced HP concepts how our understanding of human performance, organizations and errors has improved in the last few years.

Aileen Sullivan

Director

Fleet Performance Improvement

We welcome Aileen as a Featured Speaker this year!

Currently, Aileen Sullivan is Director of Fleet Performance Improvement where she leads the two station Performance Improvement Departments and a Nuclear Support PI Department as well as the Human Performance Program. She is also the Program Owner for Nuclear Safety Culture at Ontario Power Generation.

Aileen has worked in the commercial nuclear power business for over 28 years. She began as a Human Factors Consultant with Ontario Power Generation (OPG) and carried out various roles in safety, human performance and operations. Her career has taken her to 4 countries (Canada, Australia, South Africa and the United Kingdom) where she has been instrumental in using engagement processes to deliver performance improvement across various plants and industries.

After 2 years with the OPG’s Performance Improvement Program, in 2000 Aileen joined the management team at the Darlington Nuclear Power Station in Canada, first as the Radiation Protection Manager and then she began the first Human Performance Program at the station. She was instrumental in the development of the Nuclear Safety Culture assessment process used by OPG as well as the ‘Navigator’ process that focused and aligned the station top to bottom resulting in rapid performance improvement that was awarded the INPO Excellence Award in 2007. She received her Advanced Operations Management Certification in 2006 and was the Manager of the Tritium Removal Facility for 2.5 years.

After 20 years with OPG, Aileen left OPG for an opportunity at British Energy (now EDF Energy) to improve human performance and nuclear safety culture (referred to as Nuclear Professionalism). As Fleet Manager she engages with leaders and a team of NP Leads from the 8 nuclear stations and the centre to implement improvements that reduce errors and prevent events due to human and organizational factors driving continuous improvement in all areas. She then took on the role of the Senior Advisor to the CNO where she focused on the integration of human performance in 3 NPPs in the UK to drive improvement performance.

Aileen received her Masters in Human Factors from the University of Nottingham and her Certification as a Professional Ergonomist in 1995. She has also received her Human Performance Certificate from the University of Idaho and worked with the National Skills Academy Nuclear and Cogent in the UK to develop UK’s first Certification of Human Performance Specialists and national training standards for human performance. Having lived and worked in 4 countries and worked at or visited at least 25 different power stations in 8 countries, Aileen has learned how to integrate human performance and safety culture to drive business improvements in a number of different high risk environments.

Aileen lives in Whitby, Ontario with her partner Rob. She enjoys photography, reading, travel and her Cottage where she enjoys the sunshine and blue sky of the Canadian summer. She enjoys skiing and golfing.

Aileen will be presenting at General Session

General Session: Integrating human performance into the business so it is not seen as a ‘bolt on’ to deliver sustainable business results

She will demonstrate how the integration of human performance, performance improvement and trending into the business can improve and sustain business results.

Chris Eckert

President

Sologic, LLC

We welcome Chris as a first-time General Session Speaker this year!
Chris is the President of Sologic, LLC where he is responsible for managing the operations of Sologic, LLC and Artemis Investigations.
Chris has established RCA programs in a wide variety of industries and has facilitated hundreds of investigations ranging from minor injury to catastrophic failure. He has been an RCA practitioner since 1992 and a certified RCA instructor since 1999.
Prior to forming Sologic in 2011, Chris was the President of Apollo Associated services from 2002 to 2011. Chris spent the first 10 years of his career with Dow Chemical in manufacturing, design engineering and reliability, and he spent the next 4 years with Rohm and Haas as the corporate reliability engineer where responsibilities included implementation of reliability improvement programs at site and enterprise levels.
Education/Certification

B.S. Mechanical Engineering from Rose-Hulman Institute of Technology
Registered Professional Engineer; Michigan
Certified Maintenance and Reliability Professional
Chris's General Session presentation is titled:  RCA and Big Data—The Potential Future State of Problem Solving?
Chris will explore where/how big data may change the way problems are solved in the future and to weigh both the risks and benefits.

Bob Latino

CEO

Reliability Center, Inc.

Bob was a favored speaker in Colorado Springs last year.  We welcome him back this year!
Bob Latino is CEO of Reliability Center, Inc. (RCI), out Hopewell, VA.
In 1972, RCI was originally established as an R&D Reliability Engineering arm of Allied Chemical Corporation (more commonly known as Honeywell today). RCI spun off as an independent company in 1985 and has since been applying their field-proven Reliability principles in over 25 countries around the world. Bob has been a practitioner of these principles for over 32 years.
He has authored or co-authored five (5) texts on Reliability, Error Reduction and/or RCA, as applied in manufacturing and acute care hospitals. Bob has trained tens of thousands of students in RCI’s PROACT® methodology.  Bob holds a B.S. Degree in Business Management from Virginia Commonwealth University.

Title of Presentation:  What is Wrong with Root Cause Analysis?

Here's an interesting excerpt from his abstract:  "My biggest take away from my first exposure to HPRCT last year was that the HPI field apparently does not put a great deal of stock into the concept of 'RCA'. They do not see it as value-added. I thought to myself, 'how can that be, these are such experienced and educated people, how can they not see the value?’ I thought, 'What am I missing here?'"  Bob will be answering his own question in his presentation.

Helene E. Harding

Vice President-Gulf Coast Business Unit

ConocoPhillips

We welcome Helene as a first-time General Session Speaker this year!

Helene E. Harding is Vice President, Gulf Coast Business Unit, for ConocoPhillips.

Helene began her career with ARCO in 1982 and worked as a reservoir engineer in South Texas and a facility engineer in the Gulf of Mexico. During the 1990s’ she held various roles with ARCO International, including finance director for the former Soviet Union and engineering manager for Worldwide New Ventures. Following BPs’ acquisition of ARCO in 2000, she became Asset Manager, Western Gulf of Mexico Shelf. Helene joined Conoco in 2001 as South Texas Asset Manager.

In 2002, following the ConocoPhillips merger, Helene was named General Manager of the Gulf Coast Business Unit. In June 2005, she was named General Manager, Subsurface Technology.

Helene became Vice President, North Slope Operations and Development for ConocoPhillips Alaska in January 2008. She was appointed to her current position in August 2011. She was selected as a “Women Worth Watching in 2013” by Profiles in Diversity Journal and in 2015 she was named one of the "Women in Energy" by Houston Business Journal.

Education

Helene received her Bachelor of Science degree in Chemical Engineering in 1982. She graduated Summa Cum Laude from Texas A&M University, College Station, Texas.

Title of Presentation: Benefits of Human Performance Principles in Oil and Gas Operations – An Executive Perspective

Helene will help the audience appreciate the benefits of applying HP principles to a workforce performing Oil and Gas Operations from an executive perspective.

Jeff White

Human Performance Coordinator

Southern Company Services

We welcome Jeff as a General Session speaker this year!
Jeff is the Human Performance Coordinator for Southern Company Services.
He began his career with Alabama Power in 1978 as a helper and progressed to journeyman lineman. Jeff left the line crew in 1991 after receiving a B.S. in Business from Troy University.  During his 39 years with Southern Company he has held positions as Engineering & Construction Supervisor, District Construction Supervisor, and Manager of Safety & Skills Training prior to accepting his current role.
Jeff's General Session presentation is titled:
Fix the Worker versus Fix the System
Jeff will first give a short review of the Human Performance Principle: Accidents and Operational incidents can be prevented by understanding mistakes and learning from them.  Then he will briefly explain three actual unwanted events, contrasting the difference between focusing on the worker versus focusing on the system, ending with the conclusion that attempting to fix the worker actually fixes nothing.

Dr. Thomas Diller

Executive Director

University of North Texas Health Sciences Center Institute for Patient Safety

We welcome Dr. Diller to this year's HPRCT, and look forward to his General Session co-presentation with Rey Gonzalez!
Thomas Diller, MD, is an experienced physician executive and expert in High Reliability Organizations with published works on Human Factors Analysis. He has over 21 years of progressively increasing responsibilities in medical management.
Currently, he is the Executive Director of the University of North Texas Health Sciences Center Institute for Patient Safety.  In this role he works with the University in partnership with provider partners in the North Texas region to improve patient safety through education and research.

Dr. Diller holds a Masters of Medical Management degree, is a Certified Physician Executive, is certified in Medical Quality and is black belt trained in lean six sigma and change management.  Additionally, he is a Board-Certified Internist with over 20 years of clinical practice experience in internal, occupational and preventive, and emergency medicine. He has published several research papers on quality and patient safety topics and serves on the Editorial Board for The American Journal of Medical Quality.

As mentioned above, Dr. Diller will be a General Session Co-Presenter with Rey Gonzalez and will present:

A Glowing Resemblance – A Compare and Contrast of Medical and Nuclear Performance Improvement Initiatives  

Rey Gonzalez

Owner/President

HOPE Consulting LL

Rey is a perennial favorite at our HPRCT meetings, and will be a General Session speaker this year also.  Welcome back Rey!

Rey is Owner/President of HOPE Consulting LL.

Rey has spent most his professional life working to improve safety, efficiency and profitability through the enhancement of human performance.

Rey has done so with a keen focus on improving coaching and mentoring as well as helping management and workers understand how to use the Human Performance Tools in a manner to most effectively minimize their potential for making mistakes on the job, as well as in helping supervisors and managers become excellent coaches and role models of desired behaviors. Rey helps management understand their role and responsibilities with providing a strong organization with effective defenses in place to minimize mistakes and eliminate undesirable events.

Rey is a power plant professional with 37 years of diversified technical and organizational experience in the areas of operations, training, quality assurance, work management and performance improvement including; Cause Analysis (the Corrective Action Program), Self-Assessment, and Human Performance (HU).

Of note are Rey's contributions in his development of (1) Coaching to Enhance Performance®, an approach to coaching that has received tremendous results (and rave reviews for its effectiveness) within the US commercial nuclear and non-nuclear electrical industries; (2) Trigger Training™ which is a first of its kind training in human error reduction; and (3) Executive level mentoring to enhance leader behaviors and coaching skills for culture transformation in performance and safety improvement.

Rey's General Session will be co-presented with Dr. Thomas Diller (see following), and it titled:

A Glowing Resemblance – A Compare and Contrast of Medical and Nuclear Performance Improvement Initiatives  

Rey and Dr. Diller will frame the problem with patient safety and root cause analysis in healthcare and describe an approach (HFACS) for improvement.  They will also review similarities and compare Nuclear Industry Organizational Factors and Safety Culture in root cause analysis and introduce next steps for a proactive approach to shaping behaviors.

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2017 Presentations

Agenda

Location

Sponsors

Contact

Mary Webb

marywebb.hprct@charter.net