U.S. flag

An official website of the Department of Health & Human Services

  • Search All AHRQ Sites
  • Email Updates

Patient Safety Network

1. Use quotes to search for an exact match of a phrase.

2. Put a minus sign just before words you don't want.

3. Enter any important keywords in any order to find entries where all these terms appear.

  • The PSNet Collection
  • All Content
  • Perspectives
  • Current Weekly Issue
  • Past Weekly Issues
  • Curated Libraries
  • Clinical Areas
  • Patient Safety 101
  • The Fundamentals
  • Training and Education
  • Continuing Education
  • WebM&M: Case Studies
  • Training Catalog
  • Submit a Case
  • Improvement Resources
  • Innovations
  • Submit an Innovation
  • About PSNet
  • Editorial Team
  • Technical Expert Panel

Book/Report

Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.

Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. ISBN: 9780873899826.

Root cause analysis is a widely used patient safety and quality improvement process for investigating adverse events. This book includes detailed steps to identify system-level causes including how to use diagrams and figures to assist in brainstorming causes and potential solutions.

Safer Hospital Care: Strategies for Continuous Innovation, Second Edition. May 16, 2019

Patient Safety Ethics: How Vigilance, Mindfulness, Compliance, and Humility can Make Healthcare Safer. July 24, 2019

Error and Uncertainty in Diagnostic Radiology. March 20, 2019

Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019

Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. November 6, 2019

Field Guide to Collaborative Care: Implementing the Future of Health Care. August 5, 2015

Foundations of Safety Science: a century of understanding accidents and disasters. January 1, 2019

When We Do Harm: A Doctor Confronts Medical Error. April 22, 2020

The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. March 27, 2005

Crossing the Quality Chasm: A New Health System for the 21st Century. March 27, 2005

Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. June 22, 2022

Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. May 10, 2017

Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. June 22, 2016

Leading High-Reliability Organizations in Healthcare. May 4, 2016

Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. January 6, 2016

Second Victim: Error, Guilt, Trauma, and Resilience. May 22, 2013

Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. September 26, 2012

Patient Safety: An Engineering Approach. November 23, 2011

The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. October 19, 2011

Rethinking Patient Safety. May 24, 2017

Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. May 31, 2017

Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. February 4, 2015

The Limits of Safety: Organizations, Accidents and Nuclear Weapons. March 6, 2005

The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. March 27, 2005

Human Error. March 27, 2005

Forgive and Remember: Managing Medical Failure. 2nd ed. March 6, 2005

Are Workarounds Ethical? Managing Moral Problems in Health Care Systems. February 3, 2016

After the Error: Speaking Out About Patient Safety to Save Lives. May 1, 2013

Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. February 13, 2017

Misadventures in Health Care: Inside Stories. August 24, 2005

Medical Problem Solving: An Analysis of Clinical Reasoning. March 27, 2005

Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition. December 7, 2016

Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out. March 10, 2010

Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. March 27, 2005

Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. March 6, 2005

Crossing the Global Quality Chasm: Improving Health Care Worldwide. September 12, 2018

Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. June 26, 2019

Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. May 1, 2019

Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. July 10, 2019

Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. March 20, 2019

A Patient Safety Handbook for Ambulatory Care Providers. April 14, 2010

Patient Safety in the Intensive Care Unit. March 10, 2010

Listening for What Matters: Avoiding Contextual Errors in Health Care. March 9, 2016

SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. May 13, 2015

Meltdown: Why Our Systems Fail and What We Can Do About It. February 6, 2019

Organizing for Reliability: A Guide for Research and Practice. January 30, 2019

Around the Patient Bed: Human Factors and Safety in Health Care. October 23, 2013

Charting the Course: Launching Patient-Centric Healthcare. January 30, 2013

When Doctors Don't Listen. January 23, 2013

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. June 6, 2012

Building the Case for Health Literacy: Proceedings of a Workshop. August 8, 2018

Improving Patient Safety Through Teamwork and Team Training. January 29, 2014

The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. April 20, 2022

Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. November 15, 2023

Safety and Ethics in Healthcare: A Guide to Getting it Right. October 10, 2007

Working Knowledge: How Organizations Manage What They Know. September 14, 2005

The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. December 5, 2018

Sensemaking in Organizations. March 27, 2005

Medical Device Use Error: Root Cause Analysis. March 2, 2016

Enhancing Surgical Performance: A Primer in Non-technical Skills. August 19, 2015

Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. October 5, 2022

The Basics of FMEA. 2nd ed. March 27, 2005

Addressing Problematic Opioid Use in OECD Countries. June 5, 2019

Error Reduction and Prevention in Surgical Pathology, Second Edition. August 28, 2019

Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. September 11, 2019

Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. February 28, 2018

Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. September 11, 2013

Cognitive Systems Engineering in Health Care. February 11, 2015

Behind Human Error, Second Edition. November 10, 2017

Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. May 6, 2015

Leading Health Care Transformation: A Primer for Clinical Leaders. August 12, 2015

Diagnosis: Interpreting the Shadows. July 26, 2017

Quality and Safety in Anesthesia and Perioperative Care. July 17, 2019

Oxford Professional Practice: Handbook of Patient Safety. July 27, 2022

In men, it's Parkinson's. In women, it's hysteria. September 4, 2019

Global Patient Safety: Law, Policy and Practice. August 14, 2019

Talking with Patients and Families about Medical Error: A Guide for Education and Practice. February 16, 2011

Improving Diagnosis in Health Care. September 23, 2015

Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care. August 21, 2019

Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People Work Safely. October 23, 2019

Quality Improvement and Patient Safety Competencies Across the Learning Continuum. January 1, 2019

Flu shot mix-up at Oklahoma facility leaves 10 hospitalized December 4, 2019

Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. July 31, 2019

Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. September 25, 2013

Health IT and Patient Safety: Building Safer Systems for Better Care. November 16, 2011

Keeping Patients Safe: Transforming the Work Environment of Nurses. May 11, 2005

Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. July 27, 2011

How Can Health Care Organizations Become More Health Literate?: Workshop Summary. August 15, 2012

Health Literacy: A Prescription to End Confusion. March 6, 2005

Two pandemics, same story: the potentially dangerous overuse of antibiotics and 'the road to medical hell'. September 9, 2020

Engaging Patients as Safety Partners: a Guide for Reducing Errors and Improving Satisfaction. June 18, 2008

Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. March 6, 2005

Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. March 5, 2017

Demanding Medical Excellence. Doctors and Accountability in the Information Age. March 6, 2005

Implications of Health Literacy for Public Health: Workshop Summary. October 8, 2014

Toolkit To Improve Antibiotic Use in Acute Care Hospitals December 11, 2019

After Harm: Medical Error and the Ethics of Forgiveness. September 14, 2005

Accountability: Patient Safety and Policy Reform. March 6, 2005

Vital Signs: Core Metrics for Health and Health Care Progress. May 20, 2015

Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. December 17, 2014

National Healthcare Quality and Disparities Report Chartbook on Patient Safety. March 22, 2024

Top 10 Patient Safety Concerns. March 12, 2024

Safer Together Annual Report. November 21, 2023

Redesigning Event Review with RCA2. March 12, 2024 - April 23, 2024

Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. May 24, 2023

Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. May 24, 2023

Driving Learning and Improvement After RCA2 Event Reviews. January 26, 2023 - January 26, 2023

The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. August 17, 2022

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. July 20, 2022

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. June 1, 2022

Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. May 25, 2022

Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. April 6, 2022

Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021

Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events. May 12, 2021

The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making. January 27, 2021

Application of human factors methods to understand missed follow-up of abnormal test results. November 11, 2020

Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. October 21, 2020

Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. September 23, 2020

Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. September 2, 2020

Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. July 22, 2020

Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. March 25, 2020

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. January 29, 2020

Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. January 29, 2020

Integrating systemic accident analysis into patient safety incident investigation practices. November 21, 2018

The Field Guide to Human Error Investigations, Third Edition. August 24, 2017

Patient Safety: Investigating and Reporting Serious Clinical Incidents. March 15, 2017

Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. October 26, 2016

Unit-based incident reporting and root cause analysis: variation at three hospital unit types. August 17, 2016

Patient Safety Network

Connect With Us

LinkedIn

Sign up for Email Updates

To sign up for updates or to access your subscriber preferences, please enter your email address below.

Agency for Healthcare Research and Quality

5600 Fishers Lane Rockville, MD 20857 Telephone: (301) 427-1364

  • Accessibility
  • Disclaimers
  • Electronic Policies
  • HHS Digital Strategy
  • HHS Nondiscrimination Notice
  • Inspector General
  • Plain Writing Act
  • Privacy Policy
  • Viewers & Players
  • U.S. Department of Health & Human Services
  • The White House
  • Don't have an account? Sign up to PSNet

Submit Your Innovations

Please select your preferred way to submit an innovation.

Continue as a Guest

Track and save your innovation

in My Innovations

Edit your innovation as a draft

Continue Logged In

Please select your preferred way to submit an innovation. Note that even if you have an account, you can still choose to submit an innovation as a guest.

Continue logged in

New users to the psnet site.

Access to quizzes and start earning

CME, CEU, or Trainee Certification.

Get email alerts when new content

matching your topics of interest

in My Innovations.

logo

Root Cause Analysis: The Core of Problem Solving and Corrective Action

Root Cause Analysis: The Core of Problem Solving and Corrective Action

We live in a complex world. People and organizations often don’t believe they have the time to perform the in-depth analyses required to solve problems. Instead, they take remedial actions to make the problem less visible and implement a patchwork of ad hoc solutions they hope will prevent recurrence. Then when the problem returns, they get frustrated—and the cycle repeats.

This book provides detailed steps for how to solve problems, focusing more heavily on the analytical process involved in finding the actual causes of problems. It does so using a large number of figures, diagrams, and tools useful for helping make our thinking visible. The primary focus is on solving repetitive problems, rather than performing investigations for major incidents/accidents. Most of the terminology used is everyday language and can therefore also be used for applications in their personal lives. Many of the examples will involve situations with which the reader will likely be familiar.

The focus of the book not on statistics but instead on the logic of finding causes. It has sometimes been described in training workshops as “Six Sigma lite”…problem solving without all the heavy statistics.

Buy from Amazon Kindle

(Stanford users can avoid this Captcha by logging in.)

  • Send to text email RefWorks EndNote printer

Root Cause Analysis : the Core of Problem Solving and Corrective Action

Available online.

  • EBSCO Academic Comprehensive Collection

More options

  • Find it at other libraries via WorldCat
  • Contributors

Description

Creators/contributors, contents/summary.

  • Title page; CIP data; Contents; List of Figures and Tables; Preface to the Second Edition; Preface to the First Edition; Chapter 1_Getting Better Root Cause Analysis; The Problem; The Impact; Approaches to Root Cause Analysis; Existing Problem-Solving Models; A Proposed Model; Chapter 2_Multiple Causes and Types of Action; Initial Problem Response; The Diagnosis; Actions to Prevent Future Problems; The Need for Filters; Chapter 3_Step
  • 1: Define the Problem; Selecting the Right Problem; Scoping the Problem Appropriately; The Problem Statement; Chapter 4_Step
  • 2: Understand the Process
  • Setting Process BoundariesFlowcharting the Process; Why Process is So Important; Additional Values of the Flowchart; Chapter 5_Step
  • 3: Identify Possible Causes; Using the Flowchart for Causes; Using a Logic Tree for Causes; Using Brainstorming and the Cause-and-Effect Diagram for Causes; Using Barrier Analysis for Causes; Using Change Analysis for Causes; Eliminating Possible Causes; Sources for Possible Causes; Chapter 6_Step
  • 4: Collect the Data; A Basic Concept; Types of Data; Using Existing Versus New Data; Where to Collect Data; Special Tests; Sample Size and Time Frame
  • Data Collection Tools for Both Low- and High-Frequency ProblemsAdditional Tools for High-Frequency Problems; Enhancing Data Collection Value; Organizing the Data Collection Process; Chapter 7_Step
  • 5: Analyze the Data; Tools for Low-Frequency Data; Additional Tools for High-Frequency Data; Questioning the Data; Data Analyses Summaries; Analyzing Variation; Cautions on Data Analysis; Where to Go Next?; Can't Find the Cause?; Chapter 8_Identify and Select Solutions; Step
  • 6: Identify Possible Solutions; Step
  • 7: Select Solution(s) to Be Implemented
  • Chapter 9_Implement, Evaluate, and InstitutionalizeStep
  • 8: Implement the Solution(s); Step
  • 9: Evaluate the Effect(s); Step
  • 10: Institutionalize the Change; Chapter 10_Organizational Issues; Cognitive Biases; Emotional Barriers; Resistance to Change; Organizational Culture; Project Ownership; Coaching/Facilitation Skills; Other Issues; Chapter 11_Human Error and Incident Analysis; Human Error; Incident Analysis; Chapter 12_Improving Corrective Action; Critical Thinking; Buddhism; Stoic Philosophy; Summary of Root Cause Analysis; Appendix A_Example Projects; A Need for Focus
  • How Would They Know?How Proficient is That?; Getting the Shaft Back; Got it in the Bag!; Appendix B_Root Cause Analysis Process Guides; Generic Process Thinking; SIPOC Analysis Form; Data Collection and Analysis Tools; Do It2 Root Cause Analysis Guide; Do It2 Problem-Solving Worksheet; Checklist for Reviewing the Corrective Action Process; Expanded List of Seven Ms; Forms for Tracking Causes and Solutions; Appendix C_Enhancing the Interview; Basic Interview Problems and Process; Types of Interviews and Questions; Leveraging How Memory Works; The Importance of Time and Reflection

Bibliographic information

Browse related items.

Stanford University

  • Stanford Home
  • Maps & Directions
  • Search Stanford
  • Emergency Info
  • Terms of Use
  • Non-Discrimination
  • Accessibility

© Stanford University , Stanford , California 94305 .

  • The Importance of Root Cause Corrective Action (RCCA)
  • Learn Lean Sigma
  • Root Cause Analysis

Problems and issues are unavoidable in any organization. While quick fixes and temporary solutions are common, they frequently fail to address the root cause of the problem. This results in recurring issues, squandered resources, and disgruntled stakeholders. This is where root cause analysis comes in. Understanding and applying root cause analysis can help you transform problem-solving approaches and achieve long-term solutions that eliminate the root cause of problems.

Table of Contents

What is root cause corrective action.

Root cause corrective action is a method of identifying and addressing the underlying causes of a problem rather than just treating the symptoms. It entails determining the root cause, which is the primary reason for the occurrence of an issue or failure. The goal of root cause corrective action is to implement targeted and effective solutions that eliminate the root cause of the problem, thereby preventing it from recurring in the future. It goes beyond quick fixes or temporary solutions, focusing on long-term and sustainable solutions.

How it Differs from Other Problem-Solving Techniques

In several ways, root cause corrective action differs from traditional problem-solving approaches. In contrast to traditional methods, which frequently address the symptoms or immediate effects of a problem, root cause corrective action seeks to identify and address the underlying cause. Traditional approaches may provide temporary relief, but if the underlying cause is not addressed, they can lead to recurring problems.

A systematic and structured analysis of the problem, taking into account all possible contributing factors, is required for root cause corrective action. It delves deeper into the causes, looking beyond the obvious. By determining the root cause, organizations are able to implement targeted solutions that address the source of the problem rather than applying general fixes that may not fully resolve the issue.

Importance of Root Cause Corrective Action in Preventing Recurring Issues

One of the fundamental principles of root cause corrective action is the recognition that addressing a problem at its source is critical to preventing its recurrence. Addressing symptoms or superficial manifestations without addressing the underlying cause can lead to a never-ending cycle of problems.

Organizations can break free from recurring issues and create a more stable and efficient operation by emphasizing the need to identify and eliminate the root cause. It helps to avoid wasting resources and time dealing with the same problem over and over again. Organizations can reap long-term benefits such as increased productivity, improved customer satisfaction, and cost savings by putting effort into identifying and addressing the root cause.

Benefits of Implementing Root Cause Corrective Action

Implementing root cause corrective action has numerous advantages, the most important of which is the ability to achieve long-term solutions. Organizations can prevent a problem from recurring by identifying and addressing its root cause, resulting in long-term solutions. Rather than applying temporary fixes over and over, root cause corrective action offers a comprehensive approach that ensures problems are resolved at their root.

Assume a manufacturing company experiences frequent equipment breakdowns. Instead of constantly repairing the equipment, root cause corrective action would entail investigating the underlying causes of the breakdowns, such as insufficient maintenance procedures or worn-out components. Addressing these underlying causes allows the company to implement measures to improve maintenance practices or replace faulty components, resulting in fewer equipment failures and long-term operational stability.

Cost and Time-saving Advantages of Addressing Root Causes

Addressing the underlying causes of a problem through corrective action results in significant cost and time savings. While conducting a thorough root cause analysis and implementing appropriate solutions may require an initial investment of resources, it ultimately leads to significant savings in the long run.

Organizations can eliminate the need for recurring fixes and associated costs such as maintenance, repairs, or customer compensation by addressing the root cause. Furthermore, by preventing the problem from recurring, valuable time spent on firefighting or dealing with customer complaints can be redirected to more productive activities, improving overall efficiency.

Examples of Successful Root Cause Corrective Action

Showcasing real-life examples can provide valuable insights into the effectiveness of root cause corrective action. These examples demonstrate how organizations identified the underlying causes of their problems and implemented targeted solutions, resulting in significant improvements.

For example, a software development firm that experienced frequent software crashes implemented root cause corrective action. They discovered that the crashes were caused by a memory leak in their code after careful investigation. They were able to achieve stable software performance by addressing the root cause and optimizing their code, resulting in increased customer satisfaction and lower support costs.

Another example could be a logistics company experiencing delivery delays. They identified bottlenecks in their supply chain caused by inefficient warehouse processes after conducting a root cause analysis. They successfully eliminated the root causes of delays by reorganizing their operations, implementing automation, and improving inventory management, resulting in faster and more reliable deliveries.

These examples show how root cause corrective action can produce tangible results by addressing issues at their root and achieving long-term improvements.

Steps to Implementing Root Cause Corrective Action

Step 1: conducting a root cause analysis.

Conducting a thorough root cause analysis is the first step in implementing effective root cause corrective action. This entails gathering pertinent data and information about the problem, investigating the sequence of events that led to its occurrence, and investigating any contributing factors. To delve deeper into the underlying causes, techniques such as the “ 5 Whys ” or fishbone diagrams can be used. The goal is to identify the primary cause or causes that, if addressed, will result in the problem being resolved.

Step 2: Identifying the Underlying Factors Contributing to the Problem

After determining the root cause, the next step is to identify the underlying factors that contribute to the problem. This entails investigating the various elements, processes, or systems that interact with one another and influence the occurrence of the problem.

It necessitates a thorough examination of the organizational environment, including equipment, procedures, human factors, and external influences. Organizations can gain a holistic understanding of the problem and develop effective solutions by identifying all relevant factors.

Step 3: Developing and Implementing Targeted Corrective Actions

After determining the root cause and contributing factors, the next step is to devise targeted corrective actions. This entails developing strategies and solutions that are specifically designed to address the underlying cause and mitigate the contributing factors. Depending on the nature of the problem, it may entail process improvements, training programs, policy changes, or infrastructure upgrades. Corrective actions must be actionable, realistic, and targeted in order to effectively eliminate the root cause and prevent its recurrence.

Step 4: Monitoring and Evaluating the Effectiveness of the Corrective Actions

Following the implementation of targeted corrective actions, it is critical to monitor and evaluate their effectiveness. This step entails developing metrics, key performance indicators (KPIs), or other measurable criteria to evaluate the effectiveness of corrective actions. Organizations can track progress, identify unexpected outcomes, and make adjustments as needed with regular monitoring. It is critical to involve stakeholders and solicit feedback to ensure that the solutions implemented achieve the desired results. If the corrective actions are not proving effective, the root cause analysis may need to be reassessed and alternative strategies considered.

Organizations can implement effective root cause corrective action by following these steps, resolving problems at their core and creating long-term solutions. Conducting a thorough root cause analysis, identifying contributing factors, developing targeted corrective actions, and monitoring their effectiveness are critical to addressing the root cause and preventing recurring issues.

Case Study: Examples of Root Cause Corrective Action

To better understand the practical application of root cause corrective action, consider the following case study.

Reducing Customer Complaints in a Call Center Case Study

Problem: A call center was receiving a high volume of customer complaints about long wait times and inadequate issue resolution. Customers were dissatisfied, customer loyalty was low, and word-of-mouth was negative.

Actions Taken:

Root Cause Analysis: The call center management performed a root cause analysis to identify the underlying causes of the customer complaints. They conducted customer and call center agent interviews, analyzed call data, and reviewed customer feedback.

Identified Root Causes: The analysis revealed two primary root causes: insufficient staffing during peak hours and inadequate agent training in issue resolution and customer service skills.

Targeted Corrective Actions:

  • a. Staffing Increase: To reduce wait times and improve customer service, call center management increased the number of agents available during peak hours. This included changing shift schedules, hiring more people, and implementing workload balancing mechanisms.
  • b. Training Improvement: A comprehensive training program was developed to provide agents with the necessary skills to effectively handle customer issues. To ensure positive customer experiences, this training focused on active listening, problem-solving, and empathetic communication.
  • c. Positive Word-of-Mouth: As customers experienced better service, positive word-of-mouth spread, attracting new customers and improving the company’s market reputation. This aided business growth and provided a competitive advantage.

The call center successfully resolved the underlying issues causing customer complaints by implementing root cause corrective action through targeted solutions such as staffing improvements and training enhancements. This case study demonstrates how identifying root causes and putting effective corrective actions in place can result in significant improvements that benefit both the organization and its customers.

Overcoming Challenge in Root Cause Corrective Action

Implementing root cause corrective action can be difficult at times due to a variety of obstacles. We’ll talk about common problems and how to solve them here:

  • Limited Resources: One common obstacle is the availability of limited resources, such as time, budget, or personnel. To address this, prioritize the most pressing issues and allocate resources accordingly. Effective resource management and careful planning can assist in making the best use of available resources.
  • Inadequate or Incomplete Data: Insufficient or incomplete data can impede root cause analysis. Ensure that data collection processes are in place and that employees are encouraged to report incidents or problems as soon as possible. Consider using tools or systems to collect relevant data for a thorough analysis.
  • Resistance to Change: Another challenge is resistance to change, especially if the root cause corrective actions involve changing established processes or routines. Address resistance by communicating effectively, emphasizing the benefits of the changes, and involving stakeholders in the decision-making process. To ease the transition, provide employees with training and support.

Overcoming Resistance and Organizational Barriers

Overcoming resistance or organizational barriers is critical for successful root cause corrective action implementation. Here are some strategies for overcoming these obstacles:

Create a Culture of Continuous Improvement: Encourage employees to actively participate in problem-solving efforts by cultivating a culture that values continuous improvement. Establish clear communication channels and give employees opportunities to contribute ideas and feedback.

Build Cross-Functional Collaboration: Promote cross-functional collaboration within the organization to break down silos. Encourage departments or teams to collaborate on problem analysis and solution development. This promotes a holistic viewpoint and ensures a thorough understanding of the underlying causes.

Training and Support: Provide training programs to employees in root cause analysis and problem-solving methodologies. Maintain ongoing support, guidance, and resources to assist employees in overcoming obstacles and implementing effective corrective actions.

Tips for Ensuring Sustained Commitment

Long-term success requires a consistent commitment to root cause corrective action. Consider the following suggestions to keep the momentum going:

  • Leadership Support: Obtain leadership buy-in and support for root cause corrective action implementation. Leaders must champion the process, allocate resources, and emphasize the importance of identifying and addressing root causes.
  • Continuous Monitoring and Evaluation: Establish mechanisms to continuously monitor the effectiveness of implemented corrective actions. Evaluate outcomes on a regular basis and adjust strategies as needed. This fosters a learning and improvement culture.
  • Recognize and Celebrate Success: Recognize and celebrate successful root cause corrective action implementations. Individuals or teams who contribute to identifying and resolving root causes should be recognized. This increases motivation and reinforces the importance of the approach.
  • Continuous Training and Development: Provide ongoing training and development opportunities to employees to help them improve their skills in root cause analysis and problem solving. Encourage employees to constantly improve their problem-solving skills and to share what they’ve learned with others.

Organizations can effectively implement root cause corrective action by addressing common obstacles, overcoming resistance, and ensuring sustained commitment. This paves the way for long-term success, continuous improvement, and problem prevention.

Implementing root cause corrective action is a powerful approach that shifts problem-solving from addressing symptoms to resolving core issues. Organizations can achieve long-term solutions and reap numerous benefits by conducting thorough root cause analyses, identifying underlying factors, developing targeted corrective actions, and monitoring their effectiveness.

The impact of root cause corrective action is far-reaching, ranging from cost and time savings to increased customer satisfaction and loyalty. Overcoming obstacles and maintaining a long-term commitment to this approach ensures continuous improvement and a proactive problem-solving culture. Accept the power of root cause corrective action to unlock your organization’s potential for transformative change.

Daniel Croft

Daniel Croft is a seasoned continuous improvement manager with a Black Belt in Lean Six Sigma. With over 10 years of real-world application experience across diverse sectors, Daniel has a passion for optimizing processes and fostering a culture of efficiency. He's not just a practitioner but also an avid learner, constantly seeking to expand his knowledge. Outside of his professional life, Daniel has a keen Investing, statistics and knowledge-sharing, which led him to create the website learnleansigma.com, a platform dedicated to Lean Six Sigma and process improvement insights.

Free Lean Six Sigma Templates

Improve your Lean Six Sigma projects with our free templates. They're designed to make implementation and management easier, helping you achieve better results.

5S Floor Marking Best Practices

In lean manufacturing, the 5S System is a foundational tool, involving the steps: Sort, Set…

How to Measure the ROI of Continuous Improvement Initiatives

When it comes to business, knowing the value you’re getting for your money is crucial,…

8D Problem-Solving: Common Mistakes to Avoid

In today’s competitive business landscape, effective problem-solving is the cornerstone of organizational success. The 8D…

The Evolution of 8D Problem-Solving: From Basics to Excellence

In a world where efficiency and effectiveness are more than just buzzwords, the need for…

8D: Tools and Techniques

Are you grappling with recurring problems in your organization and searching for a structured way…

How to Select the Right Lean Six Sigma Projects: A Comprehensive Guide

Going on a Lean Six Sigma journey is an invigorating experience filled with opportunities for…

Big Books of Spring

Root Cause Analysis: The Core of Problem Solving and Corrective Action

182 pages, Hardcover

First published January 1, 2009

About the author

Profile Image for Duke Okes.

Ratings & Reviews

What do you think? Rate this book Write a Review

Friends & Following

Community reviews.

Profile Image for Mehrdad.

Join the discussion

Can't find what you're looking for.

Root Cause Analysis Explained: Definition, Examples, and Methods

The easiest way to understand root cause analysis is to think about common problems. If we’re sick and throwing up at work, we’ll go to a doctor and ask them to find the root cause of our sickness. If our car stops working, we’ll ask a mechanic to find the root cause of the problem. If our business is underperforming (or overperforming) in a certain area, we’ll try to find out why. For each of these examples, we could just find a simple remedy for each symptom. To stop throwing up at work, we might stay home with a bucket. To get around without a car, we might take the bus and leave our broken car at home. But these solutions only consider the symptoms and do not consider the underlying causes of those symptoms—causes like a stomach infection that requires medicine or a busted car alternator that needs to be repaired. To solve or analyze a problem, we’ll need to perform a root cause analysis and find out exactly what the cause is and how to fix it.

In this article, we’ll cover the following:

  • Definition of root cause analysis

Benefits and goals of root cause analysis

  • How to conduct root cause analysis
  • Tips for performing rot cause analysis

What is root cause analysis?

This Tableau Workbook demonstrates a root cause analysis dashboard.

Root cause analysis (RCA) is the process of discovering the root causes of problems in order to identify appropriate solutions. RCA assumes that it is much more effective to systematically prevent and solve for underlying issues rather than just treating ad hoc symptoms and putting out fires. Root cause analysis can be performed with a collection of principles, techniques, and methodologies that can all be leveraged to identify the root causes of an event or trend. Looking beyond superficial cause and effect, RCA can show where processes or systems failed or caused an issue in the first place.

Core principles

There are a few core principles that guide effective root cause analysis, some of which should already be apparent. Not only will these help the analysis quality, these will also help the analyst gain trust and buy-in from stakeholders, clients, or patients.

  • Focus on correcting and remedying root causes rather than just symptoms.
  • Don’t ignore the importance of treating symptoms for short term relief.
  • Realize there can be, and often are, multiple root causes.
  • Focus on HOW and WHY something happened, not WHO was responsible.
  • Be methodical and find concrete cause-effect evidence to back up root cause claims.
  • Provide enough information to inform a corrective course of action.
  • Consider how a root cause can be prevented (or replicated) in the future.

As the above principles illustrate: when we analyze deep issues and causes, it’s important to take a comprehensive and holistic approach. In addition to discovering the root cause, we should strive to provide context and information that will result in an action or a decision. Remember: good analysis is actionable analysis.

The first goal of root cause analysis is to discover the root cause of a problem or event. The second goal is to fully understand how to fix, compensate, or learn from any underlying issues within the root cause. The third goal is to apply what we learn from this analysis to systematically prevent future issues or to repeat successes. Analysis is only as good as what we do with that analysis, so the third goal of RCA is important. We can use RCA to also modify core process and system issues in a way that prevents future problems. Instead of just treating the symptoms of a football player’s concussion, for example, root cause analysis might suggest wearing a helmet to reduce the risk of future concussions. Treating the individual symptoms may feel productive. Solving a large number of problems looks like something is getting done. But if we don’t actually diagnose the real root cause of a problem we’ll likely have the same exact problem over and over. Instead of a news editor just fixing every single omitted Oxford comma, she will prevent further issues by training her writers to use commas properly in all future assignments.

Create beautiful visualizations with your data.

Try Tableau for free

Graphic of visualizations

How to conduct an effective root cause analysis: techniques and methods

This Tableau workbook demonstrates a root cause analysis and the importance of asking the "why" behind your data.

There are a large number of techniques and strategies that we can use for root cause analysis, and this is by no means an exhaustive list. Below we’ll cover some of the most common and most widely useful techniques.

One of the more common techniques in performing a root cause analysis is the 5 Whys approach . We may also think of this as the annoying toddler approach. For every answer to a WHY question, follow it up with an additional, deeper “Ok, but WHY?” question. Children are surprisingly effective at root cause analysis. Common wisdom suggests that about five WHY questions can lead us to most root causes—but we could need as few as two or as many as 50 WHYs. Example: Let’s think back to our football concussion example. First, our player will present a problem: Why do I have such a bad headache? This is our first WHY. First answer: Because I can’t see straight. Second why: Why can’t you see straight? Second answer: Because I my head hit the ground. Third why: Why did your head hit the ground? Third answer: I got hit tackled to the ground and hit my head hard. Fourth why: Why did hitting the ground hurt so much? Fourth answer: Because I wasn’t wearing a helmet. Fifth why: Why weren’t you wearing a helmet? Fifth answer: Because we didn’t have enough helmets in our locker room. Aha. After these five questions, we discover that the root cause of the concussion was most likely from a lack of available helmets. In the future, we could reduce the risk of this type of concussion by making sure every football player has a helmet. (Of course, helmets don’t make us immune to concussions. Be safe!) The 5 Whys serve as a way to avoid assumptions. By finding detailed responses to incremental questions, answers become clearer and more concise each time. Ideally, the last WHY will lead to a process that failed, one which can then be fixed.

Change Analysis/Event Analysis

Another useful method of exploring root cause analysis is to carefully analyze the changes leading up to an event. This method is especially handy when there are a large number of potential causes. Instead of looking at the specific day or hour that something went wrong, we look at a longer period of time and gain a historical context. 1. First, we’d list out every potential cause leading up to an event. These should be any time a change occurred for better or worse or benign. Example: Let’s say the event we’re going to analyze is an uncharacteristically successful day of sales in New York City, and we wanted to know why it was so great so we can try to replicate it. First, we’d list out every touch point with each of the major customers, every event, every possibly relevant change. 2. Second, we’d categorize each change or event by how much influence we had over it. We can categorize as Internal/External, Owned/Unowned, or something similar. Example: In our great Sales day example, we’d start to sort out things like “Sales representative presented new slide deck on social impact” (Internal) and other events like “Last day of the quarter” (External) or “First day of Spring” (External). 3. Third, we’d go event by event and decide whether or not that event was an unrelated factor, a correlated factor, a contributing factor, or a likely root cause. This is where the bulk of the analysis happens and this is where other techniques like the 5 Whys can be used. Example: Within our analysis we discover that our fancy new Sales slide deck was actually an unrelated factor but the fact it was the end of the quarter was definitely a contributing factor. However, one factor was identified as the most likely root cause: the Sales Lead for the area moved to a new apartment with a shorter commute, meaning that she started showing up to meetings with clients 10 minutes earlier during the last week of the quarter. 4. Fourth, we look to see how we can replicate or remedy the root cause. Example: While not everyone can move to a new apartment, our organization decides that if Sales reps show up an extra 10 minutes earlier to client meetings in the final week of a quarter, they may be able to replicate this root cause success.

Cause and effect Fishbone diagram

Another common technique is creating a Fishbone diagram, also called an Ishikawa diagram , to visually map cause and effect. This can help identify possible causes for a problem by encouraging us to follow categorical branched paths to potential causes until we end up at the right one. It’s similar to the 5 Whys but much more visual. Typically we start with the problem in the middle of the diagram (the spine of the fish skeleton), then brainstorm several categories of causes, which are then placed in off-shooting branches from the main line (the rib bones of the fish skeleton). Categories are very broad and might include things like “People” or “Environment.” After grouping the categories, we break those down into the smaller parts. For example, under “People” we might consider potential root cause factors like “leadership,” “staffing,” or “training.” As we dig deeper into potential causes and sub-causes, questioning each branch, we get closer to the sources of the issue. We can use this method eliminate unrelated categories and identify correlated factors and likely root causes. For the sake of simplicity, carefully consider the categories before creating a diagram. Common categories to consider in a Fishbone diagram:

  • Machine (equipment, technology)
  • Method (process)
  • Material (includes raw material, consumables, and information)
  • Man/mind power (physical or knowledge work)
  • Measurement (inspection)
  • Mission (purpose, expectation)
  • Management / money power (leadership)
  • Maintenance
  • Product (or service)
  • Promotion (marketing)
  • Process (systems)
  • People (personnel)
  • Physical evidence
  • Performance
  • Surroundings (place, environment)

Tips for performing effective root cause analysis

Ask questions to clarify information and bring us closer to answers. The more we can drill down and interrogate every potential cause, the more likely we are to find a root cause. Once we believe we have identified the root cause of the problem (and not just another symptom), we can ask even more questions: Why are we certain this is the root cause instead of that? How can we fix this root cause to prevent the issue from happening again? Use simple questions like “why?” “how?” and “so what does that mean here?” to carve a path towards understanding.

Work with a team and get fresh eyes

Whether it’s just a partner or a whole team of colleagues, any extra eyes will help us figure out solutions faster and also serve as a check against bias. Getting input from others will also offer additional points of view, helping us to challenge our assumptions.

Plan for future root cause analysis

As we perform a root cause analysis, it’s important to be aware of the process itself. Take notes. Ask questions about the analysis process itself. Find out if a certain technique or method works best for your specific business needs and environments.

Remember to perform root cause analysis for successes too

Root cause analysis is a great tool for figuring out where something went wrong. We typically use RCA as a way to diagnose problems but it can be equally as effective to find the root cause of a success. If we find the cause of a success or overachievement or early deadline, it’s rarely a bad idea to find out the root cause of why things are going well. This kind of analysis can help prioritize and preemptively protect key factors and we might be able to translate success in one area of business to success in another area.

Uh-oh, it looks like your Internet Explorer is out of date. For a better shopping experience, please upgrade now.

  Javascript is not enabled in your browser. Enabling JavaScript in your browser will allow you to experience all the features of our site.    Learn how to enable JavaScript on your browser

Root Cause Analysis: The Core of Problem Solving and Corrective Action

Root Cause Analysis: The Core of Problem Solving and Corrective Action

Root Cause Analysis: The Core of Problem Solving and Corrective Action

  • $45.49  $60.00 Save 24% Current price is $45.49, Original price is $60. You Save 24%.

IMAGES

  1. Root Cause Analysis A Guide To The Root Cause Analysis Board

    root cause analysis the core of problem solving and corrective action

  2. Root Cause, Corrective & Preventive Action

    root cause analysis the core of problem solving and corrective action

  3. Corrective Action

    root cause analysis the core of problem solving and corrective action

  4. root cause problem solving activity

    root cause analysis the core of problem solving and corrective action

  5. Root Cause Analysis

    root cause analysis the core of problem solving and corrective action

  6. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    root cause analysis the core of problem solving and corrective action

VIDEO

  1. Root Cause Analysis & Corrective Action

  2. Root Cause Analysis & Corrective Action

  3. Root cause and Analysis??

  4. ROOT CAUSE ANALYSIS

  5. Root Cause Analysis continued video1464756968

  6. What is "Root Cause Analysis"?

COMMENTS

  1. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    Root Cause Analysis, Second Edition: The Core of Problem Solving and Corrective Action $99.99 Only 1 left in stock - order soon. We live in a complex world. People and organizations often don t believe they have the time to perform the in-depth analyses required to solve problems.

  2. Root Cause Analysis, Second Edition: The Core of Problem Solving and

    Root Cause Analysis, Second Edition. : Duke Okes. Quality Press, Feb 6, 2019 - Business & Economics - 250 pages. 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 ...

  3. Root Cause Analysis, Second Edition: The Core of Problem Solving and

    Root Cause Analysis, Second Edition (eBook) The Core of Problem Solving and Corrective Action Duke Okes. PDF, 252 pages, Published 2019. Dimensions: 6 x 9. ISBN: 9781951058494. Item Number: E1557. Member Price: $ 42.00 List Price: $ 60.00. I understand that I cannot print or share electronic products.

  4. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    ISBN: 9780873899826. Root cause analysis is a widely used patient safety and quality improvement process for investigating adverse events. This book includes detailed steps to identify system-level causes including how to use diagrams and figures to assist in brainstorming causes and potential solutions. Information. Save to your library. Print.

  5. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    Root Cause Analysis. : Duke Okes. ASQ Quality Press, 2009 - Decision making - 200 pages. We live in a complex world. People and organizations often don't believe they have the time to perform the in-depth analyses required to solve problems. Instead, they take remedial actions to make the problem less visible and implement a patchwork of ad hoc ...

  6. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    We live in a complex world. People and organizations often don't believe they have the time to perform the in-depth analyses required to solve problems. Instead, they take remedial actions to make the problem less visible and implement a patchwork of ad hoc solutions they hope will prevent recurrence. Then when the problem returns, they get frustrated—and the cycle repeats. This book ...

  7. Root Cause Analysis : the Core of Problem Solving and Corrective Action

    Root Cause Analysis : the Core of Problem Solving and Corrective Action. Edition. 2nd ed. Imprint. Milwaukee : ASQ Quality Press, 2019. Physical description. 1 online resource (240 pages) EBSCO Academic Comprehensive Collection. Find it at other libraries via WorldCat.

  8. Root Cause Analysis 2nd Edition

    Root Cause Analysis: The Core of Problem Solving and Corrective Action 2nd Edition is written by Duke Okes and published by ASQ Quality Press. The Digital and eTextbook ISBNs for Root Cause Analysis are 9781951058494, 1951058496 and the print ISBNs are 9780873899826, 0873899822. Save up to 80% versus print by going digital with VitalSource.

  9. Root Cause Analysis, Second Edition (SC)

    Root Cause Analysis, Second Edition (SC) The Core of Problem Solving and Corrective Action Duke Okes. Softcover, 232 pages, Published 2019. Dimensions: 7 x 10 inches. ISBN: 9781636940830. Item Number: H1610. Member Price: $ 42.00 List Price: $ 60.00 *I have read and agree to the ASQ Sales Return Policy. Please proceed with checkout.

  10. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    Root Cause Analysis: The Core of Problem Solving and Corrective Action. 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.

  11. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    Root Cause Analysis. : This book provides detailed steps for how to solve problems, focusing heavily on the analytical process involved in finding the actual causes of problems. It does so using a large number of figures, diagrams, and tools useful for helping make our thinking visible. The primary focus is on solving repetitive problems ...

  12. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    Titis Sari Putri H. Tolle Ismiarta Aknuranda. Business, Education. 2021. TLDR. This research tries to explore and evaluate the problem and formulate the steps of transformations to refine the situation by using Soft Systems Methodology (SSM) with some additional Root Cause Analysis (RCA) stages. Expand.

  13. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    Root Cause Analysis: The Core of Problem Solving and Corrective Action - Kindle edition by Okes, Duke. Download it once and read it on your Kindle device, PC, phones or tablets. Use features like bookmarks, note taking and highlighting while reading Root Cause Analysis: The Core of Problem Solving and Corrective Action.

  14. The Importance of Root Cause Corrective Action (RCCA)

    Implementing root cause corrective action is a powerful approach that shifts problem-solving from addressing symptoms to resolving core issues. Organizations can achieve long-term solutions and reap numerous benefits by conducting thorough root cause analyses, identifying underlying factors, developing targeted corrective actions, and ...

  15. PDF ASQ Pocket Guide to Root Cause Analysis

    Root Cause Analysis: The Core of Problem Solving and Corrective Action Duke Okes The ASQ Pocket Guide for the Certified Six Sigma Black Belt T.M. Kubiak The Quality Improvement Handbook, Second Edition ASQ Quality Management Division and John E. Bauer, Grace L. Duffy, Russell T. Westcott, editors Process Improvement Using Six Sigma: A DMAIC Guide

  16. What is Root Cause Analysis (RCA)?

    A root cause is defined as a factor that caused a nonconformance and should be permanently eliminated through process improvement. The root cause is the core issue—the highest-level cause—that sets in motion the entire cause-and-effect reaction that ultimately leads to the problem (s). Root cause analysis (RCA) is defined as a collective ...

  17. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    This book provides detailed steps for how to solve problems, focusing more heavily on the analytical process involved in finding the actual causes of problems. It does so using a large number of figures, diagrams, and tools useful for helping make our thinking visible. The primary focus is on solving repetitive problems, rather than performing ...

  18. Root Cause Analysis: Definition, Examples & Methods

    The first goal of root cause analysis is to discover the root cause of a problem or event. The second goal is to fully understand how to fix, compensate, or learn from any underlying issues within the root cause. The third goal is to apply what we learn from this analysis to systematically prevent future issues or to repeat successes.

  19. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    Root Cause Analysis: The Core of Problem Solving and Corrective Action. Duke Okes. ASQ Quality Press, 2009 - Decision making - 200 pages. Bibliographic information. ... Root Cause Analysis: The Core of Problem Solving and Corrective Action: Author: Duke Okes: Publisher: ASQ Quality Press, 2009: ISBN: 0873898958, 9780873898959: Length:

  20. Root Cause Analysis: The Core of Problem Solving and Corrective Action

    It provides detailed steps for solving problems, focusing more ... Root Cause Analysis: The Core of Problem Solving and Corrective Action 241. by Duke Okes ... Add to Wishlist. Root Cause Analysis: The Core of Problem Solving and Corrective Action 241. by Duke Okes. View More. eBook. $45.49 $60.00 Save 24% Current price is $45.49, Original ...

  21. Root Cause Analysis : The Core of Problem Solving

    Root Cause Analysis. : Duke Okes. ASQ Quality Press, Dec 20, 2022 - Computers - 234 pages. This bestseller 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.

  22. PDF Guidelines for Identifying Root Cause Analysis and Developing

    Guidelines for Identifying Root Cause Analysis and Developing Corrective Action Plan V1.0 : 10 : In accordance with the Assurance Scheme V2.0, table of A: udit Report and Responses Schedule, page 52, for immediate auditable NCs, CAB will verify evidence submitted by the producer or producer group within 14 calendar days. only- In the case of