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Topic: Root cause analysis


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In the News (Fri 17 Feb 12)

  
  Root Cause Analysis
This is generally referred to as Root Cause Analysis, finding the real cause of the problem and dealing with it rather than simply continuing to deal with the symptoms.
Once the root cause is determined then it has to be determined whether it costs more to remove the root cause or simply continue to treat the symptoms.
Even though it may be relatively easy to estimate the cost to remove the root cause it is generally very difficult to assess the cost of treating the symptom.
www.systems-thinking.org /rca/rootca.htm   (1554 words)

  
 Root Cause Analysis
Root Cause Analysis (RCA) is a structured step by step technique that focuses on finding the real cause of a problem and dealing with that, rather than continuing to deal with its symptoms.
Root cause analysis is a procedure for ascertaining and analyzing the causes of problems in an effort to determine what can be done to solve or prevent them.
A root cause is one of the most basic, or fundamental causes of the condition that we are concerned with.
www.valuebasedmanagement.net /methods_root_cause_analysis.html   (446 words)

  
 Root Cause Analysis - Free Training and Tools
Often without any analysis, we charge ahead with hastily-conceived, ill-considered solutions that merely sweep the badness under the edge of the rug, to be inadvertently revealed at some later date...
Root cause analysis (RCA) is a methodology for finding and correcting the most important reasons for performance problems.
Root cause analysis is a process of continuous improvement.
www.bill-wilson.net /root-cause-analysis   (734 words)

  
 Root Cause Analysis - Online Training
Root Cause Analysis (RCA) is a management process that seeks to locate the ultimate cause or 80/20 rule causes behind performance or process-related problems in a business or engineering environment, and then proceed to resolve the problem by treating these underlying causes.
The root cause or causes might be much deeper than outward symptoms reveal, and several layers may have to be pushed aside to reach the "root" cause.
Determining the root causes of the Space Shuttle disaster which caused the death of seven astronauts is a classic application of Root Cause Analysis process.
www.envisionsoftware.com /articles/Root_Cause_Analysis.html   (1554 words)

  
 Root Cause Analysis
Root Cause Analysis (RCA) is a structured step by step technique that focuses on finding the real cause of a problem and dealing with that.
Root Cause Analysis is a procedure for ascertaining and analyzing the causes of problems, to determine how these problems can be solved or be prevented from occurring.
A root cause is one of the most basic, or fundamental causes of the situation (condition) with which we are concerned.
www.12manage.com /methods_root_cause_analysis.html   (457 words)

  
 Root Cause Analysis - Root Cause Failure Analysis
Root cause analysis is a step by step approach that leads to the identification of a fault's first or root cause.
Root cause analysis is a tool to better explain what happened, to determine how it happened, and to understand why it happened.
Where the root cause analysis leads back to a failure of procedures it is necessary to either address the procedural weakness or to develop an approach to prevent the damage caused by the procedural failure.
www.materialsengineer.com /A-root-cause-analysis.htm   (577 words)

  
 Root Cause Analysis   (Site not responding. Last check: 2007-10-13)
In many instances the root cause of adverse patient incidents lies in the systems that are set up to support the delivery of care and blame cannot, and should not, be attributed to individual health care professionals.
Root cause analysis is a structured investigation, which aims to identify the true cause of the problem.
The last cause to be identified during this process identifies the ‘root cause’ of the problem.
www.southtees.nhs.uk /cgrespack/cgresc5s2.html   (1557 words)

  
 Analysis Paralysis: When Root Cause Analysis Isn’t The Way
Root cause analysis should uncover such opportunities to remedy, but clearly, as our primary goal for analysis, we want to design out of our operation the need for avoidable repair, rework, clean up, and expensive redesign.
The team were using a proprietary root cause analysis method which is both rigorous in its approach and known to generate results in a good many instances.
The key similarity between this method and root cause analysis is that both are built on the question ‘WHY?’ The first key difference is that, while root cause analysis has a voracious appetite for data, root contradiction analysis requires only that we gain a qualitative understanding of what is happening in a system.
www.triz-journal.com /archives/2002/05/b   (3106 words)

  
 Improve Your ROOT CAUSE ANALYSIS Manufacturing Engineering - Find Articles
Root cause analysis is only the diagnostic part of the problem-solving process, but it's the part that, if done incorrectly, causes all subsequent actions to have little value.
Root cause analysis means finding the specific source(s) that created the problem so that effective action can be taken to prevent recurrence of the situation.
Root cause analysis is the process of drilling down from symptoms, to problem definition, to possible causes, to actual cause(s).
www.findarticles.com /p/articles/mi_qa3618/is_200503/ai_n13247575   (919 words)

  
 root cause analysis
JCAHO defines a Root Cause Analysis (RCA) as a process for identifying the basic or casual factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event.
A RCA focuses primarily on systems and processes to common causes in organizational processes and identifies potential improvements in processes or systems that would tend to decrease the likelihood of such events in the future, or determines, after analysis, that no such improvement opportunities exists.
The purpose of the RCA is to understand how and why a Sentinel or High Risk Event occurred and to prevent the same or similar Event from occurring in the future.
hcpc.uth.tmc.edu /pihome/edu/rc.htm   (278 words)

  
 Root Cause Analysis
Root cause analysis technology has been raised to a new and higher level with the advent of the computerized REASON Root Cause Analysis and Lessons Learned System.
Root Cause Analysis - REASON guides you straight to the systemic root causes of operations problems, with a repeatable problem solving process, criteria for accuracy and objective analyses that pinpoint your best and most cost-effective solutions for control and prevention.
Root cause analysis, computerized investigation, analytical modeling, trending and pattern analysis, documentation and advanced lessons learned capabilities are integrated into one, off-the-shelf system for corporate deployment.
www.rootcause.com   (500 words)

  
 Root Cause Analysis, Root Cause Problem Elimination, RCPE, Implement
A root cause problem elimination process should be designed to involve few people for most problems and engage larger groups only if needed.
Root Cause programs are often designed to engage a facilitator and a group of people.
Day to day root cause problem eliminations should therefore be managed by the frontline (hourly and first line supervision).
www.idcon.com /article-Implement-Cost-Effective-Root-Cause-Problem-Elimination.html   (1295 words)

  
 definition of root cause analysis explained in this refreshing article
Root Cause Analysis (RCA) is a step by step method that leads to the discovery of a fault's first or root cause.
An RCA investigation traces the cause and effect trail from the end failure back to the root cause.
It is not necessary to prevent the first, or root cause, from happening.
www.downtimecentral.com /Root_Cause_Analysis.htm   (742 words)

  
 Root Cause Analysis Blog: The Curse of Apparent Cause Analysis
Relying on fixes to root causes derived from investigations of high frequency, low consequence incidents to prevent low frequency high consequence incidents is folly.
The performance of apparant cause should not be to provide for a simply short cut method to identifiy corrective actions, but rather to provide for a reasonable basis for application of failure mode coding associated with high frequency low consequence events.
The problem with apparent cause analyses that you may be reacting to is the willingness of an organization to make changes to their programs, organizations, or processes based on what you call a short cut approach.
www.taproot.com /blog/2006/02/the_curse_of_apparent_cause_an_1.html   (1961 words)

  
 CONSEQUENCE - Root Cause Analysis
Put quite simply Root Cause Analysis (RCA) is a way of conducting an investigation into an identified problem that allows the investigator(s), and other involved parties, to understand better the root, or fundamental, cause of the problem so that it can be put right.
RCA therefore is about finding effective solutions to one or a multitude of problems as speedily as is humanly and mechanically possible.
All RCA critical incident reviews should be facilitated by a trained member of staff, to ensure that all causal and influencing factors are identified and effective solutions considered.
www.consequence.org.uk /rca.htm   (1035 words)

  
 Root Cause Analysis Training UK
This Root Cause Analysis training provides an introduction to analysing the root cause of a problem starting with a clear definition of the problem.
The course will then cover logical and root cause analysis tools that can be applied to identify potential root causes which then needs to verified.
Understand a range of logical and root cause analysis tools to develop an understanding of the problem and identify a root cause.
www.siliconbeachtraining.co.uk /project_management_training/root_cause_analysis_training.htm   (375 words)

  
 James Shore: Successful Software
Root cause analysis is a technique that you can use for every problem you encounter, from the trivial to the significant.
If the root cause is outside of the team's control entirely, then solving the problem may be difficult or impossible.
If a root cause is beyond your control, work with someone (such as your project manager) who has experience coordinating with other groups.
www.jamesshore.com /Agile-Book/root_cause_analysis.html   (1187 words)

  
 root cause analysis knowledge base
The term RCA (Root Cause Analysis) is used to cover such a spectrum of meanings and significance, that the term itself has become de-valued.
Root Cause Failure Analysis (RCFA) is a reliability technique used to identify the causal factors for component, equipment, or system failures.
The basic reason for investigating and reporting the causes of occurrences is to enable the identification of corrective actions adequate to prevent recurrence and thereby protect the health and safety of the public, the workers, and the environment.
www.reliabilityweb.com /fa/root_cause_analysis.htm   (1133 words)

  
 Root Cause Analysis and Incident Investigation - Operational Risk & Performance Consulting - ABS Consulting   (Site not responding. Last check: 2007-10-13)
Once the causal factors and root causes are identified, development of recommendations is generally a straightforward process.
This may prevent the same event from recurring, but if the root causes are not addressed, similar events are likely to happen in the future.
Root causes are the management system weaknesses that allowed the causal factor to occur.
www.absconsulting.com /IncidentInvRCA.html   (636 words)

  
 About Root Cause Analysis
Root Cause Analysis Two-day REASON Training is available on your site, at our REASON Training Center, and live on the Internet via WebCast.
Provides an objective and structured methodology to model, validate, record, and communicate the cause and effect relationships that are producing problems in the operations of your organization.
Root cause analysis information that can help you cost-effectively establish and deploy a meaningful root cause analysis system, contact DECISION systems, inc. (903) 236-9973 or email dsi@rootcause.com
www.rootcause.com /CourseDescription2Day.htm   (717 words)

  
 Root Cause Analysis: Simplified Tools and Techniques
For years the practice of Root Cause Analysis has been benefiting organizations world-wide, by enabling them to identify sources of difficulty and to determine the best methods for correcting these problems.
Root Cause Analysis: Simplified Tools and Techniques is an excellent reference for those with little or no knowledge of either root cause analysis or total quality management.
Rather, they explain root cause analysis from scratch, avoiding the use of jargon or confusing terms.
www.pohly.com /books/rootcauseanalysis.html   (390 words)

  
 National Patient Safety Agency | RCA Training and RCA toolkit,National Patient Safety Agency,Health professional zone
Root Cause Analysis (RCA), is a retrospective review of a patient safety incident undertaken in order to identify what, how, and why it happened.
The analysis is then used to identify areas for change, recommendations and sustainable solutions, to help minimise the re-occurrence of the incident type in the future.
The Root Cause Analysis e-learning programme is a modular online training programme with support materials available to download and use.
www.npsa.nhs.uk /health/resources/root_cause_analysis   (466 words)

  
 Reliability Center, Inc. - What is Root Cause Failure Analysis?   (Site not responding. Last check: 2007-10-13)
Root Cause Failure Analysis or RCFA as it is sometimes called, tends to have a different meaning depending upon who you ask.
The logic tree is really a visual brainstorming tool to help you logically figure out the root cause of a problem.
Once you have successfully completed the search for causes with your logic tree, it is now time to communicate your findings and solutions to the decision-makers.
www.reliability.com /articles/article07.htm   (1231 words)

  
 Root Cause Analysis
Root cause analysis is a relatively new methodology that is continually evolving.
“A powerful tool used to identify, record and visually represent the possible causes of a problem” Instead of problems and their effects appearing vast and insoluble, root cause analysis breaks down the problem into smaller, more easily handled chunks represented by a ‘fishbone’ diagram”.
http://www.root-cause-analysis.co.uk Root cause analysis is a relatively new methodology that is continually evolving.
www.root-cause-analysis.co.uk   (809 words)

  
 VA National Center for Patient Safety - Root Cause Analysis
Root Cause Analysis is a tool for identifying prevention strategies.
It is a process that is part of the effort to build a culture of safety and move beyond the culture of blame.
In Root Cause Analysis, basic and contributing causes are discovered in a process similar to diagnosis of disease - with the goal always in mind of preventing recurrence.
www.va.gov /ncps/rca.html   (216 words)

  
 Amazon.com: Root Cause Analysis: Improving Performance for Bottom Line Results: Books: Robert J. Latino,Kenneth C. ...   (Site not responding. Last check: 2007-10-13)
Specialists in root cause analysis methodology, the authors discuss the roles of management and a root cause analysis team in prioritizing the problems to analyze, automationg the process, and helping to uncover the physical, human, and latent causes of undesirable workplace events.
The book explains root cause analysis, which is a structured process designed to uncover the cause of any undesirable workplace event.
Case studies are used to illustrate the potential of root cause analysis, showing its effectiveness in particular in steelmaking, customer service, and manufacturing.
www.amazon.com /Root-Cause-Analysis-Improving-Performance/dp/0849307732   (2013 words)

  
 CIRAS - Root Cause Analysis
Root cause analysis is the process of finding and eliminating the cause, which would prevent the problem from returning.
Only when the root cause is identified and eliminated can the problem be solved.
the education of staff in conducting root cause analysis using simple forms and diagrams.
www.ciras.iastate.edu /quality/rootcauseanalysis.asp   (421 words)

  
 Root Cause Analysis
Coordinate and motivate the RCA team to provide real, tangible solutions to what appears to be intractable quality problems.
Phase III: Cause analysis: Cause analysis tools that may be used are histograms, pareto charts, scatter charts, relations diagrams and affinity diagrams.
Following this the cause and effect stage has been reached and the effects and therefore potential root causes can be identified, Tools for this are cause and effect charts, matrix diagrams and the “five whys” or the “why, why” chart.
www.qmt.co.uk /courses/quality/root_cause_analysis.htm   (546 words)

  
 Page 2 Root Cause Analysis for the Small Business
A root cause analysis is a method that identifies causal factors, including interpersonal bottlenecks and dysfunctionalities that keep a business from achieving financial success.
A "root cause" is defined as a causal factor that, if corrected, would prevent recurrence.
ROOT CAUSE NARRATIVE - With your chart you will need to write up a Root Cause Narrative (explain what your chart is all about and what it connects).
cbae.nmsu.edu /~dboje/sbc/pages/page2.html   (989 words)

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