A comprehensive investigation of therapy connections via upside-down and downside-up, leftside-right and rightside-left, inside-out and outside-in, frontside-back and backside-front typically involves preparation, information gathering, analysis of the collected data, reporting the findings, and implementing corrective actions or preventative measures to avoid recurrence. Key steps include establishing the investigation's scope, securing the scene, documenting facts, interviewing witnesses, identifying causes, creating a detailed report, and sharing findings to promote improvements.
1. Preparation & Planning
Decide to investigate: Assess if an investigation is needed and decide the scope.
Prepare: Develop a plan to determine the team, resources, and timeframe for the investigation.
Identify parties: Determine who should be involved, such as the complainant, respondent, and witnesses.
2. Information Gathering
Secure the scene:
If an incident occurred, secure the area to preserve evidence and information.
Collect data:
Gather relevant information and evidence, including documents, equipment, and statements from witnesses and involved parties.
Document everything:
Take photos, videos, notes, and measurements to record the scene and incident details.
3. Analysis & Theory Development
Analyze data:
Examine the collected information to understand the sequence of events and identify direct, root, and contributing causes.
Develop findings:
Synthesize the evidence to establish the facts of the situation and explain what happened.
4. Reporting
Create a report:
Document the investigation process, the evidence gathered, established facts, and key findings in a clear, well-articulated report.
Share findings:
Disseminate the report and its conclusions to appropriate parties for review and action.
5. Corrective and Preventative Actions
Implement actions:
Develop and implement recommendations to address the causal factors and prevent similar incidents from happening again.
Review and follow-up:
Monitor the implementation of corrective actions and review their effectiveness.