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The Proactr Root Cause Analysis
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Book Synopsis The PROACT® Root Cause Analysis by : Kenneth C. Latino
Download or read book The PROACT® Root Cause Analysis written by Kenneth C. Latino and published by CRC Press. This book was released on 2020-09-10 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis The PROACT(R) Root Cause Analysis by : Kenneth C. Latino
Download or read book The PROACT(R) Root Cause Analysis written by Kenneth C. Latino and published by CRC Press. This book was released on 2024-10-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. This book explores the anatomy of a failure (undesirable outcome) and provides a guide to conducting a comprehensive root cause analysis.
Download or read book Patient Safety written by Robert J Latino and published by CRC Press. This book was released on 2019-08-30 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are you ready and willing to get to the root causes of problems? As Medicare, Medicaid, and major insurance companies increasingly deny payment for never events, it has become imperative that hospitals and doctors develop new ways to prevent these avoidable catastrophes from recurring. Proactive tools such as root cause analysis (RCA), basic failure mode and effects analysis (FMEA), and opportunity analysis (OA) are useful in preventing error, but in healthcare, such tools are often constrained by reticence to share information about mistakes and other problems inherent to the industry. ...well written and extremely applicable to health care. Every healthcare professional should have a copy. - Matthew C. Mireles, President / CEO, Community Medical Foundation for Patient Safety, Bellaire, Texas Patient Safety: The PROACT(R) Root Cause Analysis Approach addresses the proactive methodologies and organizational paradigms that must change in order to support and sustain such activities in the interest of patient safety. Written by reliability expert Robert J. Latino, this book provides a perspective on patient care from outside the health industry and culture. It teaches a proven approach that measures its effectiveness based on patient safety results, rather than compliance, and demonstrates the Return-On-Investment for using RCA to reduce and/or eliminate undesirable outcomes. Addressing the contribution of human error to physical consequences, Latino explores ways to identify conditions that are more prone to result in human error. It also uses FMEA to proactively identify unacceptable risks, and then uses the concepts of RCA to prevent risks from materializing. Are you ready to be tenacious in your approach and completely honest in your assessment? Root Cause Analysis requires courage and honesty. When
Book Synopsis Root Cause Analysis by : Mark A. Latino
Download or read book Root Cause Analysis written by Mark A. Latino and published by CRC Press. This book was released on 2016-04-19 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: What is RCA? It seems like such an easy question to answer, yet from novices to veterans and practitioners to providers, no one seems to have come to agreement or consensus on an acceptable definition for the industry. Now in its fourth edition, Root Cause Analysis: Improving Performance for Bottom-Line Results discusses why it is so hard to get su
Book Synopsis Root Cause Analysis by : Robert J. Latino
Download or read book Root Cause Analysis written by Robert J. Latino and published by CRC Press. This book was released on 2006-05-05 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 Kenneth Latino offer a broad look at the various types of approaches to RCA, comparing their pros and cons while supplying practical tools for implementing or improving current RCA initiatives. This edition expands the scope of RCA, taking a holistic approach that includes recent perspectives, opportunity analysis, and RCA’s fit with current initiatives such as Total Quality Management (TQM) and Six Sigma. In addition to a broader perspective, the book presents updated and expanded material including: a chapter devoted to problem-solving/brainstorming; methodology versus software; using the PROACT® approach complimented by the PROACT® Enterprise Version 3.0 software; discussion of the various conflicting definitions of common terms used in RCA; and a focus on measuring ROI. Emphasizing the organizational support necessary for successful RCA efforts, Root Cause Analysis: Improving Performance for Bottom-Line Results, Third Edition demystifies the concepts involved in effective RCA and presents hands-on guidance for program enactment.
Book Synopsis Root Cause Analysis by : Mark A. Latino
Download or read book Root Cause Analysis written by Mark A. Latino and published by CRC Press. This book was released on 2019-07-12 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book comprehensively outlines what a holistic and effective Root Cause Analysis (RCA) system looks like. From the designing of the support infrastructure to the measuring of effectiveness on the bottom-line, this book provides the blueprint for making it happen. While traditionally RCA is viewed as a reactive tool, the authors will show how it can be applied proactively to prevent failures from occurring in the first place. RCA is a key element of any successful Reliability Engineering initiative. Such initiatives are comprised of equipment, process and human reliability foundations. Human reliability is critical to the success of a true RCA approach. This book explores the anatomy of a failure (undesirable outcome) as well as a potential failure (high risks). Virtually all failures are triggered by errors of omission or commission by human beings. The methodologies described in this book are applicable to any industry because the focus is on the human being's ability to think through why things go wrong, not on the industry or the nature of the failure. This book correlates reliability to safety as well as human performance improvement efforts. The author has provided a healthy balance between theory and practical application, wrapping up with case studies demonstrating bottom-line results. Features Outlines in detail every aspect of an effective RCA ‘system’ Displays appreciation for the role of understanding the physics of a failure as well as the human and system’s contribution Demonstrates the role of RCA in a comprehensive Asset Performance Management (APM) system Explores the correlation between Reliability Engineering and safety Integrates the concepts of Human Performance Improvement, Learning Teams, and Human Error Reduction approaches into RCA
Book Synopsis Root Cause Analysis by : Robert J. Latino
Download or read book Root Cause Analysis written by Robert J. Latino and published by CRC Press. This book was released on 2002-04-29 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Undesirable outcomes, chronic failure, incidents, and accidents... The cost of such events to corporations is high, generally adding up to tens and hundreds of millions of dollars in "accepted" losses. Why accept these losses? What if you could understand why these errors occur and eliminate chronic events from occurring altogether? Root Cause Analysis: Improving Performance for Bottom-Line Results, Second Edition shows how to identify, understand, and prevent chronic problems that hinder the attainment of organizational goals using Root Cause Analysis (RCA). The PROACT software, voted "Product of the Year" by Plant Engineering Magazine, and the steps outlined in this text teach you how to automate the RCA process. Used effectively, the information in Root Cause Analysis will improve the reliability of your plant assets and save your company precious time and money.
Book Synopsis The ASQ Pocket Guide to Root Cause Analysis by : Bjørn Andersen
Download or read book The ASQ Pocket Guide to Root Cause Analysis written by Bjørn Andersen and published by Quality Press. This book was released on 2013-11-06 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Root Cause Analysis by : Denise Robitaille
Download or read book Root Cause Analysis written by Denise Robitaille and published by Paton Professional. This book was released on 2010 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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!
Book Synopsis Root Cause Analysis by : Matthew A. Barsalou
Download or read book Root Cause Analysis written by Matthew A. Barsalou and published by CRC Press. This book was released on 2014-12-03 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 Guide to Using the Right Tool at the Right Time provides authoritative guidance on how to empirically investigate quality failures using scientific method in the form of cycles of plan-do-check-act (PDCA), supported by the use of quality tools. Focusing on the use of proven quality tools to empirically investigate issues, the book starts by describing the theoretical background behind using the scientific method and quality tools for RCA. Next, it supplies step-by-step instructions for performing RCA with the tools discussed in the first section. The book’s clear examples illustrate how to integrate PDCA with the scientific method and quality tools when investigating real-world quality failures. This RCA guide provides root cause investigators with a tool kit for the quick and accurate selection of the appropriate tool during a root cause investigation. It includes an appendix with a guide to tool selection based on the intended use of the tool. There is also an appendix that defines the terminology used in the book. After reading this book, you will understanding how to integrate the scientific method, quality tools, and statistics, in the form of exploratory data analysis, to build a picture of the actual situation under investigation that will lead you to the true root cause of an event. The tools and concepts presented in the text are appropriate for professionals in both the manufacturing and service industries.
Book Synopsis Root Cause Analysis (RCA) for the Improvement of Healthcare Systems and Patient Safety by : David Allison, CPPS
Download or read book Root Cause Analysis (RCA) for the Improvement of Healthcare Systems and Patient Safety written by David Allison, CPPS and published by CRC Press. This book was released on 2021-08-24 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Root Cause Analysis in Process-Based Industries by : Menachem Horev
Download or read book Root Cause Analysis in Process-Based Industries written by Menachem Horev and published by Trafford Publishing. This book was released on 2010-08 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a Root Cause Analysis methodology for process and equipment problems with a unique insight on sources and type of problems that appear in process lines.
Book Synopsis Six Steps to Root Cause Analysis by : Maria Dineen
Download or read book Six Steps to Root Cause Analysis written by Maria Dineen and published by . This book was released on 2002 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Root Cause Analysis by : Robert J. Latino
Download or read book Root Cause Analysis written by Robert J. Latino and published by CRC Press. This book was released on 1999-06-24 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Root Cause Failure Analysis-The utilization of a disciplined thought process to arrive at a physical, human and latent root cause. Taking corrective action on these identified causes will eliminate the risk of recurrence of failure in the future. The intention of this text is to clarify how to produce bottom-line results from utilizing the method of Root Cause Failure Analysis This book will cover all levels of the Analysis from the operator and mechanic to the manager.
Book Synopsis Root Cause Analysis by : Robert J. Latino
Download or read book Root Cause Analysis written by Robert J. Latino and published by CRC Press. This book was released on 2002-04-29 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: Undesirable outcomes, chronic failure, incidents, and accidents The cost of such events to corporations is high, generally adding up to tens and hundreds of millions of dollars in "accepted" losses. Why accept these losses? What if you could understand why these errors occur and eliminate chronic events from occurring altogether? Root Cause
Download or read book Root Cause Analysis written by Wilson and published by . This book was released on 1998-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Root Cause Analysis written by Duke Okes and published by . This book was released on 2019 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt:
