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1. www.nhselect.nhs.uk › Root-cause-analysis-guideRoot cause analysis guide - NHS Elect

   www.nhselect.nhs.uk › Root-cause-analysis-guide

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   Discover the power of the five whys with our guide to root cause analysis. This practical resource helps you uncover underlying issues, streamline problem-solving, and implement effective solutions.

   • Root cause analysis

     By quickly identifying the source of an issue or problem,...

2. Videos

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     The 5 Whys Explained - Root Cause Analysis

     22 May 2019

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     5:17

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     What is Root Cause Analysis?

     19 Mar 2018

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     28:18

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     Root Cause Analysis Techniques | Root Cause Analysis | Invensis Learning

     21 Apr 2021

     143.2K views

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3. pubmed.ncbi.nlm.nih.gov › 32339023Root cause analysis in the NHS: time for change? - PubMed

   pubmed.ncbi.nlm.nih.gov › 32339023

   Apr 2, 2020 · A human factors approach to root cause analysis looks at system vulnerabilities, considering the entirety of the environment in which an individual works and taking into account factors such as the physical environment and individual mental characteristics. Other human factors include group dynamics, task complexity and concurrent tasks.

   • Author: Shyam Kumar, Roger Kline, Tracy Boylin

   • Publish Year: 2020

4. www.pslhub.org › learn › investigations-riskNHS Improvement: Root cause analysis - using five whys (17 ...

   www.pslhub.org › learn › investigations-risk

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   May 22, 2019 · Five whys can help you determine the relationship between different root causes of a problem. It is a simple tool and can be completed without statistical analysis. You can use this tool either in isolation or to complement a root cause analysis.

   • Author: Patient Safety Learning

5. www.england.nhs.uk › wp-content › uploadsSerious Incident Framework - NHS England

   www.england.nhs.uk › wp-content › uploads

   system-based method for conducting investigations, commonly known as Root Cause Analysis (RCA), and its potential as a powerful mechanism for driving improvement. This revised Framework has been developed in collaboration with healthcare

   • File Size: 1MB

   • Page Count: 90

6. www.england.nhs.uk › commissioning › wp-contentThe Handbook of Quality and Service Improvement Tools

   www.england.nhs.uk › commissioning › wp-content

   find out more about all of these publications at www.institute.nhs.uk/fundamentals. All of the tools, theories and techniques featured in the handbook and more are available online in our searchable library, available free of charge to the NHS in England at www.institute.nhs.uk/qualitytools.

7. www.england.nhs.uk › wp-content › uploadsGuide to responding proportionately to patient safety incidents

   www.england.nhs.uk › wp-content › uploads

   The NHS is well versed in root cause analysis (RCA). However, although RCA was designed to be system-based and go beyond the more usual identification of fault and blame (see the London Protocol1), this approach to learning from patient safety incidents has been under-realised.

8. People also ask

   What is a human factors approach to root cause analysis?

   • A human factors approach to root cause analysis looks at system vulnerabilities, considering the entirety of the environment in which an individual works and taking into account factors such as the physical environment and individual mental characteristics. Other human factors include group dynamics, task complexity and concurrent tasks.

   Root cause analysis in the NHS: time for change? - PubMed

   pubmed.ncbi.nlm.nih.gov/32339023/

   See all results for this question

   Why do you need a root cause analysis tool?

   • It is a simple tool and can be completed without statistical analysis. You can use this tool either in isolation or to complement a root cause analysis. Because it quickly helps identify the source of an issue or problem, you can focus resources in the correct areas and ensure you are tackling the true cause of the problem, not just its symptoms.

   NHS Improvement: Root cause analysis - using five whys (17 January 20…

   www.pslhub.org/learn/investigations-risk-management-and-legal-issues/nhs-improvement-root-cause-analysis-using-five-whys-17-january-2018-r2305/

   See all results for this question

   Is root cause analysis system-based?

   • Is root cause analysis ‘system-based’? The NHS is well versed in root cause analysis (RCA). However, although RCA was designed to be system-based and go beyond the more usual identification of fault and blame (see the London Protocol1), this approach to learning from patient safety incidents has been under-realised.

   Guide to responding proportionately to patient safety incidents

   www.england.nhs.uk/wp-content/uploads/2022/08/B1465-3.-Guide-to-responding-proportionately-to-patient-safety-incidents-v1-FINAL.pdf

   See all results for this question

   Is root cause analysis an impediment to patient safety?

   • Other human factors include group dynamics, task complexity and concurrent tasks. It is time that the growing evidence of the potential shortcomings of root cause analysis, especially as frequently applied within the NHS, is heeded. At present, rather than assisting learning it may be an impediment to patient safety.

   Root cause analysis in the NHS: time for change? - PubMed

   pubmed.ncbi.nlm.nih.gov/32339023/

   See all results for this question

   What is root cause analysis (RCA)?

   • mised wherever possible. The recognised system-based method for conducting investigations, commonly known as Root Cause Analysis (RCA), should be applied for the investig

   Serious Incident Framework - NHS England

   www.england.nhs.uk/wp-content/uploads/2015/04/serious-incidnt-framwrk-upd.pdf

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   What is root cause analysis & 5 Whys?

   • tion on root cause analysis and five whys.BackgroundFive whys was devised by Toyot as they developed their manufacturing methodologies. It forms a critical component of their problem solving training and is pa t of the induction into the Toyot

   The Handbook of Quality and Service Improvement Tools - NHS England

   www.england.nhs.uk/commissioning/wp-content/uploads/sites/44/2017/11/the_handbook_of_quality_and_service_improvement_tools_2010-2.pdf

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9. www.nhselect.nhs.uk › uploads › filesRoot cause analysis - NHS Elect

   www.nhselect.nhs.uk › uploads › files

   By quickly identifying the source of an issue or problem, you can focus resources in the correct areas and ensure you are tackling the true cause of the issue, not just its symptoms. How to use it. • Write down the specific problem. Writing it down helps you formalise the problem and describe it accurately.