4 ms·
The real trick to root cause analysis is not to find a straight chain of 5 "whys" but to find a tree of whys and examine the leaf nodes. One path from root to
by heleninboodler 5y ago
The real trick to root cause analysis is not to find a straight chain of 5 "whys" but to find a tree of whys and examine the leaf nodes. One path from root to tip would resemble a "5 whys" (but potentially be longer or shorter) but stopping when you've found a single item to fix is doing yourself a disservice.
- TimTheTinker 5y agoThis 1000x. It's particularly interesting if leaf nodes are allowed to continue branching into uncomfortable or organizationally taboo subjects (like culture or leadership problems), and if the same problems appear multiple times as leaf nodes. Then you know you're really getting somewhere.
- samstave 5y agoWhere may I read more about this, or have the correct terms to look into?
- TimTheTinker 5y agoHere's an excellent article. Check out the example causal tree diagram in particular (which resulted from a real incident at a rural hospital). https://qualitysafety.bmj.com/content/26/8/671 https://qualitysafety.bmj.com/content/26/8/671
- fijiaarone 5y agoActually that would be 3125x
- deleted 5y ago[deleted]