2.8.4 How to apply root cause analysis to solve problems Flashcards
State:
The purpose of Root Cause Analysis (RCA)
Get to the ‘root’ of the problem by asking questions such as:
* What is the problem
* What has caused the problem
* How can the problem be solved
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Once the ……… of a problem is found, an assessment of the situation can take place and consideration given to what lessons have been ……………. and how ……………. problems can be ……………. in the future
Root, Learnt, Similar, Mitigated
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The defined process for RCA should be followed to ensure the analysis is efficient, ……………. and …………..
Effective, Useful
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A …………….. can be simple with one root cause or more complex with multiple ………… causes and time must be given to establish if all the root causes associated with a problem have been identified
Problem, Root
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The problem solving approach should be …………… for investigating the problem, enabling gathering the …………………. and detailed ………………… as to why and how the problem has occurred.
Planned, relevant, evidence
Explain:
Why documentation during root cause analysis must be created
Needs to be sufficient information to support the identification of any potential corrective actions that will be required
Explain:
The five ‘whys’ method in root cause analysis
When every ‘why’ question is asked, a further ‘why’ question is posed until eventually the root cause fo the problem is exposed
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Root cause analysis should be used when an ………… occurs that results in outcomes that …………………………. an organisation and its stakeholders
Issue, Disadvantages
State:
3 examples of criteria that that can be used to determine if an RCA should be carried out
3 of:
* Failure of service delivery/functional operations
* Loss of data
* The occurence of an undefined process
* System downtime
* Complaint or feedback from a stakeholder
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Step 1
Important to …………… what the problem is and the impact that is has on the stakeholders involved. How does it impact on the business ……………… and consider if there is a potential ……………. of the investigation happening on the stakeholders
Process of RCA
Identify, Function, Impact
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Step 2
What …………………. is there available about issues/problems that have occured and when did it happen and what …………… where also being carried out? Gather as much information and data as possible
Process of RCA
Information, Tasks
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Step 3
What would be the ………. on the organisation and stakeholders if the problem is not ………… at all - or delayed
Process of RCA
Impact, Resolved
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Step 4
Once information and data is gathered, identify what caused the …………… to occur - there could be more than one
Process of RCA
Problem
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Step 5
Use the … ………. until you get to the ……….. cause of the problem
Process of RCA
5 Whys, Root
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Step 6
If there is more than one cause to a problem, use a ………….. approach and plan and organise priorities of what should be solved first considering the ………. these changes can have on the organisation
Process of RCA
Systematic, Impact