Tag Archives: root cause

Change Management: Create a Culture Seeking Continual Improvement or Use Band-Aids?

Successfully shepherding change within an organization is often a challenge. Often change management strategies are mainly about how to cope with a toxic culture but exclude the option of fixing the toxic culture. Why not address the root causes instead of trying band-aids? The most effective strategy is to build an organizational culture into one that promotes continual improvement. A continual improvement culture is one that is constantly changing to improve (grounded in long term principles: respect for people, experiment, … Continue reading →

Posted in Deming, Lean thinking, Management, Psychology, Respect, Systems thinking | Tagged , , , , , , , , , | 3 Comments

Root Cause, Interactions, Robustness and Design of Experiments

Eric Budd asked on The W. Edwards Deming Institute group (LinkedIn broke the link with a register wall so I removed the link): If observed performance/behavior in a system is a result of the interactions between components–and variation exists in those components–the best root cause explanation we might hope for is a description of the interactions and variation at a moment in time. How can we make such an explanation useful? A single root cause is rare. Normally you can … Continue reading →

Posted in Management, Process improvement, Systems thinking | Tagged , , , , , , , | 4 Comments

Root Cause Analysis

Nice post on Root Cause Analysis: This, more rigorous and long-lasting, approach to solving problems is called Root Cause Analysis. There are several tools that can aid in the process of Root Cause Analysis. One common tool developed by Toyota is called “5-why’s”. Basically, it is a simple approach of asking “why” several times until you arrive at an atomic but actionable item. To visually view the process of the “5-why’s”, a tool called an (Ishikawa Diagram) or a (Cause-and-Effect … Continue reading →

Posted in Management, Quality tools | Tagged , | 1 Comment

Find the Root Cause Instead of the Person to Blame

When encountering a problem or defect the inclination of many is to find a person to blame. W. Edwards Deming believed that the system was responsible for 93% of the problems and over time he increased that number to at least 97%. Why did he see it that way, while so many others first inclination is to blame someone? As I see it the issue has to do with what is the effective way to improve. Often if you ask … Continue reading →

Posted in Management, Popular, Process improvement, Psychology, Quality tools, Systems thinking | Tagged , , , , , , | 6 Comments