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Project ID: 10-1-05-1
Year: 2010
Date Started: 05/30/2010
Date Completed: 08/10/2012
Title: Using Escaped Prescribed Fire Reviews to Improve Organizational Learning
Project Proposal Abstract: Prescribed fire escapes continue to occur with regularity in all federal and state fire management agencies throughout the United States. By interagency policy, after an escape official reviews must be prepared. Paradigms guiding reviews have evolved over the past decade and now focus on organizational learning as opposed to individual accountability for all but the most serious accidents. In the absence of specific direction, a variety of innovative methodologies have been developed including Facilitated Learning Analysis, After Action Reviews, and reviews based on High Reliability and Resiliency theory. Whatever review style or context reviewing agencies make the assumption that, once a review has been prepared, approved and sent out to field units, learning has or will occur. Yet, as David Garvin notes, a lesson is not learned just because the reason for an error or accident is known; true learning only occurs when individual behaviors change in the field. To date, there has been no comprehensive assessment to determine whether learning post-review is actually taking place, nor has anyone ascertained whether field practices were actually modified after an escape report is transferred to the field. In this proposal, we seek to understand whether and how any of the escaped prescribed fire reviews (EPFR) processes as currently designed and implemented by U.S. federal fire agencies actually promote organizational learning. We address three specific facets of this broad question: How current EPFR products compare against the tenets of organizational learning; How effectively current EFPR transfer of knowledge gained; and What aspects of organizational culture are needed to strengthen reviews. Since the challenge is less on the theoretical side - a tremendous amount of theoretical information exists about organizational learning and understanding error and more on the cognitive side, we seek to answer these questions by engaging review participants in structured dialogues, and by comparing the theoretical and existing state-of-knowledge with existing review processes. We propose to present results in a variety of formats: a benchmark comparison of existing EFPR techniques against the precepts of organizational learning and understanding error; recommendations for improving EFPRs based on field and desk-based assessments (this will be field tested in at least one region); and six 6 minute podcasts covering various tips for organizing and conducting reviews that can be used by units and teams prior to and during reviews to maximize organizational learning.
Principal Investigator: Anne E. Black
Agency/Organization: Forest Service
Branch or Dept: RMRS-Forestry Sciences Lab-Missoula
Other Project Collaborators
Type |
Name |
Agency/Organization |
Branch or Dept |
Co-Principal Investigator |
James Saveland |
Forest Service |
RMRS-Natural Resources Research Center |
Co-Principal Investigator |
Dave Thomas |
Forest Service |
Region 4-Intermountain Region |
Federal Cooperator |
James Saveland |
Forest Service |
RMRS-Natural Resources Research Center |
Federal Fiscal Representative |
Susan T. Major |
Forest Service |
RMRS-Rocky Mountain Research Station |
Project Locations
Consortium |
Alaska |
Appalachian |
California |
Great Basin |
Great Plains |
Lake States |
Oak Woodlands |
Northern Rockies |
Northwest |
Pacific |
South |
Southern Rockies |
Southwest |
Tallgrass |
Level |
State |
Agency |
Unit |
NATIONAL |
FED |
Project Deliverables
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Final Report ("Results presented in JFSP Final Reports may not have been peer-reviewed and should be interpreted as tentative until published in a peer-reviewed source.") |
| ID | Type | Title | |
|---|---|---|---|
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9406 | NonRefereed Publication | Overview of Workshop Participants |
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9475 | NonRefereed Publication | Learning From Escaped Prescribed Fire Reviews: Workshop Flip-Chart Summary |
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9474 | NonRefereed Publication | Learning From Escaped Prescribed Fire Reviews: Workshop Discussion Summary |
|
|
9715 | NonRefereed Publication | Prescribed Fire Escapes: Are We Learning Anything? |
|
|
9704 | Invited Paper/Presentation | Presentation and Discussion of Findings Relevant to Revisions of the Interagency Prescribed Fire Guide |
|
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9714 | Invited Paper/Presentation | International Webinar for Wildland Fire Lessons Learned Center, Feb 21, 2012, Delivered from: Missoula, MT |
|
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9713 | Invited Paper/Presentation | Presentation to the US Fish and Wildlife Service’s National Meeting of Regional Fuels Planners |
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9712 | Invited Paper/Presentation | Learning from Escaped Prescribed Fire Reviews |
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9833 | Conference/Symposia/Workshop | Learning as a Shared Responsibility: Insights from a Series of Dialogic Workshops with Practitioners, Leaders, and Researchers |
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9407 | Conference/Symposia/Workshop | Learning From Escaped Prescribed Fire Reviews |
Supporting Documents
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