Download or read book The PROACT Root Cause Analysis written by Kenneth C. Latino and published by CRC Press. This book was released on 2020-09-10 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Patient Safety written by Robert J. Latino and published by CRC Press. This book was released on 2008-10-14 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Root Cause Analysis written by Mark A. Latino and published by CRC Press. This book was released on 2019-06-26 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book comprehensively outlines what a holistic and effective Root Cause Analysis (RCA) system looks like. From the designing of the support infrastructure to the measuring of effectiveness on the bottom-line, this book provides the blueprint for making it happen. While traditionally RCA is viewed as a reactive tool, the authors will show how it can be applied proactively to prevent failures from occurring in the first place. RCA is a key element of any successful Reliability Engineering initiative. Such initiatives are comprised of equipment, process and human reliability foundations. Human reliability is critical to the success of a true RCA approach. This book explores the anatomy of a failure (undesirable outcome) as well as a potential failure (high risks). Virtually all failures are triggered by errors of omission or commission by human beings. The methodologies described in this book are applicable to any industry because the focus is on the human being's ability to think through why things go wrong, not on the industry or the nature of the failure. This book correlates reliability to safety as well as human performance improvement efforts. The author has provided a healthy balance between theory and practical application, wrapping up with case studies demonstrating bottom-line results. Features Outlines in detail every aspect of an effective RCA ‘system’ Displays appreciation for the role of understanding the physics of a failure as well as the human and system’s contribution Demonstrates the role of RCA in a comprehensive Asset Performance Management (APM) system Explores the correlation between Reliability Engineering and Safety Integrates the concepts of Human Performance Improvement, Learning Teams, and Human Error Reduction approaches into RCA
Download or read book Root Cause Analysis written by Mark A. Latino and published by CRC Press. This book was released on 2016-04-19 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: What is RCA? It seems like such an easy question to answer, yet from novices to veterans and practitioners to providers, no one seems to have come to agreement or consensus on an acceptable definition for the industry. Now in its fourth edition, Root Cause Analysis: Improving Performance for Bottom-Line Results discusses why it is so hard to get su
Download or read book Root Cause Analysis written by Robert J. Latino and published by CRC Press. This book was released on 2006-05-05 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Lubrication Degradation written by Sanya Mathura and published by CRC Press. This book was released on 2021-12-14 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Root Cause Analysis RCA for the Improvement of Healthcare Systems and Patient Safety written by David Allison, CPPS and published by CRC Press. This book was released on 2021 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm. This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included. This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.
Download or read book Root Cause Analysis Second Edition written by Bjørn Andersen and published by Quality Press. This book was released on 2006-01-01 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Root Cause Analysis written by Robert J. Latino and published by CRC Press. This book was released on 2002-04-29 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: Undesirable outcomes, chronic failure, incidents, and accidents The cost of such events to corporations is high, generally adding up to tens and hundreds of millions of dollars in "accepted" losses. Why accept these losses? What if you could understand why these errors occur and eliminate chronic events from occurring altogether? Root Cause
Download or read book Patient Safety written by Russell Kelsey and published by CRC Press. This book was released on 2016-11-30 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: At a time of increasing regulatory scrutiny and medico-legal risk, managing serious clinical incidents within primary care has never been more important. Failure to manage appropriately can have serious consequences both for service organisations and for individuals involved. This is the first book to provide detailed guidance on how to conduct incident investigations in primary care. The concise guide explains how to recognise a serious clinical incident, how to conduct a root cause analysis 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. This book offers 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 are investigated and managed.
Download or read book Root Cause Failure Analysis written by R. Keith Mobley and published by Elsevier. This book was released on 1999-06-16 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 investigations Describes the methods of root cause failure analysis, a hot topic in maintenance engineering Includes detailed equipment-design guidelines
Download or read book Cases on Optimizing the Asset Management Process written by González-Prida, Vicente and published by IGI Global. This book was released on 2021-10-15 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is critical to improve the asset management system implementation as well as economics and industrial decision making to ensure that a business may move smoothly internally. Maintenance management should be aligned to the activities of maintenance in accordance with key business strategies, which must be designed under the comprehensive approach of an asset management process. After transforming the priorities of the business into priorities of maintenance, maintenance managers will use their medium-team strategies to tackle potential weaknesses in the maintenance of the equipment in accordance with these objectives. Cases on Optimizing the Asset Management Process explains and summarizes the processes and the reference frame necessary for the implementation of the Maintenance Management Model (MMM). This book acts as an overview of the current state of the art in asset management, providing innovative tools and practices from the fourth industrial revolution. Presenting topics like criticality analysis, physical asset maintenance, and unified modelling language, this text is essential for industrial and manufacturing engineers, plant supervisors, academicians, researchers, advanced-level students, technology developers, and managers who make decisions in this field.
Download or read book Root Cause Analysis written by Robert J. Latino and published by CRC Press. This book was released on 2006-05-05 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 Kenneth Latino offer a broad look at the various types of approaches to RCA, comparing their pros and cons while supplying practical tools for implementing or improving current RCA initiatives. This edition expands the scope of RCA, taking a holistic approach that includes recent perspectives, opportunity analysis, and RCA’s fit with current initiatives such as Total Quality Management (TQM) and Six Sigma. In addition to a broader perspective, the book presents updated and expanded material including: a chapter devoted to problem-solving/brainstorming; methodology versus software; using the PROACT® approach complimented by the PROACT® Enterprise Version 3.0 software; discussion of the various conflicting definitions of common terms used in RCA; and a focus on measuring ROI. Emphasizing the organizational support necessary for successful RCA efforts, Root Cause Analysis: Improving Performance for Bottom-Line Results, Third Edition demystifies the concepts involved in effective RCA and presents hands-on guidance for program enactment.
Download or read book Handbook of Healthcare Delivery Systems written by Yuehwern Yih and published by CRC Press. This book was released on 2016-04-19 with total page 798 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Download or read book Steps to Safety Culture Excellence written by Terry L. Mathis and published by John Wiley & Sons. This book was released on 2013-01-10 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a clear road map to instilling a culture of safety excellence in any organization Did you know that accidental injury is among the top ten leading causes of death in every age group? With this book as your guide, you'll learn how to help your organization develop, implement, and sustain Safety Culture Excellence, vital for the protection of and improvement in the quality of life for everyone who works there. STEPS to Safety Culture Excellence is based on the authors' firsthand experience working with international organizations in every major industry that have successfully developed and implemented ongoing cultures of safety excellence. Whether your organization is a small regional firm or a large multinational corporation, you'll find that the STEPS process enables you to instill Safety Culture Excellence within your organization. STEPS (Strategic Targets for Excellent Performance in Safety) demystifies the process of developing Safety Culture Excellence by breaking it down into small logical, internally led tasks. You'll be guided through a sequence of STEPS that makes it possible to: Create a culture of excellence that is reinforced and empowered at every level Develop the capability within the culture to identify, prioritize, and solve safety problems and challenges Maintain and continuously improve the performance of your organization's safety culture Although this book is dedicated to safety, the tested and proven STEPS process can be used to promote excellence in any aspect of organizational performance. By optimizing the safety culture in your organization, you will give the people you work with the skills and knowledge to not only minimize the risk of an on-the-job accident, but also to lead safe, healthy lives outside of work.
Download or read book Lubrication Degradation Mechanisms written by Sanya Mathura and published by CRC Press. This book was released on 2020-12-30 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: In industry, owners, engineers and workers have struggled with lubricant degradation and its effects on their equipment. The purpose of Lubrication Degradation Mechanisms: A Complete Guide is to help personnel to understand the reasons behind the degradation of their lubricant, determine methods to identify the onset of degradation and reduce or eliminate lubricant degradation within their equipment. One of the most common forms of lubricant degradation is oxidation. However, this is not the only method by which a lubricant degrades. By understanding the differences between degradation patterns, personnel can employ specific tasks / tests to aid in their identification of the type of degradation and the factors responsible. The aim of this book is to educate facility personnel on the methods of degradation and ways in which it can be reduced or eliminated while keeping an eye on the cost of operation.
Download or read book Root Cause Analysis RCA for the Improvement of Healthcare Systems and Patient Safety written by David Allison, CPPS and published by CRC Press. This book was released on 2021-08-24 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book follows a proven training outline, including real-life examples and exercises, to teach healthcare professionals and students how to lead effective and successful Root Cause Analysis (RCA) to eliminate patient harm. This book discusses the need for RCA in the healthcare sector, providing practical advice for its facilitation. It addresses when to use RCA, how to create effective RCA action plans, and how to prevent common RCA failures. An RCA training curriculum is also included. This book is intended for those leading RCAs of patient harm events, leaders, students, and patient safety advocates who are interested in gaining more knowledge about RCA in healthcare.
