Process Poorly Designed
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Teamwork breakdown Poor leadership Undisciplined communication Undetected aberrant contexts Incidental misunderstanding. Isolated Error Ingress. Most Likely. Inadequate staff training Poorly motivated human resource Lack of operative supervision Inadequate management
Process Poorly Designed
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Presentation Transcript
Teamwork breakdown Poor leadership Undisciplined communication Undetected aberrant contexts Incidental misunderstanding Isolated Error Ingress Most Likely Inadequate staff training Poorly motivated human resource Lack of operative supervision Inadequate management Time/cost pressure Unsound deployment of staff Numeric under-resourcing Process or People Inadequately Managed Intermediate Likelihood No mechanism to spot aberrant contexts Vigilance opportunities too limited Inadequate redundancy Mismatch with organizational competences Process Poorly Designed Least Likely