Root Cause Analysis - Revision history

Williamvoss at 18:38, 27 March 2022

2022-03-27T18:38:05Z

← Older revision		Revision as of 18:38, 27 March 2022
Line 30:		Line 30:

	As it can be understood from the principles above, it is important to take a comprehensive and holistic approach in this type of analysis. As the root causes have no importance if no action is taken afterwards, it should be strived to provide information and context that can solve the failure or problem.		As it can be understood from the principles above, it is important to take a comprehensive and holistic approach in this type of analysis. As the root causes have no importance if no action is taken afterwards, it should be strived to provide information and context that can solve the failure or problem.


	=== Fishbone Diagram ===		=== Fishbone Diagram ===

Williamvoss at 18:37, 27 March 2022

2022-03-27T18:37:38Z

← Older revision		Revision as of 18:37, 27 March 2022
Line 15:		Line 15:
	===== Goals and benefits =====		===== Goals and benefits =====

	Related to the root cause analysis, there are three goals that should be realised. '''The first''' one being to discover the root cause of a failure or problem. '''The''' second is to develop an understanding on how to fix and learn from the underlaying issues relating the root cause. '''The third''' and final is to apply the findings from the root cause analysis, to systematically prevent future issues or problems. This goal is especially important as this is what gives the analysis a reason to be performed. Root cause ~~analysis~~ can be used for increasing the productiveness in several core processes as well, with the goal to prevent any issues in the future [https://www.tableau.com/learn/articles/root-cause-analysis [1]].		Related to the root cause analysis, there are three goals that should be realised. '''The first''' one being to discover the root cause of a failure or problem. '''The''' second is to develop an understanding on how to fix and learn from the underlaying issues relating the root cause. '''The third''' and final is to apply the findings from the root cause analysis, to systematically prevent future issues or problems. This goal is especially important as this is what gives the analysis a reason to be performed. Root cause analyses can be used for increasing the productiveness in several core processes as well, with the goal to prevent any issues occurring in the future [https://www.tableau.com/learn/articles/root-cause-analysis [1]].

	===== General principles =====		===== General principles =====

	To achieve an effective root cause analysis process, there are some general principles that should be taken into consideration. These principles will increase the quality of the analysis and will help the analysis get trust from clients and stakeholders [https://www.geeksforgeeks.org/basic-principle-of-root-cause-analysis/[2]].		To achieve an effective root cause analysis process, there are some general principles that should be taken into consideration. These principles will increase the quality of the analysis and will help the analysis get trust from clients and stakeholders [https://www.geeksforgeeks.org/basic-principle-of-root-cause-analysis/[2]].


	*Root cause analyses gives the best effect when a team is gathered, to do the analysis together. In particular, it should be done with those employees, who are directly involved in the problem-causing processes.		*Root cause analyses gives the best effect when a team is gathered, to do the analysis together. In particular, it should be done with those employees, who are directly involved in the problem-causing processes.
Line 29:		Line 28:
	*When finding root causes, provide cause-effect evidence to back it up.		*When finding root causes, provide cause-effect evidence to back it up.
	*Often there are multiple root causes, therefore search for several.		*Often there are multiple root causes, therefore search for several.


	As it can be understood from the principles above, it is important to take a comprehensive and holistic approach in this type of analysis. As the root causes have no importance if no action is taken afterwards, it should be strived to provide information and context that can solve the failure or problem.		As it can be understood from the principles above, it is important to take a comprehensive and holistic approach in this type of analysis. As the root causes have no importance if no action is taken afterwards, it should be strived to provide information and context that can solve the failure or problem.

	=== Fishbone Diagram ===		=== Fishbone Diagram ===
	A Fishbone diagram, which also is called an Ishikawa diagram, is used to identify root causes of ~~quality~~ problems. The fishbone diagram provides an organised way of looking at effects and causes~~. It~~ can ~~also~~ be referred to as a cause-and-effect diagram. It generally represents a model of indicative presentation for the correlations between an event, which is an effect, and its several causes. This helps the team members get the same understanding of the problem, so that they can think systematically. The root causes of a problem can by using this structured approach be found, while encouraging group participation, utilising group knowledge and identifying areas where data should be collected for future studies. Hence the name, the diagram has the same structure as the skeleton of a fish. While it most often is used in a simple representation, with segments leaning on a horizontal axis, it can also be done with a more extensive approach. An example of this is by naming and coding of the risks which characterises the causes and sub-causes. This consists of elements that show the causes and sub-causes succession with different ways for risk treatment [https://www.researchgate.net/publication/46567642_Application_Of_Fishbone_Diagram_To_Determine_The_Risk_Of_An_Event_With_Multiple_Causes[3]].		A Fishbone diagram, which also is called an Ishikawa diagram, is like the other root cause analysis tools used to identify root causes of defects or problems. The fishbone diagram provides an organised way of looking at effects and causes, and can therefore be referred to as a cause-and-effect diagram. It generally represents a model of indicative presentation for the correlations between an event, which is an effect, and its several causes. This helps the team members get the same understanding of the problem, so that they can think systematically. The root causes of a problem can by using this structured approach be found, while encouraging group participation, utilising group knowledge and identifying areas where data should be collected for future studies. Hence the name, the diagram has the same structure as the skeleton of a fish. While it most often is used in a simple representation, with segments leaning on a horizontal axis, it can also be done with a more extensive approach. An example of this is by naming and coding of the risks which characterises the causes and sub-causes. This consists of elements that show the causes and sub-causes succession with different ways for risk treatment [https://www.researchgate.net/publication/46567642_Application_Of_Fishbone_Diagram_To_Determine_The_Risk_Of_An_Event_With_Multiple_Causes[3]].


Line 52:		Line 50:

	=== The 5 Whys ===		=== The 5 Whys ===
	The 5 whys is a simple, yet powerful way of finding root causes. It works as an iterative interrogative technique to explore cause-and-effect relationship underlaying a particular problem. It is often used together with the a Fishbone diagram to find the root causes ~~for~~ the ~~causes on~~ the diagram. As the name of technique implies, the primary goal is to find the root cause of a problem by asking “Why?” five times. Each answer of the “Whys” forms the basis for the next question, and when the fifth “Why?” have been answered, the root cause should be found. Five times is generally enough, but if the root cause still not is found, it could be repeated up to a total of six, seven or higher levels. For problems or defects that do not have one single root cause, the technique must be repeated asking a different sequence of questions each time [https://www.corship.eu/5-whys-method/[5]].		The 5 whys is a simple, yet powerful way of finding root causes. It works as an iterative interrogative technique used to explore cause-and-effect relationship underlaying a particular defect or problem. It is often used together with the a Fishbone diagram to find the root causes of the problems listed in the diagram. As the name of the technique implies, the primary goal is to find the root cause of a problem by asking “Why?” five times. Each answer of the “Whys” forms the basis for the next question, and when the fifth “Why?” have been answered, the root cause should be found. Five times is generally enough, but if the root cause still not is found, it could be repeated up to a total of six, seven or higher levels. For problems or defects that do not have one single root cause, the technique must be repeated asking a different sequence of questions each time [https://www.corship.eu/5-whys-method/[5]].


Line 71:		Line 69:
	===Pareto Chart Analysis===		===Pareto Chart Analysis===
	[[File:Pareto output.png\|400px\|thumb\|right\|Figure 3: The 20/80 principle]]		[[File:Pareto output.png\|400px\|thumb\|right\|Figure 3: The 20/80 principle]]
	The Pareto chart combines a histogram (bar chart) and a line chart, where cost or frequency of defects or problems show their relative importance. Frequencies are shown in the histogram with descending order of the bars, and the line chart shows the totals or the cumulative percentages increasing from left to right. It is based on the Pareto principle, which states that “80% of the effects or consequences come from 20% of the causes”. This is not like the immutable laws of physics but ~~based~~ on continuous observations. On those observations, it has showed to be applicable to many aspects of life and natural phenomena. In relation to a root cause analysis, the Pareto Chart Analysis helps identify the top 20% of the causes that needs to be addressed to resolve 80% of the problems [https://www.slideshare.net/himanshuhora/pareto-analysis-28873221[7]].		The Pareto chart combines a histogram (bar chart) and a line chart, where cost or frequency of defects or problems show their relative importance. Frequencies are shown in the histogram with descending order of the bars, and the line chart shows the totals or the cumulative percentages increasing from left to right. It is based on the Pareto principle, which states that “80% of the effects or consequences come from 20% of the causes”. This is not like the immutable laws of physics but on continuous observations. On those observations, it has showed to be applicable to many aspects of life and natural phenomena. In relation to a root cause analysis, the Pareto Chart Analysis helps identify the top 20% of the causes that needs to be addressed to resolve 80% of the problems [https://www.slideshare.net/himanshuhora/pareto-analysis-28873221[7]].


Line 108:		Line 106:
	== Challenges and limitations ==		== Challenges and limitations ==

	For the Root Cause Analysis to give results, it is dependent on a larger problem-solving effort to improve the quality in a business. It therefore the managements responsibility to make the best use of the findings from the root cause analyses. The root cause analysis on itself would not provide ~~the correct~~ result. When it comes to the conduction of a root cause analysis, it is hard to fully know if you have taken every root cause into consideration. The reason for this is because there can be multiple root causes, and there is hard to tell when every root cause has been found. This can lead to too much time spent on irrelevant underlaying factors, which result in confusion and a waste of time. The 5 whys and the fishbone analysis does not rely on specific data, which can lead to less reliable results. The management can therefore have trouble ~~entirely~~ trusting these analyses.		For the Root Cause Analysis to give results, it is dependent on a larger problem-solving effort to improve the quality in a business. It therefore the managements responsibility to make the best use of the findings from the root cause analyses. The root cause analysis on itself would not provide any result. When it comes to the conduction of a root cause analysis, it is hard to fully know if you have taken every root cause into consideration. The reason for this is because there can be multiple root causes, and there is hard to tell when every root cause has been found. This can lead to too much time spent on irrelevant underlaying factors, which result in confusion and a waste of time. The 5 whys and the fishbone analysis does not rely on specific data, which can lead to less reliable results. The management can therefore have trouble trusting these analyses completely.

	==Annotated Bibliography==		==Annotated Bibliography==

Williamvoss at 18:23, 27 March 2022

2022-03-27T18:23:34Z

← Older revision		Revision as of 18:23, 27 March 2022
Line 15:		Line 15:
	===== Goals and benefits =====		===== Goals and benefits =====

	Related to the root cause analysis, there are three goals that should be realised. The first one being to discover the root cause of a failure or problem. The second is to develop an understanding on how to fix and learn from the underlaying issues relating the root cause. The third and final is to apply the findings from the root cause analysis, to systematically prevent future issues or problems. ~~The third~~ goal is especially important as this is what gives the analysis a reason to be performed. Root cause analysis can be used for increasing the productiveness in several core processes as well, with the goal to prevent ~~problems~~ in the future~~. Instead of replacing punctured bike tires on rental bikes, puncture proof tires could be installed instead if the problem persists~~ [https://www.tableau.com/learn/articles/root-cause-analysis [1]].		Related to the root cause analysis, there are three goals that should be realised. '''The first''' one being to discover the root cause of a failure or problem. '''The''' second is to develop an understanding on how to fix and learn from the underlaying issues relating the root cause. '''The third''' and final is to apply the findings from the root cause analysis, to systematically prevent future issues or problems. This goal is especially important as this is what gives the analysis a reason to be performed. Root cause analysis can be used for increasing the productiveness in several core processes as well, with the goal to prevent any issues in the future [https://www.tableau.com/learn/articles/root-cause-analysis [1]].

	===== General principles =====		===== General principles =====

Williamvoss: /* Introduction */

2022-03-27T18:20:15Z

Introduction

← Older revision		Revision as of 18:20, 27 March 2022
Line 9:		Line 9:
	==Introduction==		==Introduction==

	To be able to fully understand what a root cause analysis is and what it is used for, it is easier to relate it to something we are entirely acknowledged with. If your arm hurts considerably after an accident, you will go to the doctor to find the root cause of your pain. Also, if your computer stops working, you will try to find the root cause of its malfunction, either by yourself or by a professional technician. For these examples, a simple remedy could be found for the symptoms. To stop your arm from hurting, you could put ice on it to relive pain. To get work done with a broken computer, you could use your phone or tablet instead. Unfortunately, this would only consider the symptoms, and not the underlaying issue that caused the problem. The injured arm may need surgery to entirely recover from the sustained injury, and the broken computer may need to have a new battery to function again. The best way to solve a fault or problem would therefore be to perform a Root Cause Analysis. By doing this, the exact root cause can be found so that the correct ~~management~~ of the fault or problem will be accomplished.		To be able to fully understand what a root cause analysis is and what it is used for, it is easier to relate it to something we are entirely acknowledged with. If your arm hurts considerably after an accident, you will go to the doctor to find the root cause of your pain. Also, if your computer stops working, you will try to find the root cause of its malfunction, either by yourself or by a professional technician. For these examples, a simple remedy could be found for the symptoms. To stop your arm from hurting, you could put ice on it to relive pain. To get work done with a broken computer, you could use your phone or tablet instead. Unfortunately, this would only consider the symptoms, and not the underlaying issue that caused the problem. The injured arm may need surgery to entirely recover from the sustained injury, and the broken computer may need to have a new battery to function again. The best way to solve a fault or problem would therefore be to perform a Root Cause Analysis. By doing this, the exact root cause can be found so that the correct remedy of the fault or problem will be accomplished. There are a number of techniques and strategies that can be used for root cause analyses. In this article, the most commonly and widely used techniques will be covered.
	There are a number of techniques and strategies that can be used for root cause analyses. In this article, the most commonly and widely used techniques will be covered.

	== Conducting a root cause analysis ==		== Conducting a root cause analysis ==

Williamvoss: /* Introduction */

2022-03-27T18:19:14Z

Introduction

← Older revision		Revision as of 18:19, 27 March 2022
Line 9:		Line 9:
	==Introduction==		==Introduction==

	To be able to fully understand what a root cause analysis is and what it is used for, it is easier to relate it to something we are entirely acknowledged with. If your arm hurts considerably after an accident, you will go to the doctor to find the root cause of your pain. Also, if your computer stops working, you will try to find the root cause of its malfunction, either by yourself or by a professional technician. For these examples, a simple remedy could be found for the symptoms. To stop your arm from hurting, you could put ice on it to relive pain. To get work done with a broken computer, you could use your phone or tablet instead. Unfortunately, this would only consider the symptoms and not the underlaying issue that caused the problem. The injured arm may need surgery to entirely recover from the sustained injury, and the broken computer may need to have a new battery to function again. The best way to solve a fault or problem would therefore be to perform a Root Cause Analysis. By doing this, the exact root cause can be found so that the correct management of the fault or problem will be accomplished.		To be able to fully understand what a root cause analysis is and what it is used for, it is easier to relate it to something we are entirely acknowledged with. If your arm hurts considerably after an accident, you will go to the doctor to find the root cause of your pain. Also, if your computer stops working, you will try to find the root cause of its malfunction, either by yourself or by a professional technician. For these examples, a simple remedy could be found for the symptoms. To stop your arm from hurting, you could put ice on it to relive pain. To get work done with a broken computer, you could use your phone or tablet instead. Unfortunately, this would only consider the symptoms, and not the underlaying issue that caused the problem. The injured arm may need surgery to entirely recover from the sustained injury, and the broken computer may need to have a new battery to function again. The best way to solve a fault or problem would therefore be to perform a Root Cause Analysis. By doing this, the exact root cause can be found so that the correct management of the fault or problem will be accomplished.
	There are a number of techniques and strategies that can be used for root cause analyses. In this article, the most commonly and widely used techniques will be covered.		There are a number of techniques and strategies that can be used for root cause analyses. In this article, the most commonly and widely used techniques will be covered.

Williamvoss: /* Abstract */

2022-03-27T18:17:41Z

Abstract

← Older revision		Revision as of 18:17, 27 March 2022
Line 2:		Line 2:

	==== Abstract ====		==== Abstract ====
	Root Cause Analysis (RCA) is a method of problem solving that can be used in a project, program or portfolio (PPP) to identify root causes of faults and problems in order to ~~identify~~ appropriate solutions. It is broadly used in several industries, among the health care, infrastructure and information technology industry. A Root Cause Analysis supposes that it is more effective to go in-depth of occurring problems, so that the underlaying issue can be treated, instead of only treating ad hoc symptoms. Root Cause Analyses can be performed with several different methodologies, principles and techniques together to identify the root causes of a defect or problem. The goal is to find out where processes or systems failed or caused an issue in the first place. In this article, the most common and broadly used techniques will be covered.		Root Cause Analysis (RCA) is a method of problem solving that can be used in a project, program or portfolio (PPP) to identify root causes of faults and problems in order to find appropriate solutions. It is broadly used in several industries, among the health care, infrastructure and information technology industry. A Root Cause Analysis supposes that it is more effective to go in-depth of occurring problems, so that the underlaying issue can be treated, instead of only treating ad hoc symptoms. Root Cause Analyses can be performed with several different methodologies, principles and techniques together to identify the root causes of a defect or problem. The goal is to find out where processes or systems failed or caused an issue in the first place. In this article, the most common and broadly used techniques will be covered.

Williamvoss at 18:17, 27 March 2022

2022-03-27T18:17:06Z

@@ Line 49: / Line 49: @@
 #Prioritise the causes. In the same team, make each person state their opinion as what is the most serious cause of the defect or problem. After a discussion about the causes, each person can give points to the causes that they believe are the most serious. The causes with the most points, should then be prioritised.
 #Take measures. Tackle the defect or problem by eradicating the cause or causes. I it’s important that it is certain that the correct cause have been identified. To make sure of this, a significance test can be used for verifying, in order to select suitable methods for problem-solving.
 === The 5 Whys ===
@@ Line 63: / Line 65: @@
 #Among the many answers to the last asked “why”, look for systematic causes of the defect or problem. This should be discussed in the group to be able to settle for the most likely systematic cause. The product from the team session should then be showed to others to confirm that they see the same logic in the analysis.
 #The last and final step of the 5 why analysis is to develop appropriate corrective actions to remove the root cause from the system. Others can undertake these actions but planning and implementation will benefit from inputs from the team.
@@ Line 81: / Line 84: @@
 [[File:Pareto-chart-example.png|600px|thumb|left|Figure 4: An example of a Pareto Chart Analysis[https://www.whatissixsigma.net/pareto-chart-and-analysis/]]]
 == Challenges and limitations ==

Williamvoss: /* Challenges and limitations */

2022-03-27T18:14:14Z

Challenges and limitations

← Older revision		Revision as of 18:14, 27 March 2022
Line 84:		Line 84:
	== Challenges and limitations ==		== Challenges and limitations ==

	For the Root Cause Analysis to give results, it is dependent on a larger problem-solving effort to improve the quality in a business. It therefore the managements responsibility to make the best use of the findings from the root cause analyses. The root cause analysis on itself would not provide the correct result. When it comes to the conduction of a root cause analysis, it is hard to fully know if you have taken every root cause into consideration. The reason for this is because there can be multiple root causes, and there is hard to tell when every root cause has been found. This can lead to too much time spent on irrelevant underlaying factors, which result in confusion and a waste of time. The 5 whys and the fishbone analysis does not rely on specific data, which can lead to less reliable results. The management can therefore have trouble entirely trusting these analyses.		For the Root Cause Analysis to give results, it is dependent on a larger problem-solving effort to improve the quality in a business. It therefore the managements responsibility to make the best use of the findings from the root cause analyses. The root cause analysis on itself would not provide the correct result. When it comes to the conduction of a root cause analysis, it is hard to fully know if you have taken every root cause into consideration. The reason for this is because there can be multiple root causes, and there is hard to tell when every root cause has been found. This can lead to too much time spent on irrelevant underlaying factors, which result in confusion and a waste of time. The 5 whys and the fishbone analysis does not rely on specific data, which can lead to less reliable results. The management can therefore have trouble entirely trusting these analyses.


	==Annotated Bibliography==		==Annotated Bibliography==

Williamvoss: /* Conducting a root cause analysis */

2022-03-27T18:13:39Z

Conducting a root cause analysis

@@ Line 13: / Line 13: @@
 == Conducting a root cause analysis ==
 ===== Goals and benefits =====
@@ Line 83: / Line 81: @@
 [[File:Pareto-chart-example.png|600px|thumb|left|Figure 4: An example of a Pareto Chart Analysis[https://www.whatissixsigma.net/pareto-chart-and-analysis/]]]
 == Challenges and limitations ==

Williamvoss: /* General principles */

2022-03-27T18:13:23Z

General principles

← Older revision		Revision as of 18:13, 27 March 2022
Line 24:		Line 24:
	To achieve an effective root cause analysis process, there are some general principles that should be taken into consideration. These principles will increase the quality of the analysis and will help the analysis get trust from clients and stakeholders [https://www.geeksforgeeks.org/basic-principle-of-root-cause-analysis/[2]].		To achieve an effective root cause analysis process, there are some general principles that should be taken into consideration. These principles will increase the quality of the analysis and will help the analysis get trust from clients and stakeholders [https://www.geeksforgeeks.org/basic-principle-of-root-cause-analysis/[2]].


			*Root cause analyses gives the best effect when a team is gathered, to do the analysis together. In particular, it should be done with those employees, who are directly involved in the problem-causing processes.
	*Consider to actually correct and remedy the root causes, not only the symptoms.		*Consider to actually correct and remedy the root causes, not only the symptoms.
	*While performing the root cause analysis, also remember to treat symptoms for short term fixing.		*While performing the root cause analysis, also remember to treat symptoms for short term fixing.
Line 33:		Line 35:

	As it can be understood from the principles above, it is important to take a comprehensive and holistic approach in this type of analysis. As the root causes have no importance if no action is taken afterwards, it should be strived to provide information and context that can solve the failure or problem.		As it can be understood from the principles above, it is important to take a comprehensive and holistic approach in this type of analysis. As the root causes have no importance if no action is taken afterwards, it should be strived to provide information and context that can solve the failure or problem.


	=== Fishbone Diagram ===		=== Fishbone Diagram ===