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BA10: Understanding Root Cause Analysis

Section 1: Introduction and Objectives
• What is a "Problem?"
• Why Problems Persist
• What is A Root Cause?
• Why Root Causes are important

Section 2: How to Organize for an RCA
• RCA Roles and Responsibilities
• Assemble your RCA Team
• Modes of Communication
• How to Resolve Conflict
• Case Study Exercise

Section 3: Select the Problem to Analyze
• Define the selection criteria
• Plan and estimate tasks for the team
• Finalize the plan and gain agreement among your stakeholders
• Case Study Exercise

Section 4: Define the Problem
• What to look for - Problem-as-Given (PAG) vs. Problem-as-Understood (PAU)
• Developing your problem statement
• Refining the problem specification
• Case Study Exercise

Section 5: Identify the Source of the Problem
• Discuss when to use the appropriate analysis technique to determine the problem source
o Process Diagram
o Forms & Checklists
o Statistical Sampling
o Fishbone Diagram
o Surveys
o Charts - Line, Scatter, Bar, & Pie
• Case Study Exercise

Section 6: Solution Options Analysis and Selecting the “Best Fit”
• How to approach different solution options
o Brainstorming
o Weighted Evaluation
• Selecting the appropriate option
• Hold an Retrospective on your approach
• Planning the proposal
• Case Study Exercise

Section 7: Putting RCA into practice
• Create a Root Cause Analysis program within your organization
• How to develop appropriate recommendations to address root causes at various levels to avoid future incidents

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