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Application of a Systemic Lessons Learned Knowledge model for organisational learning through projects Stephen Duffield Confirmed PhD Candidate USQ
Disclaimer: The views and opinions expressed by Stephen Duffield in this presentation are his alone, and do not reflect the views, opinions and position of any organisation with which Stephen may be otherwise affiliated.
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@invictaprojects
#SYLLK
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@invictaprojects
#SYLLK
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PM lessons learned journey
(ISSEC August 2011 John Andrews)
Boeing LLdb review…2003 (not effective)…2007 (not effective), Boeing 2010 (a different approach - look at other mechanisms - repeat findings – culture)
Master of Project Management - Research Risk Management
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http://www.pmlessonslearned.info
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62% of 522 have a LL process Only 11.7 % used it Why? LL fails to deliver
The ‘Swiss Cheese’ model of defences Source: Reason, J., 1990. Human error. Cambridge University Press Reason, J., 1997. Managing the risks of organizational accidents. Ashgate
The term ‘Swiss cheese’ was labelled by Dr Rob Lee, then the Director of Bureau of Air Safety Investigation, Canberra (Reason, J., 2013. A Life in Error. Ashgate.)
