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1. 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.

   • Author: Shyam Kumar, Roger Kline, Tracy Boylin

   • Publish Year: 2020

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     The 5 Whys Explained - Root Cause Analysis

     22 May 2019

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     Root Cause Analysis with Examples

     17 Oct 2018

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     What is Root Cause Analysis?

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3. 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. Useful for any improvement project, it helps enhance understanding and drive lasting improvements.

4. www.magonlinelibrary.com › doi › fullRoot cause analysis in the NHS: time for change? | British ...

   www.magonlinelibrary.com › doi › full

   Apr 8, 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.

   • Author: Shyam Kumar, Roger Kline, Tracy Boylin

   • Publish Year: 2020

5. www.sciencegate.app › document › 10Root cause analysis in the NHS: time for change? - ScienceGate

   www.sciencegate.app › document › 10

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   <jats:p> Root cause analyses were intended to search for system vulnerabilities rather than individual errors, using a human factors engineering appro ...

6. 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

7. www.england.nhs.uk › improvement-hub › wp-contentNHS Improvement An Overview of Six Sigma - NHS England

   www.england.nhs.uk › improvement-hub › wp-content

   Analyse To establish problem root causes and understand their effect on the process • Identify root causes • Validate root causes • Determine true sources of variation • Process control and capability • Analysis of detailed process maps for improvement opportunities • Plot and analyse data • Determine the amount of

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/

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   What is a root cause analysis?

   • Root cause analyses were intended to search for system vulnerabilities rather than individual errors, using a human factors engineering approach. In practice, root cause analyses done in the NHS may generally fail to identify components where there are organisational failures, as there may be an inherent desire to protect institutional reputation.

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

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

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   Can root cause analysis be eliminated?

   • If the flaws in root cause analysis can be eliminated, drawing on the available evidence, cases such as those of Dr Hadiza Bawa-Garba and Mr David Sellu might be avoided. Root cause analyses were intended to search for system vulnerabilities rather than individual errors, using a human factors engineering approach.

   Root cause analysis in the NHS: time for change?

   www.magonlinelibrary.com/doi/full/10.12968/hmed.2019.0352

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   Which methods are best for root cause analysis?

   • The most commonly recommended root cause analysis method is asking at least 5 'why' questions to a problem occurrence. This simple process involves repeatedly asking 'why' until you reach the root cause(s).

   Root Cause Analysis: Different Techniques with One Goal - Qualityze

   www.qualityze.com/root-cause-analysis/

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   Who should perform a root cause analysis?

   • The authors propose that root cause analyses should be performed by a group of people who are not managing the service. External organisations such as the General Medical Council, Nursing and Midwifery Council, Care Quality Commission and Practitioner Performance Assessment are heavily reliant on this tool when concerns are raised.

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

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

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   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/

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9. www.researchgate.net › publication › 340513913_RootRoot cause analysis in the NHS: time for change ...

   www.researchgate.net › publication › 340513913_Root

   Apr 8, 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...