Root Cause Analysis: Improving Performance for Bottom-Line Results, Fourth Edition

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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 such consensus and why various providers are reluctant for that to happen. See what’s new in the Fourth Edition: Human Error Reduction Techniques (HERT) � new chapter Failure Scene Investigation (FSI) � Disciplined Evidence Gathering Categorical versus Cause-and-Effect RCA Tools Analysis Tools Review The Germination of a Failure Constructing a Logic Tree Introduction of PROACTOnDemand SM The Advantages of Software-as-a-Service (SaaS) The Pros and Cons of RCA Templates Three New Client Case Histories The authors discuss evidence collection and strategy, failure scene investigation techniques, the human element, and the contribution of human performance and human factors to poor decision making. They clarify definitions that can be considered ambiguous and underscore the distinctions between applying PROACT manually using a paper-based system versus using an automated software tool. Written by practitioners for practitioners, the book outlines an entire RCA system which involves a cultural paradigm change about how failure is perceived and acted upon in an organization. The authors �� trademark, down-to-earth style provides a step-by-step action plan for how to construct and implement a root cause analysis system that can be applied to any industry. Read MRI Safety 10 Years Later , co-authored by Robert Latino.

Root Cause Analysis: Improving Performance for Bottom-Line Results, Fourth Edition Review

Just finished this book and it was an easy read and very helpful. The authors approach Root Cause Analysis from a reliability point of view but that does not mean you can't learn something useful for reducing defects in a process, or for any other form of continuous improvment. They favor the logic tree approach for getting to the root cause and give a very good explanation on how to apply it. I have found this approach easier to teach to my clients and easier for them to understand and apply than 5 why's or the fishbone diagram approaches. The logic tree requires gathering data to validate or invalidate each possible reason in the causal chain of events. Sometimes the data is not conclusive enough to do this but the authors propose a way to handle this so you don't get bogged down.

My recommendation is to read chapters 2-8 and chapter 10, then go back and read whatever else is of interest. There are a few errors in the book but they are do not seriously detract from the concepts being covered.

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