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| best root cause analysis tools: Root Cause Analysis, Second Edition Duke Okes, 2019-02-06 This best-seller can help anyone whose role is to try to find specific causes for failures. It provides detailed steps for solving problems, focusing more heavily on the analytical process involved in finding the actual causes of problems. It does this using figures, diagrams, and tools useful for helping to make our thinking visible. This increases our ability to see what is truly significant and to better identify errors in our thinking. In the sections on finding root causes, this second edition now includes: more examples on the use of multi-vari charts; how thought experiments can help guide data interpretation; how to enhance the value of the data collection process; cautions for analyzing data; and what to do if one cant find the causes. In its guidance on solution identification, biomimicry and TRIZ have been added as potential solution identification techniques. In addition, the appendices have been revised to include: an expanded breakdown of the 7 Ms, which includes more than 50 specific possible causes; forms for tracking causes and solutions, which can help maintain alignment of actions; techniques for how to enhance the interview process; and example responses to problem situations that the reader can analyze for appropriateness. |
| best root cause analysis tools: Root Cause Analysis Matthew A. Barsalou, 2014-12-03 Although there are many books on root cause analysis (RCA), most concentrate on team actions such as brainstorming and using quality tools to discuss the failure under investigation. These may be necessary steps during RCA, but authors often fail to mention the most important member of an RCA team the failed part.Root Cause Analysis: A Step-By-Step |
| best root cause analysis tools: Root Cause Analysis, Second Edition Bjørn Andersen, Tom Fagerhaug, 2006-01-01 This updated and expanded edition discusses many different tools for root cause analysis and presents them in an easy-to-follow structure: a general description of the tool, its purpose and typical applications, the procedure when using it, an example of its use, a checklist to help you make sure if is applied properly, and different forms and templates (that can also be found on an accompanying CD-ROM). The examples used are general enough to apply to any industry or market. The layout of the book has been designed to help speed your learning. Throughout, the authors have split the pages into two halves: the top half presents key concepts using brief languagealmost keywordsand the bottom half uses examples to help explain those concepts. A roadmap in the margin of every page simplifies navigating the book and searching for specific topics. The book is suited for employees and managers at any organizational level in any type of industry, including service, manufacturing, and the public sector. |
| best root cause analysis tools: Apollo Root Cause Analysis Dean L. Gano, 2008 The purpose of this book is to share what the author has learned about effective problem solving by exposing the ineffectiveness of conventional wisdom and presenting a principle-based alternative called Apollo Root Cause Analysis that is robust, yet familiar and easy to understand. This book will change the way readers understand the world without changing their minds. One of the most common responses the author has received from his students of Apollo Root Cause Analysis is they have always thought this way, but did not know how to express it. Other students have reported a phenomenon where this material fundamentally re-wires their thinking, leading to a deeply profound understanding of our world. At the heart of this book is a new way of communicating that is revolutionizing the way people all around the world think, communicate, and make decisions together. Imagine a next decision-making meeting where everyone is in agreement with the causes of the problem and the effectiveness of the proposed corrective actions with no conflicts, arguments, or power politics! This is the promise of Apollo Root Cause Analysis. |
| best root cause analysis tools: Root Cause Analysis Denise Robitaille, 2010 Do you have recurring problems that are costing you time and money? Unresolved problems do more than aggravate. They can increase costs, lower quality, and drive customers away. Plus, quality management processes, such as ISO 9001, require organizations to have a corrective and preventive action process in place. Root cause analysis is integral to the success of any corrective action or problem-solving process. Unfortunately, root cause analysis is an often maligned, misunderstood, and misapplied process. Instead of viewing root cause analysis as an opportunity for improvement, many see it only as an admission that things have gone wrong. Root cause analysis should be seen as an opportunity, not a chore. This practical guide offers proven techniques for using root cause analysis in your organization. Inside you’ll find: What root cause analysis is When (and when not) to use root cause analysis Who should participate in the root cause analysis process How to construct a root cause analysis checklist Examples of how a well-run root cause analysis process works And much more! |
| best root cause analysis tools: Root Cause Failure Analysis Trinath Sahoo, 2021-05-18 Root Cause Failure Analysis Provides the knowledge and failure analysis skills necessary for preventing and investigating process equipment failures Process equipment and piping systems are essential for plant availability and performance. Regularly exposed to hazardous service conditions and damage mechanisms, these critical plant assets can result in major failures if not effectively monitored and assessed—potentially causing serious injuries and significant business losses. When used proactively, Root Cause Failure Analysis (RCFA) helps reliability engineers inspect the process equipment and piping system before any abnormal conditions occur. RCFA is equally important after a failure happens: it determines the impact of a failure, helps control the resultant damage, and identifies the steps for preventing future problems. Root Cause Failure Analysis: A Guide to Improve Plant Reliability offers readers clear understanding of degradation mechanisms of process equipment and the concepts needed to perform industrial RCFA investigations. This comprehensive resource describes the methodology of RCFA and provides multiple techniques and industry practices for identifying, predicting, and evaluating equipment failures. Divided into two parts, the text first introduces Root Cause Analysis, explains the failure analysis process, and discusses the management of both human and latent error. The second part focuses on failure analysis of various components such as bolted joints, mechanical seals, steam traps, gearboxes, bearings, couplings, pumps, and compressors. This authoritative volume: Illustrates how failures are associated with part integrity, a complete system, or the execution of an engineering process Describes how proper design, operation, and maintenance of the equipment help to enhance their reliability Covers analysis techniques and industry practices including 5-Why RCFA, fault tree analysis, Pareto charts, and Ishikawa diagrams Features a detailed case study of process plant machinery and a chapter on proactive measures for avoiding failures Bridging the gap between engineering education and practical application, Root Cause Failure Analysis: A Guide to Improve Plant Reliability is an important reference and guide for industrial professionals, including process plant engineers, planning managers, operation and maintenance engineers, process designers, chemical engineers, and instrument engineers. It is also a valuable text for researchers, instructors, and students in relevant areas of engineering and science. |
| best root cause analysis tools: RealityCharting Dean L. Gano, 2011-09 RealityCharting is a new way of thinking that goes far beyond the traditional root cause analysis problem-solving processes. It provides structure to each stakeholder's reality, thus creating a common reality that all can buy into. In this companion book to the RealityCharting software, you will not only discover a simple process that defines the structure of causation, you will find links to online interactive exercises and training that help you better understand the process. What took days in a classroom can now be learned in a matter of hours. The RealityCharting process and software easily facilitates creating a common reality from the input of all stakeholders and thus minimizes the normal conflict and power politics found in conventional root cause analysis processes. Available in six languages, the RealityCharting software easily supports global operations and should be used to document the causes of your successes. |
| best root cause analysis tools: Root Cause Analysis Handbook ABS Consulting, Lee N. Vanden Heuvel, Donald K. Lorenzo, Laura O. Jackson, Walter E. Hanson, James J. Rooney, David A. Walker, 2014-10-01 Are you trying to improve performance, but find that the same problems keep getting in the way? Safety, health, environmental quality, reliability, production, and security are at stake. You need the long-term planning that will keep the same issues from recurring. Root Cause Analysis Handbook: A Guide to Effective Incident Investigation is a powerful tool that gives you a detailed step-by-step process for learning from experience. Reach for this handbook any time you need field-tested advice for investigating, categorizing, reporting and trending, and ultimately eliminating the root causes of incidents. It includes step-by-step instructions, checklists, and forms for performing an analysis and enables users to effectively incorporate the methodology and apply it to a variety of situations. Using the structured techniques in the Root Cause Analysis Handbook, you will: Understand why root causes are important. Identify and define inherent problems. Collect data for problem-solving. Analyze data for root causes. Generate practical recommendations. The third edition of this global classic is the most comprehensive, all-in-one package of book, downloadable resources, color-coded RCA map, and licensed access to online resources currently available for Root Cause Analysis (RCA). Called by users the best resource on the subject and in a league of its own. Based on globally successful, proprietary methodology developed by ABS Consulting, an international firm with 50 years' experience in 35 countries. Root Cause Analysis Handbook is widely used in corporate training programs and college courses all over the world. If you are responsible for quality, reliability, safety, and/or risk management, you'll want this comprehensive and practical resource at your fingertips. The book has also been selected by the American Society for Quality (ASQ) and the Risk and Insurance Society (RIMS) as a must have for their members. |
| best root cause analysis tools: The PROACT® Root Cause Analysis Kenneth C. Latino, Mark A. Latino, Robert J. Latino, 2020-09-10 Root Cause Analysis, or RCA, What is it? Everyone uses the term, but everyone does it differently. How can we have any uniformity in our approach, much less accurately compare our results, if we’re applying different definitions? At a high level, we will explain the difference between RCA and Shallow Cause Analysis, because that is the difference between allowing a failure to recur or dramatically reducing the risk of recurrence. In this book, we will get down to basics about RCA, the fundamentals of blocking and tackling, and explain the common steps of any investigative occupation. Common investigation steps include: Preserving evidence (data)/not allowing hearsay to fly as fact Organizing an appropriate team/minimizing potential bias Analyzing the events/reconstructing the incident based on actual evidence Communicating findings and recommendations/ensuring effective recommendations are actually developed and implemented Tracking bottom-line results/ensuring that identified, meaningful metrics were attained We explore, Why don’t things always go as planned? When our actual plans deviate from our intended plans, we usually experience some type of undesirable or unintended outcome. We analyze the anatomy of a failure (undesirable outcome) and provide a step-by-step guide to conducting a comprehensive RCA based on our 3+ decades of applying RCA as we have successfully practiced it in the field. This book is written as a how-to guide to effectively apply the PROACT® RCA methodology to any undesirable outcome, is directed at practitioners who have to do the real work, focuses on the core elements of any investigation, and provides a field-proven case as a model for effective application. This book is for anyone charged with having a thorough understanding of why something went wrong, such as those in EH&S, maintenance, reliability, quality, engineering, and operations to name just a few. |
| best root cause analysis tools: TapRooT Mark Paradies, Linda Unger, 2000 |
| best root cause analysis tools: Root Cause Analysis Paul F. Wilson, Larry D. Dell, Gaylord F. Anderson, 1993 |
| best root cause analysis tools: The Lean Builder: A Builder's Guide to Applying Lean Tools in the Field Joe Donarumo, Keyan Zandy, 2019-08-16 Sam Brooks, a young superintendent with ProCon Builders, has been given responsibility for the largest and most complicated project of his career. He struggles with all of the common difficulties in construction -- lack of communication, coordination issues, and other kinds of wasteful occurrences that rob his project of time and money, while leaving him and his team frustrated and overworked. Luckily, his friend, mentor, and co-worker, Alan Phillips, brings the benefit of his experience and his knowledge of Lean Construction tools and processes to help Sam learn valuable skills for improving the operation of his project. Together, Sam and Alan discuss the merits and explore the practical applications of: Daily Huddles Visual Communication The Eight Wastes Managing Constraints Pull Planning The Last Planner System(TM) Percent Plan Complete |
| best root cause analysis tools: The Great Mental Models, Volume 1 Shane Parrish, Rhiannon Beaubien, 2024-10-15 Discover the essential thinking tools you’ve been missing with The Great Mental Models series by Shane Parrish, New York Times bestselling author and the mind behind the acclaimed Farnam Street blog and “The Knowledge Project” podcast. This first book in the series is your guide to learning the crucial thinking tools nobody ever taught you. Time and time again, great thinkers such as Charlie Munger and Warren Buffett have credited their success to mental models–representations of how something works that can scale onto other fields. Mastering a small number of mental models enables you to rapidly grasp new information, identify patterns others miss, and avoid the common mistakes that hold people back. The Great Mental Models: Volume 1, General Thinking Concepts shows you how making a few tiny changes in the way you think can deliver big results. Drawing on examples from history, business, art, and science, this book details nine of the most versatile, all-purpose mental models you can use right away to improve your decision making and productivity. This book will teach you how to: Avoid blind spots when looking at problems. Find non-obvious solutions. Anticipate and achieve desired outcomes. Play to your strengths, avoid your weaknesses, … and more. The Great Mental Models series demystifies once elusive concepts and illuminates rich knowledge that traditional education overlooks. This series is the most comprehensive and accessible guide on using mental models to better understand our world, solve problems, and gain an advantage. |
| best root cause analysis tools: Root Cause Analysis Robert J. Latino, Mark A. Latino, Kenneth Latino, Kenneth C. Latino, 2006-05-05 There is no easy answer to the question, What is RCA? Some will give a general idea of what Root Cause Analysis (RCA) is designed to accomplish, while others will advocate a specific approach. In this third edition of the best-selling Root Cause Analysis: Improving Performance for Bottom-Line Results, acclaimed experts Robert and Ke |
| best root cause analysis tools: The Art of Application Performance Testing Ian Molyneaux, 2009-01-23 This practical book provides a step-by-step approach to testing mission-critical applications for scalability and performance before they're deployed -- a vital topic to which other books devote one chapter, if that. Businesses today live and die by network applications and web services. Because of the increasing complexity of these programs, and the pressure to deploy them quickly, many professionals don't take the time to ensure that they'll perform well and scale effectively. The Art of Application Performance Testing explains the complete life cycle of the testing process, and demonstrates best practices to help you plan, gain approval for, coordinate, and conduct performance tests on your applications. With this book, you'll learn to: Set realistic performance testing goals Implement an effective application performance testing strategy Interpret performance test results Cope with different application technologies and architectures Use automated performance testing tools Test traditional local applications, web-based applications, and web services (SOAs) Recognize and resolves issues that are often overlooked in performance tests Written by a consultant with 30 years of experience in the IT industry and over 12 years experience with performance testing, this easy-to-read book is illustrated with real-world examples and packed with practical advice. The Art of Application Performance Testing thoroughly explains the pitfalls of an inadequate testing strategy and offers you a robust, structured approach for ensuring that your applications perform well and scale effectively when the need arises. Ian has maintained a vendor-agnostic methodology beautifully in this material. The metrics and graphs, along with background information provided in his case studies, eloquently convey to the reader, 'Methodology above all, tools at your discretion...' Ian's expertise shines through throughout the entire reading experience.-- Matt St. Onge, Enterprise Solution Architect, HCL Technologies America / Teradyne |
| best root cause analysis tools: Simplifying Cause Analysis Chester D. Rowe, 2017-11-20 When the challenge is to get to the heart of a problem, you need a simple and efficient cause investigation methodology. And what would make a real difference would be an interactive map to lead you to the answer every time. Chester Rowe’s Simplifying Cause Analysis: A Structured Approach is your instruction book combined with the included downloadable Interactive Cause Analysis Tool you have been looking for. The author intends this book for professionals like you, who have some familiarity with cause analysis projects and are looking for a simple and efficient cause investigation methodology –is a more effective and insightful way of asking “why?” Introducing his multi-function event investigation tool, Chester Rowe says, “There are already many scientific tools to help us understand the physical causes for machine failures; the challenge now is to find a way of investigating human performance failure modes...humans are often a major source of slips, lapses, and mistakes.” Supporting his instructions with diagrams, charts, and real-world examples from companies like yours, the author takes you step-by-step through planning, completing, and documenting your investigation: Chapter 1 gives you a process to determine the level of effort that your investigation should encompass, assess the level of effort needed, and determine the rigor needed. Your investigation needs to be as risk-informed as possible. Chapters 2 through 5 presents a new and innovative structure –rigorous yet intuitively easy to remember – to identify the underlying causes for the event (Cause Road Maps) and conduct the investigation. Chapter 6 introduces conceptual human performance models and tells you how to begin focusing on the human behaviors involved. Chapters 7 and 8 present you with methods, tools, and techniques for carefully interviewing personnel. Chapters 9 through 13 “put the pieces together,” showing you how to analyze and model the event, determine corrective action, and document the investigations and findings. Chester Rowe developed the Cause Road Map over many years to provide a comprehensive taxonomy for every cause investigation. However, fully implementing the Cause Road Map requires the use of other tools to organize, analyze, and present the final results of your investigation. To get you started, Rowe includes his downloadable Interactive Cause Analysis Tool – an easy-to-use tool in familiar spreadsheet format – free with your verified purchase of the book. |
| best root cause analysis tools: The ASQ Pocket Guide to Root Cause Analysis Bjørn Andersen, Tom Natland Fagerhaug, 2013-11-06 All organizations experience unintended variation and its consequences. Such problems exist within a broad range of scope, persistence, and severity across different industries. Some problems cause minor nuisances, others leads to loss of customers or money, others yet can be a matter of life and death. The purpose of this pocket guide is to provide you with easily accessible knowledge about the art of problem solving, with a specific focus on identifying and eliminating root causes of problems. Root cause analysis is a skill that absolutely everybody should master, irrespective of which sector you work in, what educational background you have, and which position in the organization you hold. The content in this little pocket guide can contribute to disseminating this skill a little further in the world. |
| best root cause analysis tools: Making Healthcare Safe Lucian L. Leape, 2021-05-28 This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care. |
| best root cause analysis tools: 5 Whys Oliver Roderich, 2021-02-12 In the work environment we need to ask ourselves to know more about what is actually happening in the process. Have you ever wondered why a problem happened? Discover how to identify the root cause with the book 5 why. |
| best root cause analysis tools: A Quest for Quality Wine, Every Time. Joyce Steakley, Bruce Steakley, 2020-07-31 Wine has been around for thousands of years, grape growing and wine production is worldwide, and recipes are prolific. However, this approach to winemaking root cause analysis is original and cannot be found in any other winemaking publications. The book start with the basics, with the authors' own basic winemaking steps. This provides a winemaking process and common language. With this understanding and departure point, they describe Root Cause Analysis (RCA) methods as applied to winemaking. Though winemaking appears to have simple steps, problems or flaws inevitably arise. Instant access to online materials can provide ad-hoc answers to given conditions; however, the applicability of these solutions to one’s own situation ad particular conditions is not always clear. Selective changes may or may not solve the problem and in the winemaking world, it may take years to finish the wine and understand if the quality actually improved or not. A finished wine will have thousands of particular current and historical conditions that played some role in its quality.The root cause analysis (RCA) approach provides a path to sort these out and guide winemakers to the solution. It creates a problem statement and systematically divides the world into six discrete groups. This book tackles each and all of these, one group at a time. The text contains examples that prioritize the contributing factors. Observations are noted, possibilities identified, and likelihoods assessed. Actions and tests are identified to aid in assigning risk, corrective action, and preventive measures. Given limited time and resources, prioritized risks and actions improve the chance of solving the problem. The book provides problems exploring each of their respective six group characteristics. Each RCA step is described and illustrated in detail. The process is revealed and explained through multiple examples. Feature 1: Organized systematic method for solving winemaking quality problems Feature 2: Applicable to amateur or commercial winemakers or any other product or system development activity and organization Feature 3: Unique new application to the wine making world but similar methods historically used in complex aerospace product development Feature 4: Teaching winemakers and producers how to think about uncertainty and error. It’s possible that gold medal wine, or 95-point Wine Spectator score, or 93-point Robert Parker score was deserved for that particular wine and vintage. But it is also possible you were very lucky. It may not be earned again in next year’s vintage. This book teaches approaches and methods to maintain and or improve the quality, every year. Feature 5: Application of a potentially 'dry' rigorous root cause analysis approach in a world that enables the joy of creating and appreciating something very enjoyable. It will help you smile, at least once a year. |
| best root cause analysis tools: TapRooT Mark Paradies, Linda Unger, 2008-01-01 |
| best root cause analysis tools: Drawdown Paul Hawken, 2017-04-18 • New York Times bestseller • The 100 most substantive solutions to reverse global warming, based on meticulous research by leading scientists and policymakers around the world “At this point in time, the Drawdown book is exactly what is needed; a credible, conservative solution-by-solution narrative that we can do it. Reading it is an effective inoculation against the widespread perception of doom that humanity cannot and will not solve the climate crisis. Reported by-effects include increased determination and a sense of grounded hope.” —Per Espen Stoknes, Author, What We Think About When We Try Not To Think About Global Warming “There’s been no real way for ordinary people to get an understanding of what they can do and what impact it can have. There remains no single, comprehensive, reliable compendium of carbon-reduction solutions across sectors. At least until now. . . . The public is hungry for this kind of practical wisdom.” —David Roberts, Vox “This is the ideal environmental sciences textbook—only it is too interesting and inspiring to be called a textbook.” —Peter Kareiva, Director of the Institute of the Environment and Sustainability, UCLA In the face of widespread fear and apathy, an international coalition of researchers, professionals, and scientists have come together to offer a set of realistic and bold solutions to climate change. One hundred techniques and practices are described here—some are well known; some you may have never heard of. They range from clean energy to educating girls in lower-income countries to land use practices that pull carbon out of the air. The solutions exist, are economically viable, and communities throughout the world are currently enacting them with skill and determination. If deployed collectively on a global scale over the next thirty years, they represent a credible path forward, not just to slow the earth’s warming but to reach drawdown, that point in time when greenhouse gases in the atmosphere peak and begin to decline. These measures promise cascading benefits to human health, security, prosperity, and well-being—giving us every reason to see this planetary crisis as an opportunity to create a just and livable world. |
| best root cause analysis tools: Knowledge Solutions Olivier Serrat, 2017-05-22 This book is open access under a CC BY-NC 3.0 IGO license. This book comprehensively covers topics in knowledge management and competence in strategy development, management techniques, collaboration mechanisms, knowledge sharing and learning, as well as knowledge capture and storage. Presented in accessible “chunks,” it includes more than 120 topics that are essential to high-performance organizations. The extensive use of quotes by respected experts juxtaposed with relevant research to counterpoint or lend weight to key concepts; “cheat sheets” that simplify access and reference to individual articles; as well as the grouping of many of these topics under recurrent themes make this book unique. In addition, it provides scalable tried-and-tested tools, method and approaches for improved organizational effectiveness. The research included is particularly useful to knowledge workers engaged in executive leadership; research, analysis and advice; and corporate management and administration. It is a valuable resource for those working in the public, private and third sectors, both in industrialized and developing countries. |
| best root cause analysis tools: The Quality Toolbox Nancy Tague, 2004-07-14 The Quality Toolbox is a comprehensive reference to a variety of methods and techniques: those most commonly used for quality improvement, many less commonly used, and some created by the author and not available elsewhere. The reader will find the widely used seven basic quality control tools (for example, fishbone diagram, and Pareto chart) as well as the newer management and planning tools. Tools are included for generating and organizing ideas, evaluating ideas, analyzing processes, determining root causes, planning, and basic data-handling and statistics. The book is written and organized to be as simple as possible to use so that anyone can find and learn new tools without a teacher. Above all, this is an instruction book. The reader can learn new tools or, for familiar tools, discover new variations or applications. It also is a reference book, organized so that a half-remembered tool can be found and reviewed easily, and the right tool to solve a particular problem or achieve a specific goal can be quickly identified. With this book close at hand, a quality improvement team becomes capable of more efficient and effective work with less assistance from a trained quality consultant. Quality and training professionals also will find it a handy reference and quick way to expand their repertoire of tools, techniques, applications, and tricks. For this second edition, Tague added 34 tools and 18 variations. The Quality Improvement Stories chapter has been expanded to include detailed case studies from three Baldrige Award winners. An entirely new chapter, Mega-Tools: Quality Management Systems, puts the tools into two contexts: the historical evolution of quality improvement and the quality management systems within which the tools are used. This edition liberally uses icons with each tool description to reinforce for the reader what kind of tool it is and where it is used within the improvement process. |
| best root cause analysis tools: How Will You Measure Your Life? (Harvard Business Review Classics) Clayton M. Christensen, 2017-01-17 In the spring of 2010, Harvard Business School’s graduating class asked HBS professor Clay Christensen to address them—but not on how to apply his principles and thinking to their post-HBS careers. The students wanted to know how to apply his wisdom to their personal lives. He shared with them a set of guidelines that have helped him find meaning in his own life, which led to this now-classic article. Although Christensen’s thinking is rooted in his deep religious faith, these are strategies anyone can use. Since 1922, Harvard Business Review has been a leading source of breakthrough ideas in management practice. The Harvard Business Review Classics series now offers you the opportunity to make these seminal pieces a part of your permanent management library. Each highly readable volume contains a groundbreaking idea that continues to shape best practices and inspire countless managers around the world. |
| best root cause analysis tools: Root Cause Analysis (RCA) for the Improvement of Healthcare Systems and Patient Safety David Allison, CPPS, Harold Peters, P.Eng, 2021 The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm. This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included. This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare. |
| best root cause analysis tools: Communities in Action National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on Community-Based Solutions to Promote Health Equity in the United States, 2017-04-27 In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome. |
| best root cause analysis tools: Laziness Does Not Exist Devon Price, 2021-01-05 From social psychologist Dr. Devon Price, a conversational, stirring call to “a better, more human way to live” (Cal Newport, New York Times bestselling author) that examines the “laziness lie”—which falsely tells us we are not working or learning hard enough. Extra-curricular activities. Honors classes. 60-hour work weeks. Side hustles. Like many Americans, Dr. Devon Price believed that productivity was the best way to measure self-worth. Price was an overachiever from the start, graduating from both college and graduate school early, but that success came at a cost. After Price was diagnosed with a severe case of anemia and heart complications from overexertion, they were forced to examine the darker side of all this productivity. Laziness Does Not Exist explores the psychological underpinnings of the “laziness lie,” including its origins from the Puritans and how it has continued to proliferate as digital work tools have blurred the boundaries between work and life. Using in-depth research, Price explains that people today do far more work than nearly any other humans in history yet most of us often still feel we are not doing enough. Filled with practical and accessible advice for overcoming society’s pressure to do more, and featuring interviews with researchers, consultants, and experiences from real people drowning in too much work, Laziness Does Not Exist “is the book we all need right now” (Caroline Dooner, author of The F*ck It Diet). |
| best root cause analysis tools: Toyota Under Fire: Lessons for Turning Crisis into Opportunity Jeffrey K. Liker, Timothy N. Ogden, 2011-03-11 The definitive inside account of Toyota's greatest crisis—and lessons you can apply to your own company Those who write off Toyota in the current climate of second guessing and speculation are making a profound mistake and need to read this book to get the facts. Toyota is a company that will channel the current challenges to push themselves to even more relentless continuous improvement. —Charles Baker, former Chief Engineer and Vice President for R&D, Honda of America Toyota Under Fire is a superb book and should prove very helpful to American industry's understanding of the problems faced and how any company can prevent similar occurrences in the future. —Norman Bodek, author, founder of Productivity Press, and inductee in 2010 Industry Week Manufacturing Hall of Fame As a former automotive supplier executive and student of Toyota, I was concerned to see the many negative reports and investigations into the quality and safety of its vehicles. Toyota Under Fire tells the story of how this great company is growing wiser and stronger by living its culture and values. —Michael Fisher, CEO, Cincinnati Children's Hospital Medical Center Just as Toyota has put itself through excruciating soul-searching in order to understand what went wrong, so should we all take advantage of the opportunity for learning presented to us by Toyota's misfortune. In these pages, you will find that the actual circumstances were far more complex, nuanced, and uncertain than you saw reported in the news. —John Y. Shook, Chairman and CEO, Lean Enterprise Institute The most comprehensive and detailed review to date of the circumstances that led to the crisis, and the events and contexts that caused it to escalate.” —Strategy & Business About the Book For decades, Toyota has been setting standards that are the envy—and goal—of organizations worldwide. Its legendary management principles and business philosophy, first documented by Jeffrey K. Liker in his influential book The Toyota Way, changed the business world's approach to operational excellence. Granted unprecedented access to Toyota's facilities worldwide, Liker, along with Timothy N. Ogden, investigated the inside story of how Toyota faced the challenges of the recession and the recall crisis of 2009–2010. In both cases, the company was caught off guard—and found that a root cause of the challenges it faced was its failure to live up to its own principles. But the fundamentals were still there, and the company has ultimately come out of the most challenging years of its postwar existence even stronger than before. Toyota Under Fire chronicles all the events of the recession and the recall crisis in detail, providing valuable lessons any business leader can use to survive and thrive in a crisis, no matter how large: Crisis response must start by building a strong culture long before the crisis hits. Culture matters far more than decisions made by top executives. Investing in people, even in the depths of a recession, is the surest path to long-term profitability. Because it had founded its culture on such principles, Toyota didn’t need to amass an army of public relations, marketing, and legal experts to put out the fire; instead, it redoubled efforts to live up to its founding tenet, going back to basics. Toyota began solving this crisis more than 70 years ago, when its organizational culture was first established. Apply the lessons of Toyota Under Fire to your company, and you'll meet any future management challenge calmly, responsibly, and effectively—the Toyota Way. |
| best root cause analysis tools: The Engine of Reason, the Seat of the Soul Paul M. Churchland, 1995 This work summarizes results from neuroscience and recent work with artificial neural networks that together suggest a unified set of answers to questions about how the brain actually works; how it sustains a thinking, feeling, dreaming self; and how it sustains a self-conscious person. |
| best root cause analysis tools: Effective Root Cause Analysis Giles Johnston, 2019-10-20 Do you want to solve problems in your business once and for all? Some businesses use root cause analysis methods successfully, many do not. These methods have huge potential and using them effectively can deliver amazing results for both you and your business. Being able to use root cause analysis tools effectively can help solve business problems and prevent them from reoccurring in the future. But what if there were a couple of little twists you could use that would make a big difference to your results? This book will share with you some extra tools that can be used to deliver surprisingly powerful results. The methods shared in this book are the same methods Giles Johnston uses with his clients. They are tried, tested and they get results.If you're ready to make root cause analysis deliver some amazing results for your business, then get your copy today! |
| best root cause analysis tools: Five Minute Lean David McLachlan, 2014-12-04 Five Minute Lean reveals a fast, easy and new way to improve your job and your business. Based on the proven Lean methodology but encompassing many new industries, Five Minute Lean combines a powerful story with fast paced summaries of the tools and techniques, so you can get results quickly and in a way that is best for you. |
| best root cause analysis tools: 5 Whys Majed F Rajeh, 2020-06-20 This book is intended for anyone who wants to know about the 5 Whys and how to use them.The Five Whys tool is considered as the number one tool in ease of use in recognizing the truth of the problems and revealing its causing secrets, as it is considered a complement to many quality tools and systems. Although, there are few who can explain it well, and some even talk about it as if nothing.If you are a student, worker, manager, nurse, teacher, unemployed or anything else and you encounter problems and want to solve them from their roots in an easy and effective way, then this book will help you put your feet on the route of knowledge.As a help, I added templates to help you sort ideas and find causes.When I wrote this work, I tried to keep away from prolonged unhelpful explanation or the use of theorizing. I relied on my accumulated experience over more than 20 years in the field of quality to summarize this topic in an easy, smooth and possibly new way.In this book, you will learn about: - Definition of the problem.- How to represent the problem as a tree.- Learn about the Five Whys.- Types of the Five Whys: simple, tree, in an organization.- When to use each type or method.- Detailed usage steps.- When to stop asking questions.- How to know that you have reached the root of the problem.- Attributes that the problem-solving persons should have.- How to benefit you as a leader.- How to benefit you in your job.- Rocket and the fly theory in dealing with problems.- Examples, exercises, models, etc |
| best root cause analysis tools: Medical Device Use Error Michael Wiklund, Andrea Dwyer, Erin Davis, 2016-01-06 Medical Device Use Error: Root Cause Analysis offers practical guidance on how to methodically discover and explain the root cause of a use error-a mistake-that occurs when someone uses a medical device. Covering medical devices used in the home and those used in clinical environments, the book presents informative case studies about the use errors |
| best root cause analysis tools: Pre-Accident Investigations Dr Todd Conklin, 2012-10-28 This book is a set of new skills written for the managers that drive safety in their workplace. This is Human Performance theory made simple. If you are starting a new program, revamping an old program, or simply interested in understanding more about safety performance, this guide will be extremely helpful. |
| best root cause analysis tools: The Site Reliability Workbook Betsy Beyer, Niall Richard Murphy, David K. Rensin, Kent Kawahara, Stephen Thorne, 2018-07-25 In 2016, Googleâ??s Site Reliability Engineering book ignited an industry discussion on what it means to run production services todayâ??and why reliability considerations are fundamental to service design. Now, Google engineers who worked on that bestseller introduce The Site Reliability Workbook, a hands-on companion that uses concrete examples to show you how to put SRE principles and practices to work in your environment. This new workbook not only combines practical examples from Googleâ??s experiences, but also provides case studies from Googleâ??s Cloud Platform customers who underwent this journey. Evernote, The Home Depot, The New York Times, and other companies outline hard-won experiences of what worked for them and what didnâ??t. Dive into this workbook and learn how to flesh out your own SRE practice, no matter what size your company is. Youâ??ll learn: How to run reliable services in environments you donâ??t completely controlâ??like cloud Practical applications of how to create, monitor, and run your services via Service Level Objectives How to convert existing ops teams to SREâ??including how to dig out of operational overload Methods for starting SRE from either greenfield or brownfield |
| best root cause analysis tools: Root Cause Failure Analysis R. Keith Mobley, 1999-06-16 Root Cause Failure Analysis provides the concepts needed to effectively perform industrial troubleshooting investigations. It describes the methodology to perform Root Cause Failure Analysis (RCFA), one of the hottest topics currently in maintenance engineering. It also includes detailed equipment design and troubleshooting guidelines, which are needed to perform RCFA on machinery found in most production facilities. This is the latest book in a new series published by Butterworth-Heinemann in association with PLANT ENGINEERING magazine. PLANT ENGINEERING fills a unique information need for the men and women who operate and maintain industrial plants. It bridges the information gap between engineering education and practical application. As technology advances at increasingly faster rates, this information service is becoming more and more important. Since its first issue in 1947, PLANT ENGINEERING has stood as the leading problem-solving information source for America's industrial plant engineers, and this book series will effectively contribute to that resource and reputation.Provides information essential to industrial troubleshooting investigationsDescribes the methods of root cause failure analysis, a hot topic in maintenance engineeringIncludes detailed equipment-design guidelines |
| best root cause analysis tools: The Surprising Power of Liberating Structures Henri Lipmanowicz, Keith McCandless, 2014-10-28 Smart leaders know that they would greatly increase productivity and innovation if only they could get everyone fully engaged. So do professors, facilitators and all changemakers. The challenge is how. Liberating Structures are novel, practical and no-nonsense methods to help you accomplish this goal with groups of any size. Prepare to be surprised by how simple and easy they are for anyone to use. This book shows you how with detailed descriptions for putting them into practice plus tips on how to get started and traps to avoid. It takes the design and facilitation methods experts use and puts them within reach of anyone in any organization or initiative, from the frontline to the C-suite. Part One: The Hidden Structure of Engagement will ground you with the conceptual framework and vocabulary of Liberating Structures. It contrasts Liberating Structures with conventional methods and shows the benefits of using them to transform the way people collaborate, learn, and discover solutions together. Part Two: Getting Started and Beyond offers guidelines for experimenting in a wide range of applications from small group interactions to system-wide initiatives: meetings, projects, problem solving, change initiatives, product launches, strategy development, etc. Part Three: Stories from the Field illustrates the endless possibilities Liberating Structures offer with stories from users around the world, in all types of organizations -- from healthcare to academic to military to global business enterprises, from judicial and legislative environments to R&D. Part Four: The Field Guide for Including, Engaging, and Unleashing Everyone describes how to use each of the 33 Liberating Structures with step-by-step explanations of what to do and what to expect. Discover today what Liberating Structures can do for you, without expensive investments, complicated training, or difficult restructuring. Liberate everyone's contributions -- all it takes is the determination to experiment. |
| best root cause analysis tools: The Root Cause Analysis Handbook Max Ammerman, 1998 The answer is root cause analysis, a process that allows you to find the cause of single events/problems in the workplace. The Root Cause Analysis Handbook presents a walkthrough example that illustrates the method and shows how to implement it.Because poor initial problem definition can (and often does) undermine the problem-solving process, Ammerman places special emphasis on this area to build a solid foundation for effective analysis. He also provides guidance on preparing the final report.The need for clear documentation on dealing with problems makes this book especially valuable for quality managers, engineers, safety managers, and teams implementing the ISO or QS standards. Written in a simple, user-friendly style, you will grasp the core concepts quickly and begin applying them to your work. |
| best root cause analysis tools: Clarity First: How Smart Leaders and Organizations Achieve Outstanding Performance Karen Martin, 2018-03-02 Award-winning business performance improvement and Lean management expert Karen Martin diagnoses a ubiquitous business management and leadership problem—the lack of clarity—and outlines specific actions to dramatically improve organizational performance. Through her global consulting projects, keynote speeches, and work with thousands of leaders, Karen has seen first-hand how a pervasive lack of clarity strangles business performance and erodes employee engagement. Ambiguity is the corporate default state, a condition so prevalent that “tolerance for ambiguity” has become a clichéd job requirement. It doesn’t have to be this way. In Clarity First, Karen provides methods and insights for achieving clarity to unleash potential, innovate at higher levels, and solve the problems that matter to deliver outstanding business results. Both a visionary road map and practical guide, this book will help leaders: •Identify and communicate the organization’s true purpose •Set achievable priorities •Deliver greater customer value through more efficient processes •Provide greater transparency about true versus assumed performance •Build strong problem-solving and critical thinking capabilities throughout the organization •Develop personal clarity to be a more direct, purposeful, and successful leader Eliminating ambiguity is the first step for leaders and organizations to achieve strategic goals. Learn how to gain the clarity needed to make better decisions, lead more effectively, and boost organizational performance. When it comes to leading an outstanding organization, every great leader needs Clarity First. |
Root Cause Analysis 101 Guidebook - EASE
In this guide, we discuss five common root cause analysis tools, including: > Pareto charts > The 5 Whys method > Fishbone diagrams > Scatter plots > Failure mode and effects analysis (FMEA)
Guidance for Performing Root Cause Analysis (RCA)
Note there are a number of tools you can use to perform RCA, described below. Directions: Use this guide to walk through a Root Cause Analysis (RCA) to investigate events in your facility …
Best practices for root cause analysis - CMG
Root cause analysis tools need to not only capture and present data, but surface meaningful insights and correlations that help developers understand exactly why a change in …
Guide to Performing a Root Cause Analysis (Revision 10-20 …
The most commonly used comprehensive systematic analysis is the Root Cause Analysis (RCA). The RCA is a process for identifying the basic causal factor(s) underlying system failures and …
Root cause analysis toolkit - Ministry of Health
This toolkit provides guidance for teams undertaking a root cause analysis (RCA) review. It includes the tools and processes that will assist a team in answering the three questions.
Comparison of Common Root Cause Analysis Tools and …
To satisfy this request, I will compare the various RCA tools and methods to what we have learned about effective problem solving in this book. This Appendix provides a short …
Root Cause Investigation (RCI) Best Practices Guide Product …
May 8, 2014 · Root Cause Analysis (RCA): Almost always more than one root cause, and the level of rigor is determined by complexity of problem. Consider “Severity/Recurrence Risk …
Unveiling the Truth - A Comprehensive Guide To Root Cause …
Root Cause Analysis (RCA) is a systematic problem-solving method used to identify the underlying causes of issues, incidents, or problems. It aims to uncover the fundamental reason …
Root Cause Analysis Compared - NASA
Common Root Cause Analysis Tools and Methods * To learn more about effective problem-solving you can obtain a free copy of Dean’s interactive pdf ebook at www.realitycharting.
Root Cause Analysis: A Framework for Tool Selection
This article provides a framework for analyzing the performance of three popular root cause analysis tools: the cause-and-effect diagram, the interrelation-ship diagram, and the current …
How to Use the Fishbone Tool for Root Cause Analysis
Overview: Root cause analysis is a structured team process that assists in identifying underlying factors or causes of an adverse event or near-miss. Understanding the contributing factors or …
Root Cause Investigation Best Practices Guide - The …
May 30, 2014 · This guide has been prepared to help determine what methods and software tools are available when significant detailed root cause investigations are needed and what level of …
Root Cause Analysis Tools - Veterans Affairs
We use a confidential and protected** team-based approach called Root Cause Analysis (RCA) – adapted from aviation ̶ to figure out the answers to four core questions that will help us design …
Framework For Root Cause Analysis And Corrective Actions*
The Joint Commission’s Framework for Root Cause Analysis and Action Plan provides an example of a comprehensive systematic analysis. The framework and its 24 analysis …
TOOL: Root Cause Analysis - Quality Improvement Collaborative
Root Cause Analysis is a process for identifying the fundamental causal factor(s) underlying variations in performance. The RCA can include the occurrence or possible occurrence of an …
Problem analysis approaches - World Health Organization
There are many simple approaches developed to help planners analyse problems in a way that identifies root causes and provides the starting point for solutions. This tool provides a basic …
The Importance of Root Cause Analysis During Incident …
Root Cause Analysis Tools. Below is a list of tools that may be used by employers to conduct a root cause analysis. The tools are not meant to be used exclusively. Ideally, a combination of …
Using Root Cause Analysis to Help Practices Understand and …
Root cause analysis is the identification and analysis of factors that are contributing to a specific outcome or problem. It is an essential tool for quality improvement.
Five Whys Tool for Root Cause Analysis
To validate root causes, ask the following: If you removed this root cause, would this event or problem have been prevented? Here is an everyday example of using the Five Whys to …
ROOT CAUSE ANALYSIS AND DECISION TREES TOOLS FOR …
WHAT IS ROOT CAUSE ANALYSIS (RCA)? • Definition: A systematic method used to identify the underlying reasons for a problem or failure. • Purpose: To address the root causes of issues to …
Root Cause Analysis 101 Guidebook - EASE
In this guide, we discuss five common root cause analysis tools, including: > Pareto charts > The 5 Whys method > Fishbone diagrams > Scatter plots > Failure mode and effects analysis (FMEA)
Guidance for Performing Root Cause Analysis (RCA)
Note there are a number of tools you can use to perform RCA, described below. Directions: Use this guide to walk through a Root Cause Analysis (RCA) to investigate events in your facility …
Best practices for root cause analysis - CMG
Root cause analysis tools need to not only capture and present data, but surface meaningful insights and correlations that help developers understand exactly why a change in …
Guide to Performing a Root Cause Analysis (Revision 10-20 …
The most commonly used comprehensive systematic analysis is the Root Cause Analysis (RCA). The RCA is a process for identifying the basic causal factor(s) underlying system failures and …
Root cause analysis toolkit - Ministry of Health
This toolkit provides guidance for teams undertaking a root cause analysis (RCA) review. It includes the tools and processes that will assist a team in answering the three questions.
Comparison of Common Root Cause Analysis Tools and …
To satisfy this request, I will compare the various RCA tools and methods to what we have learned about effective problem solving in this book. This Appendix provides a short …
Root Cause Investigation (RCI) Best Practices Guide Product …
May 8, 2014 · Root Cause Analysis (RCA): Almost always more than one root cause, and the level of rigor is determined by complexity of problem. Consider “Severity/Recurrence Risk …
Unveiling the Truth - A Comprehensive Guide To Root Cause …
Root Cause Analysis (RCA) is a systematic problem-solving method used to identify the underlying causes of issues, incidents, or problems. It aims to uncover the fundamental reason …
Root Cause Analysis Compared - NASA
Common Root Cause Analysis Tools and Methods * To learn more about effective problem-solving you can obtain a free copy of Dean’s interactive pdf ebook at www.realitycharting.
Root Cause Analysis: A Framework for Tool Selection
This article provides a framework for analyzing the performance of three popular root cause analysis tools: the cause-and-effect diagram, the interrelation-ship diagram, and the current …
How to Use the Fishbone Tool for Root Cause Analysis
Overview: Root cause analysis is a structured team process that assists in identifying underlying factors or causes of an adverse event or near-miss. Understanding the contributing factors or …
Root Cause Investigation Best Practices Guide - The …
May 30, 2014 · This guide has been prepared to help determine what methods and software tools are available when significant detailed root cause investigations are needed and what level of …
Root Cause Analysis Tools - Veterans Affairs
We use a confidential and protected** team-based approach called Root Cause Analysis (RCA) – adapted from aviation ̶ to figure out the answers to four core questions that will help us design …
Framework For Root Cause Analysis And Corrective Actions*
The Joint Commission’s Framework for Root Cause Analysis and Action Plan provides an example of a comprehensive systematic analysis. The framework and its 24 analysis …
TOOL: Root Cause Analysis - Quality Improvement …
Root Cause Analysis is a process for identifying the fundamental causal factor(s) underlying variations in performance. The RCA can include the occurrence or possible occurrence of an …
Problem analysis approaches - World Health Organization
There are many simple approaches developed to help planners analyse problems in a way that identifies root causes and provides the starting point for solutions. This tool provides a basic …
The Importance of Root Cause Analysis During Incident …
Root Cause Analysis Tools. Below is a list of tools that may be used by employers to conduct a root cause analysis. The tools are not meant to be used exclusively. Ideally, a combination of …
Using Root Cause Analysis to Help Practices Understand and …
Root cause analysis is the identification and analysis of factors that are contributing to a specific outcome or problem. It is an essential tool for quality improvement.
Five Whys Tool for Root Cause Analysis
To validate root causes, ask the following: If you removed this root cause, would this event or problem have been prevented? Here is an everyday example of using the Five Whys to …
ROOT CAUSE ANALYSIS AND DECISION TREES TOOLS FOR …
WHAT IS ROOT CAUSE ANALYSIS (RCA)? • Definition: A systematic method used to identify the underlying reasons for a problem or failure. • Purpose: To address the root causes of issues to …
