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HBOK 1-425

Title Under Scrutiny
Author(s) Mark Paradies
Source Quality Progress
Topic Performance Improvement
Abstract For many years quality practitioners have used cause-and-effect analysis to find the root causes of problems, but these techniques often fail to stop problems caused by human error. Problem solvers may want to consider a new approach to clarify misconceptions in applying commonly taught root-cause-analysis techniques. A new definition of root cause based not on cause and effect, but on an absence of best practices, results in a structured process that allows problem solvers to find the real cause of the human errors and equipment failures that result in most quality issues.
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