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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SafetyAs the global transition to carbon neutrality accelerates, hydrogen energy has emerged as a key alternative to fossil fuels due to its potential to reduce carbon emissions.
Il Jae Lee, A Ran Lee, Kyung-Sun Lee
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Enhancing insulin administration safety in inpatient care: findings from a root cause analysis and continuous improvement intervention [PDF]
Open MedicineThis study aimed to quantify the incidence of insulin-related medication errors among hospitalized patients, identify underlying causal factors through root cause analysis (RCA), and evaluate the effectiveness of continuous improvement strategies in ...
Wang Qing +4 more
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Consequence modeling and root cause analysis (RCA) of the real explosion of a methane pressure vessel in a gas refinery [PDF]
Heliyon, 2023 Mohsen Sadeghi Yarandi +2 more
exaly +2 more sources
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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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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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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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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