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Root Cause Analysis - Bureau of Indian Education

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Root Cause Analysis - Bureau of Indian Education

Using Root Cause Analysis A Strategy to Determine Source of Noncompliance Issues and Improve Services Trainer: Marilyn Johnson, PhD ... and the extent to which it is achieving its short-term and long-term outcomes. 3/17/11 * Resources Determine the Root Cause: 5 Whys.

http://www.bie.edu/cs/groups/xbie/documents/document/idc013356.ppt

Date added: September 26, 2012 - Views: 136

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5 Why’s - lean

Five why’s is a Root Cause Analysis Tool. Not a problem solving technique. The outcome of a 5 Why’s analysis is one or several root causes that ultimately identify the reason why a problem was originated.

http://www.lean.org/FuseTalk/Forum/Attachments/5%20whys%2Eppt

Date added: May 8, 2012 - Views: 532

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5 Whys - ABB Group

Title: 5 Whys Subject: 5 Whys Author: ABB Keywords: ABB OPEX, Quality Tools, 5 Whys Description: Summary of how to use the 5 Whys technique to identify root causes.

http://www05.abb.com/global/scot/scot249.nsf/veritydisplay/939a7d80a623820f8525776d0076e4f6/$file/9AKK105151D0113_5%20Whys.ppt

Date added: December 26, 2012 - Views: 454

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5 Whys - Northrop Grumman OASIS

How it helps Asking Why is a way of identifying the underlying root cause of a problem so that this can be tackled rather than dealing only with superficial symptoms. It should be seen as a simple and quick alternative to Cause and Effect Analysis. 5 Whys - Asking Why Five Times 5 Whys - Asking ...

https://oasis.northgrum.com/general/docs/basic/BasicTools-5Whys.ppt

Date added: November 14, 2011 - Views: 391

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ROOT CAUSE ANALYSIS - ASQ Las Vegas Section 705

ROOT CAUSE ANALYSIS 5-WHYs Funda Ristow Quality Assurance Technical Support (QATS) Program Shaw Environmental, Inc. Las Vegas, Nevada 89120 American Society for Quality

http://www.asqlv.org/sitebuildercontent/sitebuilderfiles/root_cause_analysis_for_asq705_11-17-2010.ppt

Date added: July 1, 2013 - Views: 20

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Root Cause Analysis - Making a Difference in Education - MIU IV

The Creative Root Cause Analysis Team Process. 4. The Five Whys. 5. Force Field Analysis. 6. Barrier Analysis. 7. Fishbone Diagram. Contexts for RCA. RCA can be used at any level within a school district or building. A teacher working to improve classroom instruction.

http://www.miu4.k12.pa.us/textfiles/datatools/root%20cause%20analysis%20reading.pptx

Date added: October 18, 2011 - Views: 85

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4. March 2013 - Root Cause Analysis - Chapters Site - Home

Benefits of the 5 Whys Root Cause Analysis * Help identify the root cause of a problem. Determine if there is a relationship between different root causes of a problem. Simplicity; easy to complete without statistical analysis.

https://chapters.theiia.org/washington-dc/Recent%20Presentations/4.%20March%202013%20-%20Root%20Cause%20Analysis.ppt

Date added: August 8, 2013 - Views: 28

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5 Why’s - Amazon Web Services

Overview Problem Root Cause Corrective Actions Root Cause analysis Tools: Ishikawa Charts (Fish Bone) Design of Experiments Is / Is not Analysis 5 Why’s Cause & Effect Diagram.

http://chehalis-school-district.s3.amazonaws.com/snocamp/uploads/files/5_whys.ppt

Date added: April 3, 2014 - Views: 10

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DETERMINING ROOT CAUSE OF A PROBLEM - General Dynamics ...

Title: DETERMINING ROOT CAUSE OF A PROBLEM Author: GCABRAL Last modified by: Administrator Created Date: 7/20/2007 5:29:47 PM Document presentation format

http://www.gdeb.com/suppliers/10_quality/SQ_Qual_Conf_2008/2-5%20ROOT%20CAUSE.ppt

Date added: September 20, 2012 - Views: 222

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5 Why Training Manual - Nexteer Automotive – Ahead of the Curve

This may be fewer than 5 or more than 5 Whys There should be a cause and effect path from beginning to end of each path. ... For reviewing suppliers’ 5-Why as part of the PRR root cause analysis. What is after Containment????

http://www.nexteer.com/wp-content/uploads/2012/FILES/QUALITY/5%20Why%20Training%2021OCT2010.ppt

Date added: March 10, 2013 - Views: 108

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QMIS 2.0 and Blueprint v.6 - CFMC

Using Root Cause Analysis to Reduce Hospital Readmissions ... “5 Whys” Example “5 Whys” Example (cont’d) Results from Previous Care Transition RCAs “Rocket science is helpful, but not required.” Results from Previous Care ...

http://www.cfmc.org/integratingcare/files/HSAG_RCA_10711_ed.ppt

Date added: February 4, 2012 - Views: 62

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MD Anderson

Root Cause Analysis: Why? Why? Why? William A. Lindley ... Five Whys Tree Diagram Change Analysis Barrier Analysis Event and Causal Factor Analysis Management Oversight & Risk Tree Analysis (MORT) Cause Effect Diagram Visual display of possible causes Cause categories include materials, ...

http://www.mdanderson.org/education-and-research/resources-for-professionals/clinical-tools-and-resources/clinical-safety-and-effectiveness-educational-program/pdca/root-cause.ppt

Date added: October 18, 2011 - Views: 233

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Root Cause Analysis - Leading Edge Group

... Developed checklist form with HR for submitting job openings in the future Example #5 Root Cause Analysis Example #5 Example #5 Identify Problem High pyrogen count on finished medical catheter product using molded components. Immediate Action Immediate Action (and panic!)

http://www.leadingedgegroup.com/assets/uploads/Superfactory_Excellence-_Root_Cause_Analysis.ppt

Date added: December 3, 2012 - Views: 152

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Root Cause Analysis - Berry College

Title: Root Cause Analysis Author: Dr. John Grout Last modified by: Dr. John Grout Created Date: 3/11/2002 8:43:42 PM Document presentation format

http://facultyweb.berry.edu/jgrout/RootCauseAnalysis.ppt

Date added: October 1, 2011 - Views: 316

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Root Cause Analysis

Root Cause Analysis Although 5 Whys is a good approach, it contains a couple of potential problems: Humans make mistakes. If a mistake is made answering just one why question, the entire analysis may be thrown off.

http://www.sfienvironmental.com/SitePages/San%20Antonio/Root%20Cause%20Analysis%20(Chuck%20Lee).ppt

Date added: August 29, 2013 - Views: 9

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Accident Investigation Basics - Washington

Yes. Preventable? Yes. * Root cause analysis (RCA) is a systematic technique that focuses on finding the real cause of a problem and ... the goal of applying the 5 Whys method is to determine a root cause of a defect or problem. The following example demonstrates the basic process: My car ...

http://wisha-training.lni.wa.gov/training/presentations/AccidentInves.ppt

Date added: October 13, 2011 - Views: 809

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Root Cause Analysis - West Virginia University

Root Cause Analysis Konrad C. Nau, MD ... In Japan, called the Five Whys. Questioning to the Void Toyota says ask why 5 times Keep going until your answer to why is: I don’t know I don’t care It fell because of gravity. Why is there gravity?

http://www.hsc.wvu.edu/eastern/som/Residency/PPT/Root_Cause_Analysis.ppt

Date added: October 8, 2011 - Views: 112

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Accident Investigation Root Cause - Pullman Regional Hospital

Title: Accident Investigation Root Cause Author: Michael Lary Last modified by: Michael Created Date: 5/16/2007 5:17:16 AM Document presentation format

http://videos.pullmanregional.org/Healthstream%20FTP%20link%20Videos/Root%20Cause/Accident%20Investigation%20Root%20Cause.ppt

Date added: September 17, 2013 - Views: 41

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Raytheon’s Six Sigma Process and Its Application for CMMI ...

... Root Cause Analysis (5 Whys) R6s Applied to CMMI Process Improvement Organization Innovation and Deployment Select and deploy incremental and innovative improvements that measurably improve the organization's processes and technologies, ...

http://www.dtic.mil/ndia/2003CMMI/Kovar.ppt

Date added: September 28, 2011 - Views: 58

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Root Cause Analysis Exercise - ARSSM

Root Cause Analysis, Lessons Learnt & Corrective Actions Incident Photo Storyboard (cont’d) Nature of Incident: ... produce a summary diagram of the key underlying factors from the ‘5 whysanalysis identifying the root causes).

http://conf.arssm.ro/pdf/root%20cause%20analysis%20exercise%20-%20crane%20collapse.ppt

Date added: July 25, 2013 - Views: 35

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Visual Management - free lean manufacturing

** Don’t be limited to only 5 whys: the end point is the root cause Benefits: Establishes the evidence chain (or the hypothesis thereof) ... Root Cause Analysis and Corrective Action (RCCA) is a process for : Finding the true cause(s) ...

http://www.freeleansite.com/training_page_files/rcca.ppt

Date added: October 18, 2011 - Views: 292

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CAP Tools for Six Sigma Notes - free lean manufacturing

Identifying Root Cause 5 why is a problem solving technique that allows you to get at the root cause of a problem fairly quickly. ... It can be learned quickly and doesn't require statistical analysis to be used. When is 5 whys most useful?

http://www.freeleansite.com/training_page_files/PS_5%20WHYS%20approach.PPT

Date added: November 14, 2011 - Views: 79

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Root Cause Analysis: An Introduction - Test Page for Apache ...

Root Cause Analysis of Achievement Test Data: An Introduction Kim Kappler Hewitt, Ph.D. ... See http://www.mindtools.com/pages/article/newTMC_01.htm. 5 Whys: http://www.mindtools.com/pages/article/newTMC_5W.htm Drill down: ...

http://www2.oakwood.k12.oh.us/~cia/CIA/Curricular_Updates_files/RCA.ppt

Date added: June 26, 2012 - Views: 122

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Positioning Your Audit Shop for Success - IIA-Lou

5 Whys. The practice of asking, five times, why the failure has occurred in order to get to the root cause/causes of the problem. Note: 5 is an arbitrary number, it may take more or less to get to the root cause of the issue that is reasonable.

http://iialou.org/more/Pres_HumanaRootCauseAnalysis.pptx

Date added: December 18, 2012 - Views: 36

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Root Cause Analysis in Care Transitions: Chart Review Tools

Root Cause Analysis in Care Transitions: Chart Review ToolsTom Ventura, ... Cause-and-effect diagram. 5 Whys. RCA methods. Review charts among a sample of patients who experienced readmission. Sample size: small. Readmission and index admission charts.

http://www.primaris.org/sites/default/files/resources/Care%20Transitions/ventura_RCA_20120322.pptx

Date added: September 16, 2012 - Views: 78

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Problem Solving/Process Improvement - ASQ Las Vegas Section 705

... be addressed Apollo Root Cause Problem Solving Condition/Action Charting and Analysis Another tool in the tool box The 5 whys can be used effectively to gather data on the floor without pulling ... Based upon the book: “Apollo Root Cause Analysis”, Dean L. Gano, 2nd ed., Apollonian ...

http://www.asqlv.org/sitebuildercontent/sitebuilderfiles/apollo_root_cause_analysis.ppt

Date added: June 25, 2013 - Views: 47

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UCO Action Project Process - University of Central Oklahoma

Real Root Cause Analysis. Seemingly disparate issues and problems may be arising from common underlying root causes. Root Cause Analysis (RCA)is a process:

http://www.uco.edu/academic-affairs/cqi/files/docs/facilitator_tools/4-analyze-data.pptx

Date added: January 21, 2013 - Views: 26

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Problem Solving - Winona State University

QFD Charts and Graphs Root Cause Analysis (RCA) Using the 5 Whys method Fishbone diagram ... Voice of the Customer Four Steps of QFD Pareto Chart Histogram Chart 5 Whys Method Cause Chain How to complete the 5 Whys Fishbone Diagram Construction for Service Industries 4 Ps Statistical ...

http://course1.winona.edu/ksnyder/Fall2009/OM464/Slides/PMSolving.ppt

Date added: June 3, 2013 - Views: 25

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PDCA Training Series 2 Plan, Part 1 - Oregon

Root Cause Analysis. Tackle the real problem. ... The 5 Whys. PROBLEM: The Jefferson Memorial is eroding. WHY? It has to be powerwashed frequently. WHY? ... Continue asking “why” until the team agrees it has reached the root cause.

http://public.health.oregon.gov/ProviderPartnerResources/PublicHealthAccreditation/Documents/PDCA%20Training%20Series%202_plan2_v4.pptx

Date added: July 8, 2012 - Views: 62

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Root Cause Analysis Training - British Columbia

Root Cause Analysis. Follows a specific set of steps. Define the problem. Collect data. Identify possible causal factors – 5 Whys. Identify root cause(s)

http://www.for.gov.bc.ca/ftp/tka/external/!publish/EMS2/for%20Richard%20Dominy/Training/Root-Cause-Analysis-Training-Presentation.pptx

Date added: February 6, 2014 - Views: 14

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RCAvsShallowRootCause

Root Cause Analysis (RCA) ... Why? 1 5 2 3 4 How Can? How Can? How Can? How Can? 5-WHYS Uses Limited Cause-And-Effect Modes Are Dependent Upon Each Other Uses Linear Path by Asking WHY? Promotes Use of Opinion as Fact Promotes Belief That Only One (1) Root Cause Exists Why? Why? Why? Why?

http://www.reliability.com/demos/rLminusrLslides_rci_12_18_07.ppt

Date added: May 12, 2012 - Views: 43

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PowerPoint Presentation

Root Cause Analysis The “5 Whys” Model Fishbone Diagrams Failure Modes Effects Analysis (FMEA) TapRooT® Analysis Useful Tools for Determining Root Cause Root Cause Analysis For efficiency and ease of use, we will discuss: ...

http://www.nata.aero/data/files/sms/web/root%20cause%20tutorial%20april%202013.ppt

Date added: December 18, 2013 - Views: 11

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Root Cause Analysis

Root Cause Analysis To be effective a root cause analysis must : ... RCA Techniques 5 Whys Barrier analysis Change analysis Causal factor tree analysis Failure mode and effects analysis Ishikawa diagram, ...

http://www2.nphs.wales.nhs.uk:8080/primarycareqitdocs.nsf/61c1e930f9121fd080256f2a004937ed/fc7e1ee3f05f9d61802574a2003abe71/%24FILE/Root%20Cause%20Analysis%20MPM1-gl.ppt

Date added: November 7, 2011 - Views: 45

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NS-LIJ Powerpoint Template - IPRO

Conducting A Root Cause Analysis. Nina Shik, MSN, RN, NEA-BC, CIC. Director of Epidemiology. North Shore University Hospital. Manhasset, NY. NSUH is an 804-bed quaternary teaching hospital in Manhasset, NY. ... “5 Whys” of Problem Solving.

http://qio.ipro.org/wp-content/uploads/2013/11/Conducting-a-Root-Cause-Analysis-Nov-2013.pptx

Date added: November 30, 2013 - Views: 17

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Root cause analysis - بهداشت، ايمني و محيط ...

Root cause analysis Root cause analysis Root cause analysis (RCA) is a class of problem solving methods aimed at identifying the root causes of problems or events. ... 5 Whys Kepner-Tregoe Problem Analysis - a root cause analysis process developed in 1958, ...

http://hse.nigc.ir/utils/getFile.aspx?Idn=12413

Date added: May 17, 2013 - Views: 21

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Root Cause Analysis

Root Cause Analysis Finding Potential Root Causes of Problems: Root Cause Diagram Root Cause Diagram: The Five Whys The purpose of this tool is to help you get down to the real cause of a problem.

http://www.reocities.com/msemba/ise297/101400/82brootcause.ppt

Date added: May 7, 2014 - Views: 7

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Project Management Tools for Cooper River Bridge Video

Root Cause Analysis “The 5 Whys ...

http://ta.ba.ttu.edu/gu/Files/Project_Management_Tools_for_Cooper_River_Bridge_Video.pptx

Date added: September 12, 2013 - Views: 5

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Slide 1

... Root Cause Analysis 5 WHYs Tool Slide 66 Brainstorming Brainstorming Rules Brainstorming Silent Brainstorming Silent Brainstorming Silent Brainstorming Fishbone Diagram We Have the Root Cause Slide 75 Slide 76 Slide 77 Slide 78 Repeated Use of the Cycle Slide 80 Overall ...

http://www.ltcombudsman.org/sites/default/files/norc/texas-qapi.ppt

Date added: May 24, 2013 - Views: 7

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Slide 1

... 5 Whys. RCA is so important because if you don’t identify and address the root cause or causes, you will not create ... Why doesn’t box 3 (Target State) match box 2 (Initial State)? This is where we conduct our Root Cause Analysis – Fishbone or Cause and Effect Diagrams, Affinity ...

http://www.naccho.org/topics/infrastructure/accreditation/upload/A3-Thinking-Training.ppt

Date added: October 5, 2013 - Views: 8

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Dealing with Your IT Process Failures: Improving Security ...

Improving Security with Root Cause Analysis. Lisa Johnson, CPA, CISA, CISM, CITP. [email protected] Agenda. Control Environment Survey. ... Determination of Root Causes. Tools & Techniques. 5-Whys. A technique used by Toyota Motor Corporation. Based on the concept that by answering why 5 ...

http://www.aicpa.org/InterestAreas/InformationTechnology/CPEAndEvents/DownloadableDocuments/RootCauseAnalysisWebinar2AICPA.pptx

Date added: October 17, 2011 - Views: 24

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Problem Solving Tools - Greater El Paso Section ASQ

Failure Cause Investigation The focus of this process is to determine the true Root Cause. ... Single Factor Confirmation Full Factorial Experiment Process capability analysis 5.

http://asq1401.org/presentations/Problem%20Solving%20Tools.ppt

Date added: September 30, 2011 - Views: 55

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Measurement Uncertainty for Testing Laboratories

Root Cause Analysis in the Environmental Testing Laboratory ... One Technique Benefit of 5 Whys Specific Steps Modification of 5 Whys Example Cause Effect Diagram Ishikawa Diagram Diagram Brainstorming Process Other Techniques RCA Failure Mode and Effects Analysis FMEA FMEA FTA ...

http://www.fsea.net/library/ppts/rcar1withanimatemoorepresentation.ppt

Date added: October 18, 2011 - Views: 239

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TAIS Data Analysis Guidance - PSP Network

Conduct a Root Cause Analysis (5 Whys) 5. Prioritize needs. Next Steps. Explain Guidance doc and refer to handout. We’re going to dig into what else is in this document by step.

http://www.psptexas.net/docs/Needs%20Assessment.pptx

Date added: August 11, 2013 - Views: 10

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8D Problem Solving Approach - Brooks Automation

5-Whys Process Fishbone Diagram ... 4- Develop Root Cause (continued) 5-Why Process? Failure mode root cause: FMRC1 ... solutions become obvious once the root causes are known. However, sometimes, a systematic approach is needed to use the root cause analysis to develop a solution. If the ...

http://www.brooks.com/my-brooks/suppliers/~/media/Files/Suppliers/Documents/5_Why_Root_Cause_Corrective_Actions.pdf

Date added: December 21, 2013 - Views: 22

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PowerPoint Presentation

To do a root cause analysis of this situation, follow the DMAIC approach. The analysis might look like the graphic on the left. ... 5 Whys. The 5 Whys technique requires that project team members do not settle for surface level explanations for problems.

http://www.ppdsetiu.net/ppds/bahan/Root%20cause%20analysis_bahan%20rujukan.pptx

Date added: September 8, 2013 - Views: 14

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Possess a Clear Understanding of Business Analysis

... infinite loop Root cause analysis Fishbone diagramming 5 Whys Intelligent disobedience Improve your skills Plan your analysis Map the ... infinite loop Root cause analysis Fishbone diagramming 5 Whys Intelligent disobedience Improve your skills Plan your analysis Map the ...

http://community.mis.temple.edu/mis5102sec401/files/2011/04/Chapter7_BC_Increase-Your-Value.ppt

Date added: December 4, 2013 - Views: 6

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A3 Basics - Iowa Healthcare Collaborative: Quality ...

... design of experiments, takt, job analysis Identify the most likely causes A3 Root Cause Analysis Many tools to help separate a symptom from a root cause Go see 5 Whys Fishbone diagram Data plotting and analysis (Pareto, scatter, histogram, etc.) Value Stream Mapping ...

http://www.ihconline.org/UserDocs/Pages/A3_basics.ppt

Date added: May 2, 2013 - Views: 62

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Root Cause Analysis (RCA) - n4aAGEcomm

Root Cause Analysis (RCA) RCA Results from CMS Sponsored Projects. Review of medical records and root cause analyses . revealed remarkably consistent results

http://n4aagecomm.networkofcare4elearning.org/ViewDocument.aspx?type=resource&name=306_53.pptx&userfilename=Tools_Joe_Ruby.pptx

Date added: August 12, 2013 - Views: 10

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Slide 1

What is Root Cause Analysis? continued What is Root Cause Analysis? continued What is Root Cause Analysis? continued RCA Situations RCA – 5 Why’s 5 Whys Continued Potential RCA Barriers Environmental Factors Environmental Factors Continued Techniques RCA – 5 ...

https://chapters.theiia.org/pittsburgh/Events/Documents/Root%20Cause%20Analysis%20Presentation.ppt

Date added: May 13, 2014 - Views: 1

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Corrective Action Problem Solving - CJ Kurtz

... Determine Root Causes Root Cause Analysis5 Why’s The 5 why's refers to the practice of asking, ... ____ Here's another example. I learned the example using the Washington Monument used when demonstrating the use of the 5 Whys. The Washington Monument was disintegrating Why?

http://www.cjkurtz.com/quality-tools/CA%20References/Corrective%20Action.ppt

Date added: October 15, 2012 - Views: 598