Root Cause Analysis (RCA): Are Failures Caused by Inadequate Maintenance?
Platform, a Journal of Engineering, 2021 While wrong quality assurance and control during maintenance activity may affect failures of physical assets, it is not always true to associate the “lack” of maintenance or the perception of it to failure of physical assets or degradation of system ...
Muhamed Jamil Khan Nurul Amin +9 more
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The Mystery Dinner RCA: Using Gamification and Simulation to Teach Root Cause Analysis [PDF]
MedEdPORTAL, 2021 Introduction Root cause analysis (RCA) is a widely utilized tool for investigating systems issues that lead to patient safety events and near misses, yet only 38% of learners participate in an interdisciplinary patient safety investigation during ...
Andrea Smeraglio +5 more
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Root Cause Analysis (RCA) of Prolonged Laboratory Turnaround Time in a Tertiary Care Set up [PDF]
Journal of Clinical and Diagnostic Research, 2014 Introduction: Among the multitude of daily administrative problems which are faced by the modern hospitals today, prolonged Turnaround Time (TAT) of laboratory investigations is a crucial one, which affects patient care as well as patient satisfaction ...
Kalyan Khan
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Hospital managers’ experiences of conducting a root cause analysis: a case study following a sentinel event [PDF]
Frontiers in Health ServicesBackgroundRoot cause analysis (RCA) is a method used in healthcare to systematically identify and address underlying causes of adverse or sentinel events to enhance patient safety and mitigate risks.
Silje Liepelt, Ralf Kirchhoff
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Lean Manufacturing Analysis Using Waste Assessment Model (WAM) and Root Cause Analysis (RCA) Methods
RekayasaThe rapid development of science and technology in the industrial world, causing competition between industries to be tighter. This makes the industry to increase productivity both in terms of process and results. Waste is a big problem in the industrial
Muhammad Asyrof Hidayatullah +1 more
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Root cause analysis – what do we know? [PDF]
MAB, 2021 Root cause analysis (RCA) provides audit firms, regulators, policy makers and practitioners the opportunity to learn from past adverse events and prevent them from reoccurring in the future, leading to better audit quality. Recently approved regulations (
Wendy Groot
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AN EMPIRICAL ASSESSMENT OF PROBLEM STATEMENT CREATION WITH IS/IS-NOT [PDF]
Proceedings on Engineering Sciences, 2022 This paper explores the creation of problem statements using 5W2H questions using an is/is-not matrix and seeks to determine if use of 5W2H type questions leads to a quicker resolution of problems.
Matthew Barsalou, Robert Perkin
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Identification and Evaluation of Human Errors Leading to Incidents in a Gas Refinery using Human Factors Analysis and Classification System [PDF]
Muhandisī-i bihdāsht-i ḥirfah/ī, 2018 Background: incidents are one of the most important causes of damages in an organization. incidents, rarely, occure of a big mistakes ,they usually occur due to chain of Most minor and less important human or series errors.
Gholam Abbas Shirali +4 more
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Case Study in Hypothesis Prioritization with Ishikawa Diagrams
Management Systems in Production Engineering, 2023 The objective of this paper is to explore a multidisciplinary problem-solving team investigating a customer-reported failure using an Ishikawa diagram with a spreadsheet for prioritizing and tracking investigation actions in a manufacturing organization.
Barsalou Matthew
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IMPLEMENTATION OF ROOT CAUSE ANALYSIS ON PATIENT SAFETY IINCIDENCE IN HOSPITAL: LITERATURE REVIEW
JPH RECODE (Journal of Public Health Research and Community Health Development), 2022 Background: Root cause analysis (RCA) is a process used by hospitals to reduce the level of patient safety incidents. The minimized application of root cause analysis has resulted in inevitable patient safety incidents. Research objectives: This study
Redina Thara Alifia, Inge Dhamanti
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