Diamond ToolsDiamond tools use the Matrixes to identify, evaluate and rank changes that will improve future performance of processes investigated. The tools include procedures for identifying and defining problems with coupled Event Block pairs or sets. Rules lead to systematic examination of each EB pair or set to identify problem relationships, candidate changes that would produce better results, the relative merit of each option, and a tradeoff analysis to assist with the selection of the best options. These tools lead to the orderly logical development and ranking of options for potential changes to improve future behaviors and outcomes. |
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Each EB or link found to be a problem, hazard, risk raiser, performance impediment or need is tagged with a "Diamond" on the Matrix-based process flow chart. This helps communicate the validity of the need for the changes proposed quickly and persuasively. The Matrix display of dynamic coupled behaviors derived from observations, and the Diamond tools for analyzing the Matrix display to find options for improving future performance obviate the need for traditional cause determination and other reported problems with current investigation practices, enhancing investigation efficacy and efficiency. |
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