The PROACT(R) Root Cause Analysis PDF Download
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Author: Kenneth C. Latino
Publisher: CRC Press
ISBN: 9780367517397
Category : Business & Economics
Languages : en
Pages : 0
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Book Description
Why don't things always go as planned? When our actual plans deviate from our intended plans, we usually experience some type of undesirable or unintended outcome. This book explores the anatomy of a failure (undesirable outcome) and provides a guide to conducting a comprehensive root cause analysis.
Author: Kenneth C. Latino
Publisher: CRC Press
ISBN: 9780367517397
Category : Business & Economics
Languages : en
Pages : 0
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Book Description
Why don't things always go as planned? When our actual plans deviate from our intended plans, we usually experience some type of undesirable or unintended outcome. This book explores the anatomy of a failure (undesirable outcome) and provides a guide to conducting a comprehensive root cause analysis.
Author: Robert J. Latino
Publisher: CRC Press
ISBN: 1420087282
Category : Business & Economics
Languages : en
Pages : 224
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Book Description
Are you ready and willing to get to the root causes of problems? As Medicare, Medicaid, and major insurance companies increasingly deny payment for never events, it has become imperative that hospitals and doctors develop new ways to prevent these avoidable catastrophes from recurring. Proactive tools such as root cause analysis (RCA), basic failur
Author: Kenneth C. Latino
Publisher: CRC Press
ISBN: 1000178269
Category : Business & Economics
Languages : en
Pages : 95
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Book Description
Root Cause Analysis, or RCA, "What is it?" Everyone uses the term, but everyone does it differently. How can we have any uniformity in our approach, much less accurately compare our results, if we’re applying different definitions? At a high level, we will explain the difference between RCA and Shallow Cause Analysis, because that is the difference between allowing a failure to recur or dramatically reducing the risk of recurrence. In this book, we will get down to basics about RCA, the fundamentals of blocking and tackling, and explain the common steps of any investigative occupation. Common investigation steps include: Preserving evidence (data)/not allowing hearsay to fly as fact Organizing an appropriate team/minimizing potential bias Analyzing the events/reconstructing the incident based on actual evidence Communicating findings and recommendations/ensuring effective recommendations are actually developed and implemented Tracking bottom-line results/ensuring that identified, meaningful metrics were attained We explore, "Why don’t things always go as planned?" When our actual plans deviate from our intended plans, we usually experience some type of undesirable or unintended outcome. We analyze the anatomy of a failure (undesirable outcome) and provide a step-by-step guide to conducting a comprehensive RCA based on our 3+ decades of applying RCA as we have successfully practiced it in the field. This book is written as a how-to guide to effectively apply the PROACT® RCA methodology to any undesirable outcome, is directed at practitioners who have to do the real work, focuses on the core elements of any investigation, and provides a field-proven case as a model for effective application. This book is for anyone charged with having a thorough understanding of why something went wrong, such as those in EH&S, maintenance, reliability, quality, engineering, and operations to name just a few.
Author: Robert J. Latino
Publisher: CRC Press
ISBN: 1420006118
Category : Technology & Engineering
Languages : en
Pages : 285
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Book Description
There is no easy answer to the question, What is RCA? Some will give a general idea of what Root Cause Analysis (RCA) is designed to accomplish, while others will advocate a specific approach. In this third edition of the best-selling Root Cause Analysis: Improving Performance for Bottom-Line Results, acclaimed experts Robert and Ke
Author: Sanya Mathura
Publisher: CRC Press
ISBN: 1000529398
Category : Technology & Engineering
Languages : en
Pages : 198
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Book Description
This book combines the topics of Root Cause Analysis (RCA) and Lubrication Degradation Mechanisms (LDM) with the goal of allowing the reader to develop the disciplined thought process for getting to the root causes of each of the degradation mechanisms. This new way of thinking can be applied to other areas within their facility to mitigate or eliminate any future recurrence. Lubrication Degradation: Getting into the Root Causes strives to break down the complex topic of Lubrication Degradation into its six most common failure mechanisms. It presents the mechanisms as manageable components and then teaches the reader how to identify the typical root causes associated with each failure mechanism. The main aim of this book is to get the audience to look past the physical root causes and really unearth the underlying human and/or systemic roots to prevent recurrence of these types of failures. The book offers a field-proven and practical root cause analysis approach. An ideal practical book for industry professionals involved with Plant Operations, Engineering, Management, Maintenance, Reliability, Quality, and also useful for Technicians.
Author: Bjørn Andersen
Publisher: Quality Press
ISBN: 0873896920
Category : Business & Economics
Languages : en
Pages : 300
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Book Description
This updated and expanded edition discusses many different tools for root cause analysis and presents them in an easy-to-follow structure: a general description of the tool, its purpose and typical applications, the procedure when using it, an example of its use, a checklist to help you make sure if is applied properly, and different forms and templates (that can also be found on an accompanying CD-ROM). The examples used are general enough to apply to any industry or market. The layout of the book has been designed to help speed your learning. Throughout, the authors have split the pages into two halves: the top half presents key concepts using brief languagealmost keywordsand the bottom half uses examples to help explain those concepts. A roadmap in the margin of every page simplifies navigating the book and searching for specific topics. The book is suited for employees and managers at any organizational level in any type of industry, including service, manufacturing, and the public sector.
Author: Russell Kelsey
Publisher: CRC Press
ISBN: 1000913694
Category : Law
Languages : en
Pages : 229
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Book Description
The second edition of this well-received book, the first to provide detailed guidance on how to conduct incident investigations in primary care, has been thoroughly revised and updated throughout to reflect the current nomenclature for different aspects of the investigatory process in the UK and the latest format for incident reporting. Key features: Explains how to recognise a serious clinical incident, how to conduct a root cause analysis (RCA) investigation, and how and when duty of candour applies Covers the technical aspects of serious incident recognition and report writing Includes a wealth of practical advice and 'top tips', including how to manage the common pitfalls in writing reports Offers practical advice as well as some new and innovative tools to help make the RCA process easier to follow Explores the all-important human factors in clinical incidents in detail, with multiple examples and worked-through cases studies as well as in-depth sample reports and analysis. At a time of increasing regulatory scrutiny and medico-legal risk, in which failure to manage appropriately can have serious consequences both for service organisations and for individuals involved, this concise and convenient book continues to provide a master class for anyone performing RCA and aiming to demonstrate learning and service improvement in response to serious clinical incidents. It is essential reading for any clinical or governance leads in primary care, including GP practices, 'out-of-hours', urgent care centres, prison health and NHS 111. It also offers valuable insights to any clinician who is in training or working at the coal face who wishes to understand how serious clinical incidents are investigated and managed.
Author: R. Keith Mobley
Publisher: Elsevier
ISBN: 0080516424
Category : Technology & Engineering
Languages : en
Pages : 317
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Book Description
Root Cause Failure Analysis provides the concepts needed to effectively perform industrial troubleshooting investigations. It describes the methodology to perform Root Cause Failure Analysis (RCFA), one of the hottest topics currently in maintenance engineering. It also includes detailed equipment design and troubleshooting guidelines, which are needed to perform RCFA on machinery found in most production facilities. This is the latest book in a new series published by Butterworth-Heinemann in association with PLANT ENGINEERING magazine. PLANT ENGINEERING fills a unique information need for the men and women who operate and maintain industrial plants. It bridges the information gap between engineering education and practical application. As technology advances at increasingly faster rates, this information service is becoming more and more important. Since its first issue in 1947, PLANT ENGINEERING has stood as the leading problem-solving information source for America's industrial plant engineers, and this book series will effectively contribute to that resource and reputation.Provides information essential to industrial troubleshooting investigationsDescribes the methods of root cause failure analysis, a hot topic in maintenance engineeringIncludes detailed equipment-design guidelines
Author: Duke Okes
Publisher: Quality Press
ISBN: 0873899822
Category : Business & Economics
Languages : en
Pages : 209
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Book Description
This best-seller can help anyone whose role is to try to find specific causes for failures. It provides detailed steps for solving problems, focusing more heavily on the analytical process involved in finding the actual causes of problems. It does this using figures, diagrams, and tools useful for helping to make our thinking visible. This increases our ability to see what is truly significant and to better identify errors in our thinking. In the sections on finding root causes, this second edition now includes: more examples on the use of multi-vari charts; how thought experiments can help guide data interpretation; how to enhance the value of the data collection process; cautions for analyzing data; and what to do if one cant find the causes. In its guidance on solution identification, biomimicry and TRIZ have been added as potential solution identification techniques. In addition, the appendices have been revised to include: an expanded breakdown of the 7 Ms, which includes more than 50 specific possible causes; forms for tracking causes and solutions, which can help maintain alignment of actions; techniques for how to enhance the interview process; and example responses to problem situations that the reader can analyze for appropriateness.
Author: Yuehwern Yih
Publisher: CRC Press
ISBN: 1439803625
Category : Medical
Languages : en
Pages : 798
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Book Description
With rapidly rising healthcare costs directly impacting the economy and quality of life, resolving improvement challenges in areas such as safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity has become paramount. Using a system engineering perspective, Handbook of Healthcare Delivery Systems offers theoretical foundation
