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Root Cause Analysis

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The document discusses root-cause analysis (RCA) and provides definitions, goals, cognitive biases to avoid, and tools to use when performing RCA. It defines root causes as specific underlying causes that can be reasonably identified and resolved. The goals of RCA are to identify what happened, how it occurred, why, and how to prevent reoccurrence. Tools mentioned for RCA include Five Whys, Current Reality Tree, Interrelationship Diagram, and Cause-and-Effect Diagram. The document emphasizes avoiding cognitive biases and adhering to a seven-step problem-solving process for objective, effective RCA.

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Root-Cause Analysis (RCA) by Mark Fawcett
Contents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
RCA Assumptions ,[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
RCA Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Definitions of “Root Cause” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Levels of Causes ,[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Levels of Causes — Example ,[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Practical Indicators of Root Cause ,[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Cognitive Biases to Avoid ,[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Cognitive Laziness (Satisficing) ,[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Overconfidence ,[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Seven-Step Problem-Solving Model Created by M. Fawcett Last Updated: 1/5/2010 (Westcott, 2006)
RCA Tools ,[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Five Why’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Five Why’s — Expanded Created by M. Fawcett Last Updated: 1/5/2010 (Westcott, 2006)
Current Reality Tree (CRT) ,[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Interrelationship Diagram (ID) ,[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Cause-and-Effect Diagram (CED) ,[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Conclusion ,[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
Bibliography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Created by M. Fawcett Last Updated: 1/5/2010
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Root Cause Analysis

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