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Root Cause Analysis - Bureau of Indian Education...

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Root Cause Analysis - Bureau of Indian Education...

... shift from Compliance to Performance Outcomes Slide 3 Definitions Why Use Root Cause Analysis (RCA)? Determining Root ... Root Cause(s) The Five Whys 5 ...

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

Date added: September 26, 2012 - Views: 194

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DETERMINING ROOT CAUSE OF A PROBLEM

Useful Tools For Determining Root Cause are: The “5 Whys” Pareto ... Some tools are more complex than others Example of Five Whys for Root Cause Analysis ...

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

Date added: September 20, 2012 - Views: 305

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Root Cause Analysis - Berry College

What is Root Cause Analysis Find the Root Cause(s) ... (how people felt about what happened) Ask whys using depth first search Return to “square 1” and start ...

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

Date added: October 1, 2011 - Views: 383

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Root Cause Analysis : Why? Why? Why? - MD...

... fix symptoms without regard to actual causes Root Cause Analysis ... Five Whys Tree Diagram Change Analysis ... Root Cause Analysis: Why? Why? Why? Why Do Root ...

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: 303

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5 Why’s - Lean manufacturing

Five why’s is a Root Cause Analysis Tool. ... The outcome of a 5 Why’s analysis is one or several root causes that ultimately identify the reason why a problem ...

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

Date added: May 8, 2012 - Views: 588

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5 Whys - Northrop Grumman Redirect

... it is likely that you have identified a root cause of ... alternative to Cause and Effect Analysis. 5 Whys ... Presentation PowerPoint ...

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

Date added: November 14, 2011 - Views: 428

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Root Cause Analysis Presented By: Anant Singh Jay...

Title: Root Cause Analysis Presented By: Anant Singh Jay Mehta Farhad Doneshwar Pratibha Jakabal Supreet kaur Swati Agarwal Author: prati Last modified by

http://www.engr.sjsu.edu/smith/Incredibles_Root%20Cause%20Analysis.ppt

Date added: September 27, 2011 - Views: 376

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Root Cause & Corrective Action - SAE...

Apollo Root Cause Analysis Corrective Action Initiation Requirements Write complete sentences The problem description needs to be written clearly Stick to the facts.

http://www.sae.org/aaqg/audit_information/2009/Minneapolis/Root_Cause_Corrective_Action.ppt

Date added: September 21, 2011 - Views: 733

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CAP Tools for Six Sigma Notes - free lean...

It can be learned quickly and doesn't require statistical analysis to be used. When is 5 whys ... 5 Why’s Approach Identifying Root Cause 5 why is a problem ...

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

Date added: November 14, 2011 - Views: 122

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Accident Investigation Basics - Training &...

Accident Investigation Basics ... Accidents Don’t Just Happen “The Tip of the Iceberg” Slide 8 Root Cause Analysis The Five Whys Slide 11 Why Investigate?

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

Date added: October 13, 2011 - Views: 957

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Root Cause Analysis in Care Transitions: Chart...

Root Cause Analysis in Care Transitions: ... Identify community-specific drivers/root causes of readmission. ... Cause-and-effect diagram. 5 Whys.

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

Date added: September 16, 2012 - Views: 100

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5- Whys: A Simple and Effective Problem Solving...

... and others can be used simultaneously with the 5 Whys to enhance the thought process and analysis. ... All root cause analysis must include a look at the ...

http://www.agacentralin.org/files/AGA_Presentation_-_Feb_6.pptx

Date added: August 26, 2014 - Views: 8

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A3 Problem Solving Training Template (PPT) -...

If the root cause is not obvious, use a root cause analysis tool. (Tools: 1) 5 Whys, 2) ... CURRENT CONDITION ANALYSIS / ROOT CAUSES <Name> A3 PROBLEM SOLVING TOOL: ...

http://mn.gov/admin/images/a3_problemsolving_trainingtemplate.ppt

Date added: August 7, 2014 - Views: 22

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Root Cause Analysis Training - Gov

Root Cause Analysis Training. BC Timber Sales. Agenda. ... Ask “why” until you get to the root of the problem. ... Benefits of the 5 Whys include:

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

Date added: April 20, 2015 - Views: 6

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Slide 1

www.Velaction.com © 2010 by Velaction Continuous Improvement, LLC. All rights reserved. Version 10/27/2010. What is the abnormal condition? The 5 Whys Worksheet

http://www.velaction.com/lean-information/wp-content/uploads/2010/01/5-whys-form.pptx

Date added: May 12, 2013 - Views: 19

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PDCA at the Problem Solving Level - Karina Hauser

5 Whys and 5 Therefore(s) Why? Why? Why? Why? ... PDCA in Lean Companies. P. GTS. P. A. C. D. ... Complete a detailed root cause analysis.

http://karinahauser.usu.edu/files/uploads/MHR5350/Class7&8ProblemSolving&A3.pptx

Date added: May 2, 2013 - Views: 102

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8D Corrective Action & Root Cause Analysis -...

5 Whys? Analysis consists of team members identifying a possible root cause by asking “Why?” until the ... Corrective Action (D#5) Once the Root Cause is found it ...

http://www.cooperindustries.com/content/dam/public/powersystems/resources/supplier/cpsd/8D-Corrective-Action-Root-Cause.pptx

Date added: December 4, 2014 - Views: 31

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Slide 1

... causes A3 Root Cause Analysis Many tools to help separate a symptom from a root cause Go see 5 Whys ... with larger organization goals Create ...

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

Date added: May 2, 2013 - Views: 91

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SPC Introduction - STM Quality.co.uk - Home

This is a simple but powerful problem solving tool that helps determine the root cause of a problem. How Does 5 Whys ... if root cause analysis ... SPC Introduction ...

http://www.stmquality.co.uk/USERIMAGES/5Whys.ppt

Date added: November 14, 2011 - Views: 61

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UCO Action Project Process - University of Central...

Real Root Cause Analysis. Seemingly disparate issues and problems may be arising from common underlying root causes. ... 5-Whys. Start w/ problem or incident.

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

Date added: January 21, 2013 - Views: 56

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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.

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

Date added: August 11, 2013 - Views: 42

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Root Cause Analysis [PPT] - Weill Medical College

Root Cause Analysis ... MAUDE) Root cause/contributing factors developed Five rules of causation to guide/push the team deep enough Cause and Effect Diagram, ...

http://weill.cornell.edu/risk-management/best_practices/RootCauseAnalysis.ppt

Date added: October 16, 2012 - Views: 235

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Visual Management - free lean manufacturing

... Overview freeleansite.com freeleansite.com Root Cause Analysis - Overview RCCA ... ** Don’t be limited to only 5 whys: the end point is the root cause Benefits: ...

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

Date added: October 18, 2011 - Views: 376

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Problem Description - StangerWeb

Some people found out that with 5 whys you dig ... Root Cause Analysis Purpose of EasyTools Tools for Root Cause Analysis Team work The 5 why The ...

http://www.stangerweb.de/improvement/easytools/RootCauseAnalysis.ppt

Date added: October 13, 2012 - Views: 70

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Root Cause Analysis (RCA) - n4aAGEcomm

Root Cause Analysis (RCA) A Root Cause Analysis (RCA) is a process for identifying the basic or causal factors that underlie variations in outcomes (e.g., avoidable ...

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

Date added: August 12, 2013 - Views: 25

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Slide 1

... Fault Tree Analysis, Root Cause Analysis and 5 Whys are available to assess and manage failures of commercial ... Root Cause Analysis. Root cause analysis ...

http://www.me.umn.edu/courses/me4054/lecnotes/lecFall2014/Risk_Management.pptx

Date added: November 19, 2014 - Views: 4

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Project Management Tools for Cooper River Bridge...

Root Cause Analysis “The 5 Whys ... to prevent future problems without knowing the root cause of the ... Project Management Tools for Cooper River ...

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

Date added: September 12, 2013 - Views: 26

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PowerPoint Presentation

ROOT CAUSE . analysis of the problem stated in the . problem statement. ©2013 TCDSS . Campus NEEDS or FOCUS AREAS ... 5 Whys. Focus/Need area. 10,5,5. Transformation.

http://www.tcdss.net/ttips/docs/Cycle%20II%20Summer%20Training%202013/8/8.%20Cycle2_RootCauseAnalysis.pptx

Date added: November 27, 2013 - Views: 1

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Conflict of Interest - Stanford University School...

Stanford Health Care. ... Five Whys – ask why 5 x’s to get to the ... Problem Analysis. Identifies the root cause of current state problems.

http://med.stanford.edu/gme/GME_Community/SES065_ACGME2015.pptx

Date added: March 9, 2015 - Views: 6

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Introduction to the 5 Why Method

Root Cause analysis . Tool Examples: 5 . Whys. Cause Map. Five Whysis one of many Root Cause Analysis Tools . Not Recommended: Cause & Effect Diagram (Fishbone)

http://www.marvingroup.com/tinymce/jscripts/tiny_mce/plugins/filemanager/files/documents/TR-823.ppsx

Date added: March 7, 2014 - Views: 34

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Slide 1

... the problem-solving process Root Cause ... 5 Whys? Step 4 – Determine Root Causes OODA Control Chart Pareto Analysis Cause and Effect Diagram Step 5 ...

http://web.usf.edu/airforce/AS300/ProblemSolving.ppt

Date added: January 27, 2012 - Views: 71

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Quality Improvement Process - CCME - Home

Quality Improvement ... 5S Failure Modes and Effects Analysis Root Cause Analysis Exercise Let ... 5 Whys? Appreciation Drill Downs Cause and ...

http://www.thecarolinascenter.org/documents/SCEQR_QualityImprovementProcesses.ppt

Date added: October 18, 2011 - Views: 196

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PowerPoint Presentation

Root Cause Analysis5 Whys. 5 Whys: a problem solving tool that helps understand the root cause. of a problem. The 5 Whys technique is usually very quick

http://uktmf.com/sites/default/files/SummitSPCWorkshop.pptx

Date added: May 27, 2014 - Views: 13

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PowerPoint Presentation

Next Steps: Brainstorm major improvement strategies for root cause (breakout session) Discuss and finalize your root cause analysis at your building/district level

http://swestwiki.wikispaces.com/file/view/Root_Cause_Presentation.pptx/273306264/Root_Cause_Presentation.pptx

Date added: November 11, 2014 - Views: 3

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PDCA Training Series 2 Plan, Part 1 - Oregon

Root cause analysis tools. What is a “Process? ...

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

Date added: July 8, 2012 - Views: 122

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Effective Problem-Solving: Getting to the Heart of...

Effective Problem-Solving: ... Getting to the Heart of the Matter Root Cause Analysis Getting to ... Identify likely causes Ask ‘5 Whys’ to get to root cause ...

http://leanhomecare.com/yahoo_site_admin/assets/docs/Effective_Problem-Solving.31694409.ppt

Date added: June 20, 2013 - Views: 27

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Risk Management - Occupational Safety and Health...

Risk Management class presented during the Construction Advancement Foundation Site ... The “5 Whys ” By repeatedly ... Will your Root Cause Analysis change your ...

https://www.osha.gov/dte/grant_materials/fy11/sh-22224-11/3_Risk_Management.pptx

Date added: September 26, 2013 - Views: 35

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PDCA Training Series 2 Plan, Part 1 - Oregon

Root Cause Analysis. Event Scope. Planning Your Team. Map your “current state” process. Tools Recap. 5 Whys. Cause & Effect or Fishbone diagram. Affinity diagram.

http://public.health.oregon.gov/ProviderPartnerResources/PublicHealthAccreditation/Documents/PDCA%20Training%20Series%202_do_v2.pptx

Date added: June 25, 2012 - Views: 118

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Slide 1

... Analysis Proposed ... How your recommended countermeasures will impact the root cause to ... Brief One or two bullets Analysis Visual Charts QC Tools Fishbone 5 ...

http://www.lean.org/downloads/A3_ppt_templates.ppt

Date added: October 8, 2011 - Views: 653

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Statistics to October 2006 - EHRMA

10 BBS committee members in Idku and 19 in Cairo were trained on ABC analysis, 5 WHYs, ... 5th Pillar Root Cause Analysis Analysis is ... Statistics to October 2006 ...

http://www.ehrma.net/Events/Presentation63.ppt

Date added: September 22, 2011 - Views: 57

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PowerPoint Presentation

Root cause analysis can identify a cause that indicates other systems or that are susceptible to the same ... The 5 Whys. Fishbone (Ishikawa) Diagram. Cause and Effect.

http://www.dfaofca.com/wp-content/uploads/2012/03/DFA-Master-Class.pptx

Date added: September 18, 2014 - Views: 8

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Six Sigma Executive Overview - Excellence in...

... Check List for Root Cause Determination 5 Whys Example Root Cause(s) ... Summary Root Cause Analysis Example Six Sigma DMAIC Improve Brainstorm Potential ...

http://www.exinfm.com/workshop_files/Six%20Sigma%20Exec%20Overview%201.5.ppt

Date added: October 17, 2011 - Views: 481

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Chapter 5 – Enterprise Analysis - Austin TX IIBA...

Root cause analysis is a technique used with which of the following aspects of enterprise ... a. the five whys b. brainstorming c. context diagram d. Fishbone diagram.

http://austin.iiba.org/download/CBAP%20Study%20Group%20Presentations/CBAP%20Study%20Guide%20for%20BABOK%20Chapter%205.pptx

Date added: July 10, 2013 - Views: 51

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Slide 1

Analyze the root cause. Act. 8. ... Root Cause Analysis: 5 Whys. Hypothesis. Develop Countermeasures. Lean Coffee. Implement Countermeasures. Evaluate Results and ...

http://des.wa.gov/SiteCollectionDocuments/ContractingPurchasing/2013TradeShow/Room316/LEAN_A3_ReportingWorkshop.pptx

Date added: December 8, 2013 - Views: 7

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Slide 1

... what is the cause of the problem ... (Use appropriate Lean Tools ex: 5-Whys, Fishbone, etc) (Use ... Based on your root-cause analysis, did your ...

http://www.virtualvivarium.com/docs/Problem%20Solving%20Sheet%20(V5%200).ppt

Date added: April 10, 2014 - Views: 9

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PowerPoint Presentation

Analysis. PURPOSE: To gather ... This step is about ROOT CAUSE. ... 5 Whys. Remember: This was ...

http://www.cde.state.co.us/mtss/segment5_databasedproblemsolvinganddecisionmaking

Date added: November 19, 2014 - Views: 5

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Training on Basic QI Tools & Process - NNPHI

Basic QI Tools & Techniques ... Fishbone Diagram Effect/Cause Analysis 5 Why’s Fishbone Pareto Chart Brainstorming ... elements into a root cause analysis.

http://nnphi.org/CMSuploads/KS-Basic%20QI%20Tools%20&%20Process.ppt

Date added: June 28, 2013 - Views: 47

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PowerPoint Presentation

5 Whys. Root Cause Analysis. FMEA. Pugh Analysis. Kano Model. Andon . ... Analysis comparison (BPM) Stakeholder Register. Project Charter. Quick Wins analysis ...

https://fitlean.files.wordpress.com/2015/05/lean-training-program.pptx

Date added: July 4, 2015 - Views: 1

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Using QAPI to Improve Care: Putting it to Work in...

Use a root cause tool. Fishbone diagram. 5 Whys. Other tools. Root Cause Analysis. Surgical. Medical. Education. Staff-Related. Patient. Technical. Desired Goal ...

http://esrdnetworks.org/mac-toolkits/download/download-toolkit-and-write-able-forms-qapi-toolkit/QAPI_MAC%20ppt%20051210.pptx/at_download/file

Date added: July 1, 2013 - Views: 6