Common Pitfalls and Shortcomings of Lessons Learned Programs

Author(s):  
Ian Fry

While many organizations attempt to implement a Lessons Learned program, very few reach a state of becoming a “Learning Organization.” Surveys conducted by Knoco show that when asked how effective the program was, the average self-assessed score is 48%. Much of the problem is a lack of sufficient skilled and appropriate people, assessment and implementation processes, technology and governance; but even when these are in place, the single most common problem is that lessons are treated as observations and rarely used to drive lasting change. In addition, we find issues such as a lack of governance around the lesson-learning process, the lessons database is seen as a repository not a lessons management system, quality control is needed at the input stage, and ensuring sufficient evaluation. This chapter describes these problems and outlines some mitigation strategies to shift observations and knowledge capture to a more applied implementation level.

2021 ◽  
Author(s):  
Abe Hudson ◽  
Jim Marsh

Abstract This paper discusses the lessons learned from transforming upstream operational requirements from a document environment into a requirements management tool (database). Operations requirements from upstream practices, procedures, specifications, and guides were migrated from a document centric environment into a requirements management system (data centric). Here, requirements were assigned attributes denoting the organization and accountable operational role that requirement. Many organizations, operating complex offshore procedures, especially where operations are highly regulated, are looking to move their operational requirements from a document centric environment to a data centric environment. This paper highlights some potential pitfalls and mitigation strategies for ensuring a successful migration.


2012 ◽  
Vol 192 ◽  
pp. 415-419
Author(s):  
Dian Can Li

To improve the quality management and the quality level of products is an important issue related to enterprise survival and development. Through the establishment of the welding quality management system, quality control in welding processes and quality improvement research, this paper analyzes quality control of the welding technology, and illustrates how the enterprise develop quality system to deeper levels after passing the certification of quality management. That means, maintaining and continuously improving the effectiveness of the quality management system is the focus of quality management work after the certification.


2021 ◽  
pp. 108602662110286
Author(s):  
Andrew Spicer ◽  
Marcus Wagner ◽  
Maurizio Zollo

In this introduction, we first review the lessons learned in development economics about the ability of randomized control trials to analyse what Duflo refers to as the “plumbing problems” of policy implementation, as opposed to “engineering problems” of policy design. We then examine the papers published within this special issue from a plumbing-based perspective to highlight the benefits of the co-creation of knowledge in corporate sustainability through a field-based experimental agenda. We finally propose that field-based experiments can radically influence the future development of our (and related) fields of inquiry in three ways: (1) focusing on the implementation processes of sustainability strategies, (2) shifting attention from the analysis of past events to the design of future actions, and (3) yielding our role as sole owners of the knowledge development process and agreeing to shared ownership with the organizations we study.


2021 ◽  
pp. 1-11
Author(s):  
Song Gang ◽  
Wang Xiaoming ◽  
Wu Junfeng ◽  
Li Shufang ◽  
Liu Zhuowen ◽  
...  

In view of the production quality management of filter rods in the manufacturing and execution process of cigarette enterprises, this paper analyzes the necessity of implementing the manufacturing execution system (MES) in the production process of filter rods. In this paper, the filter rod quality system of cigarette enterprise based on MES is fully studied, and the constructive information management system demand analysis, cigarette quality control process, system function module design, implementation and test effect are given. This paper utilizes the Fuzzy analytic hierarchy process to find the optimal system for processing the manufacturing of cigarette. The implementation of MSE based filter rod quality information management system for a cigarette enterprise ensures the quality control in the cigarette production process. Through visualization, real-time and dynamic way, the information management of cigarette production is completed, which greatly improves the quality of cigarette enterprise manufacturing process.


2021 ◽  
Vol 136 (1_suppl) ◽  
pp. 9S-17S
Author(s):  
Jessica C. Acharya ◽  
B. Casey Lyons ◽  
Vijay Murthy ◽  
Jennifer Stanley ◽  
Carly Babcock ◽  
...  

Federal and state enforcement authorities have increasingly intervened on the criminal overprescribing of opioids. However, little is known about the health effects these enforcement actions have on patients experiencing disrupted access to prescription opioids or medication-assisted treatment/medication for opioid use disorder. Simultaneously, opioid death rates have increased. In response, the Maryland Department of Health (MDH) has worked to coordinate mitigation strategies with enforcement partners (defined as any federal, state, or local enforcement authority or other governmental investigative authority). One strategy is a standardized protocol to implement emergency response functions, including rapidly identifying health hazards with real-time data access, deploying resources locally, and providing credible messages to partners and the public. From January 2018 through October 2019, MDH used the protocol in response to 12 enforcement actions targeting 34 medical professionals. A total of 9624 patients received Schedule II-V controlled substance prescriptions from affected prescribers under investigation in the 6 months before the respective enforcement action; 9270 (96%) patients were residents of Maryland. Preliminary data indicate fatal overdose events and potential loss of follow-up care among the patient population experiencing disrupted health care as a result of an enforcement action. The success of the strategy hinged on endorsement by leadership; the establishment of federal, state, and local roles and responsibilities; and data sharing. MDH’s approach, data sources, and lessons learned may support health departments across the country that are interested in conducting similar activities on the front lines of the opioid crisis.


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