scholarly journals Prioritisation of root cause analysis in production disturbance management

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Adriana Soares Ito ◽  
Torbjörn Ylipää ◽  
Per Gullander ◽  
Jon Bokrantz ◽  
Anders Skoogh
Keyword(s):  
Root Cause Analysis ◽  
Resource Utilisation ◽  
Manufacturing Companies ◽  
Cause Analysis ◽  
Content Type ◽  
Root Cause ◽  
Wide Range ◽  
Disturbance Management ◽  
Machine Health ◽  
Process Perspective

PurposeManufacturing companies struggle to manage production disturbances. One step of such management deals with prioritising those disturbances which should undergo root cause analysis. The focus of this work is on two areas. First, investigating current challenges faced by manufacturing companies when prioritising root cause analysis of production disturbances. Second, identifying the stakeholders and factors impacted by production disturbances. Understanding the current challenges and identifying impacted stakeholders and factors allows the development of more efficient prioritisation strategies and, thus, contributes to the reduction of frequency and impact of disturbances.Design/methodology/approachTo achieve the intended purpose of this research, a qualitative approach was chosen. A series of interviews was conducted with practitioners, to identify current challenges. A series of focus groups was also held, to identify the impacted stakeholders and factors by disturbances.FindingsVarious challenges were identified. These are faced by manufacturing companies in their prioritisation of production disturbances and relate to the time needed, criteria used, centralisation of the process, perspective considered and data support. It was also found that a wide range of stakeholders is impacted by production disturbances, surpassing the limits of production and maintenance departments. Furthermore, the most critical factors impacted are quality, work environment, safety, time, company results, customer satisfaction, productivity, deliverability, resource utilisation, profit, process flow, plannability, machine health and reputation.Originality/valueThe current situation regarding root cause analysis prioritisation has not been identified in previous works. Moreover, there has been no prior systematic identification of the various stakeholders and factors impacted by production disturbances.

Datengetriebene Steigerung der Verfügbarkeit/Data-supported root cause analysis to increase the availability of machine tools. Data-driven availability increase

2020 ◽  
Vol 110 (07-08) ◽  
pp. 532-535
Author(s):  
Eckhart Uhlmann ◽  
Roman Dumitrescu ◽  
Julian Polte ◽  
Maurice Meyer ◽  
Deniz Simsek
Keyword(s):  
Data Analysis ◽  
Machine Tools ◽  
Critical Factor ◽  
Root Cause Analysis ◽  
Data Driven ◽  
Manufacturing Companies ◽  
Cause Analysis ◽  
Root Cause ◽  
Comprehensive Data ◽  
Causes Of Failure

Die Zuverlässigkeit von Werkzeugmaschinen ist ein kritischer Faktor für den Erfolg produzierender Unternehmen. Durch die Analyse von Daten in der Produktplanung können Maschinenhersteller Ausfallursachen eliminieren und Maschinen systematisch verbessern. Jedoch stellt eine umfassende Datenanalyse viele Unternehmen vor große Herausforderungen. Die in diesem Beitrag vorgestellte Methodik adressiert diese Problematik und unterstützt Unternehmen bei der zielgerichteten Datenanalyse.   The reliability of machine tools is a critical factor for the success of manufacturing companies. By analyzing data in product planning, machine manufacturers can eliminate causes of failure and systematically improve machines. However, comprehensive data analysis poses great challenges for many companies. The methodology presented in this paper addresses this problem and supports companies in the goal-driven data analysis.

scholarly journals To err is human: medication patient safety in aged care, a case study

2018 ◽  
Vol 19 (2) ◽  
pp. 126-134
Author(s):  
Julia Gilbert ◽  
Jeong-ah Kim
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Medication Management ◽  
Care Facility ◽  
Root Cause Analysis ◽  
Aged Care ◽  
Cause Analysis ◽  
Content Type ◽  
Root Cause

Purpose The purpose of this paper is to explore an identified medication error using a root cause analysis and a clinical case study. Design/methodology/approach In this paper the authors explore a medication error through the completion of a root cause analysis and case study in an aged care facility. Findings Research indicates that medication errors are highly prevalent in aged care and 40 per cent of nursing home patients are regularly receiving at least one potentially inappropriate medicine (Hamilton, 2009; Raban et al., 2014; Shehab et al., 2016). Insufficient patient information, delays in continuing medications, poor communication, the absence of an up-to-date medication chart and missed or significantly delayed doses are all linked to medication errors (Dwyer et al., 2014). Strategies to improve medication management across hospitalisation to medication administration include utilisation of a computerised medication prescription and management system, pharmacist review, direct communication of discharge medication documentation to community pharmacists and staff education and support (Dolanski et al., 2013). Originality/value Discussion of the factors impacting on medication errors within aged care facilities may explain why they are prevalent and serve as a basis for strategies to improve medication management and facilitate further research on this topic.

A proposed hybrid root cause analysis technique for quality management

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dharyll Prince Abellana
Keyword(s):  
Quality Management ◽  
Structural Model ◽  
Group Discussion ◽  
Root Cause Analysis ◽  
Cause Analysis ◽  
Content Type ◽  
Root Cause ◽  
Analysis Technique ◽  
Proposed Model ◽  
Cause And Effect Diagram

PurposeThis paper attempts to develop a hybrid cause and effect diagram (CED) and interpretative structural model (ISM) for root cause analysis in quality management. The proposed model overcomes the weakness of the CED in reliably articulating hierarchical cause–effect Relationships.Design/methodology/approachA focus group discussion (FGD) among quality experts in the case company to establish relationships between the determined causes.FindingsThe hybridization of the CED and ISM allowed the causes to be ordered more clearly to determine potential root causes as well as presenting these causes more comprehensively.Originality/valueThe paper has been one of the very few attempts to improve the CED approach. As such, this paper employs the ability of the ISM to order concepts in a hierarchical structure, which is useful in determining root causes.

The problem of rape in India: a multi-dimensional analysis

2014 ◽  
Vol 7 (3) ◽  
pp. 362-379 ◽  
Author(s):  
Radha R. Sharma ◽  
Rupali Pardasani ◽  
Sharda Nandram
Keyword(s):  
Dimensional Analysis ◽  
Subject Matter ◽  
Secondary Data ◽  
Root Cause Analysis ◽  
Multiple Perspectives ◽  
Cause Analysis ◽  
Content Type ◽  
Root Cause ◽  
Gang Rape ◽  
Rape Case

Purpose – The purpose of this paper is to analyse the problem of “Rape” in India from multiple perspectives and recommend measures for mitigating this crime from the country. Using the much highlighted incident of gang rape of a 23-year-old woman in Delhi, India on 16 December 2012, the paper analyses the behaviour of the various parties involved in the case with the help of some sociological and psychological theories. Design/methodology/approach – A structured investigation through the technique of root cause analysis was applied to the gang rape case of 16 December 2012 to identify the true cause of the problem of rape and suggest the actions necessary to eliminate such reoccurrences in future. Findings – The analysis of the problem of rape in general and the gang rape case in particular presented numerous causes for this problem. Considering the complexity of question the authors have presented a multi-dimensional response to this problem. Research limitations/implications – Due to the sensitive nature of subject matter under study this research paper is limited by use of secondary data to conduct root cause analysis. Social implications – Despite the fact that rape is regarded heinous and criminal in nature, the number and the level of inhumanity of this crime has been on a rise. Therefore, the subject matter is very important and topical. The paper makes theoretical and practical contribution on a least researched subject of crime against women in the form of rape. Many benefits could accrue from such multi-dimensional analysis of the rape case. A better understanding of the motivation behind the rape would probably result in taking measures to prevent the problem. Originality/value – Though multifarious views exist regarding rape and allied crimes, the studies are dispersed in nature and need a holistic integration to delve deeper into the causes and consequents of rape. This paper not only integrates diverse perspectives but also explores the multi-dimensional causes of the phenomenon of rape.

Planning for what? An analysis of root cause quality and content in school improvement plans

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Coby V. Meyers ◽  
Bryan A. VanGronigen
Keyword(s):  
School Improvement ◽  
Root Cause Analysis ◽  
Initial Study ◽  
School Improvement Plan ◽  
Cause Analysis ◽  
Content Type ◽  
School Improvement Planning ◽  
Organizational Challenges ◽  
Root Cause ◽  
Improvement Planning

PurposeLimited research on root cause analysis exists in educational leadership. Accurately diagnosing and detailing root causes—the why—of organizational failure, as is relatively common in other fields, could improve principals' ability to devise situationally- and contextually-responsive solutions in their improvement plans. In this study, the authors analyze school improvement plans to provide insight into how principals use root cause analysis to identify their and their school's failures as a way to respond strategically with goals and action steps.Design/methodology/approachIn this exploratory qualitative study, the authors develop coding schemes and leverage an existing rubric of school improvement plan quality to assess what principals identify as root causes for 216 priorities across 111 school improvement plans.FindingsThe overall quality of root causes submitted by principals was low, typically between “beginning” and “developing” stages. The majority of root causes aligned with priorities and desired outcomes, but fewer than one-third had a systems focus. Moreover, less than half of root causes suggested that school leaders played a part in the organizational failures. The vast majority of plans instead identified teachers as the root cause, foundational fault or “why” of the problem.Originality/valueAn increased understanding of root cause analysis conceptualization and development seems necessary if improvement planning is to be a strategic response to a school's most serious organizational challenges. The predominant approach to school improvement planning has focused almost exclusively on how to succeed or become better with little investment in identifying root causes of organizational decline or failure. This initial study of root cause quality in school improvement planning is a key first step in critically thinking about how improvement is to be achieved when failure is unconceived.

A systematic approach to root cause analysis using 3 × 5 why’s technique

2019 ◽  
Vol 10 (1) ◽  
pp. 295-310 ◽  
Author(s):  
Prashant Gangidi
Keyword(s):  
Operations Management ◽  
Swot Analysis ◽  
Root Cause Analysis ◽  
Management Technique ◽  
Specific System ◽  
Deep Dive ◽  
Cause Analysis ◽  
Content Type ◽  
Root Cause ◽  
Multiple Groups

Purpose The purpose of this paper is to go a step further from the traditional 5 Whys technique by adding three more legs during the root cause analysis stage – occurrence, human and systemic issues that contribute toward the problem, hence the term 3 × 5 Whys. Performing individual 5 Whys for these three components enables to identify deeper root cause(s) that may spawn across multiple groups within an organization. Design/methodology/approach Cause-and-effect analysis used during traditional root cause investigations within an 8D or Lean six sigma project is used as a theoretical foundation. Examples from different industries are presented showing the 3 × 5 Why’s framework and advantages it brings to the organization along with identifying shortcomings and suggestions to make it more effective. Findings If properly used this integrated methodology will reveal higher order systemic causes (e.g. policies or management decisions) stemming from lower lever symptoms (e.g. defective parts, procedural errors). Effective execution of this methodology can provide tremendous results in defect reduction, yield improvement, operational efficiency improvement and logistics management type of projects. Resolving higher level sources of problems allows an organization to evolve itself and maintain a competitive edge in the market. Research limitations/implications Adopting this quality management technique in start-up companies entails some challenges and other implications have been discussed with SWOT analysis. Practical implications Examples from various sectors using 3 × 5 Why approach have been presented that show that this methodology provides deeper insight into root causes which could be affecting multiple groups in an organization. Using this technique effectively is found to be beneficial to resolve issues in operations management, logistics, supply chain, purchasing, warehouse operations, manufacturing, etc. Social implications This methodology has a human component which often results in some sort of resistance as not all working professionals think alike when it comes to accountability and ownership of issues. This may hinder root cause analysis and subsequent corrective actions implementation. Originality/value This study is unique in its in-depth real-world case studies demonstrating the need for taking a deep dive approach to root cause analysis by understanding specific, system and human components responsible for causing the failure mode.

Failure mode and effect analysis (FMEA) of radiotherapy

2020 ◽  
Vol 10 (4) ◽  
pp. 1-22
Author(s):  
Rajaram Govindarajan ◽  
Mohammed Laeequddin
Keyword(s):  
Health Care ◽  
Quality Management ◽  
Ethical Dilemma ◽  
Failure Modes ◽  
Root Cause Analysis ◽  
Effect Analysis ◽  
Cause Analysis ◽  
Content Type ◽  
Root Cause ◽  
Error Proofing

Learning outcomes Learning outcomes are as follows: students will discover the importance of process orientation in management; students will determine the root cause of the problem by applying root cause analysis technique; students will identify the failure modes, analyze their effect, score them on a scale and prioritize the corrective action to prevent the failures; students will analyze the processes and propose error-proof system/s; and students will analyze organizational culture and ethical issues. Case overview/synopsis Purpose: This case study is intended as a class-exercise, for students to discover the importance of process-orientation in management, analyze the ethical dilemma in health care and to apply quality management techniques, such as five-why, root cause analysis, failure mode and effect analysis (FMEA) and error-proofing, in the management of the health-care and service industry. Design/methodology/approach: A voluntary reporting of a case of “radiation overdose” in a hospital’s radio therapy treatment unit, which led to an ethical dilemma. Consequently, a study was conducted to establish the causes of the incident and to develop a fail-proof system, to avoid recurrence. Findings: After careful analysis of the process-flow and the root causes, 25 potential failure modes were detected and the team had assigned a risk priority number (RPN) for each potential incident, selected the top ten RPNs and developed an error-proofing system to prevent recurrence. Subsequently, the improvement process was carried out for all the 25 potential incidents and a new control mechanism was implemented. The question of ethical dilemma remained unresolved. Research limitations/implications: Ishikawa diagram, FMEA and Poka-Yoke techniques require a multi-disciplinary team with process knowledge in identifying the possible root causes for errors, potential risks and also the possible error-proofing method/s. Besides, these techniques need frank discussions and agreement among team members on the efforts for the development of action plan, implementation and control of the new processes. Practical implications: Students can take the case data to identify root cause analysis and the RPN (RPN = possibility of detection × probability of occurrence × severity), to redesign the protocols, through systematic identification of the deficiencies of the existing protocols. Further, they can recommend quality improvement projects. Faculty can navigate the case session orientation, emphasizing quality management or ethical practices, depending on the course for which the case is selected. Complexity academic level MBA or PG Diploma in Management – health-care management, hospital administration, operations management, services operations, total quality management (TQM) and ethics. Supplementary materials Teaching Notes are available for educators only. Subject code CSS 9: Operations and Logistics.

Causes of delay in Iranian oil and gas projects: a root cause analysis

2019 ◽  
Vol 13 (3) ◽  
pp. 630-650 ◽  
Author(s):  
Rateb Sweis ◽  
Alireza Moarefi ◽  
Mahmood Hosseini Amiri ◽  
Soad Moarefi ◽  
Rawan Saleh
Keyword(s):  
Large Scale ◽  
Oil And Gas ◽  
International Energy Agency ◽  
Strong Relationship ◽  
Oil And Gas Industry ◽  
Root Cause Analysis ◽  
Energy Agency ◽  
Cause Analysis ◽  
Content Type ◽  
Root Cause

Purpose The international energy agency states that the world’s primary energy needs are expected to grow to 55 per cent until 2030. Therefore, oil and gas industry as the main energy source will be more crucial where building or advancing new capacities is required. Because the reports highlight the delay as a recurring problem, thereby, more in-depth investigation to find out the main contributing causes is needed. Design/methodology/approach Root cause analysis (RCA) was applied to identify, rank, analysis and categorize the main sources of this problem. Findings Based on RCA procedure; Pareto analysis showed that 84.7 per cent of the delay is because: the radar chart indicated no difference in perception of the participants regarding the importance of the root causes, correlation analysis suggested strong relationship among the participants and the cause-and-effect diagram emphasized more on operational, human and equipment categories, which in total account for 51.86 per cent of the delay. Originality/value The risk planners of large-scale projects can consider these root causes as the main items to analysis, monitor and control, as they are vitally important for project success.

scholarly journals Monitoring Process Variability and Root Cause Analysis in Paper Box Production

2018 ◽  
Vol 7 (4.30) ◽  
pp. 492
Author(s):  
Rohayu Mohd Salleh ◽  
Ng Jin Chuan ◽  
Sabariah Saharan
Keyword(s):  
Root Cause Analysis ◽  
Manufacturing Companies ◽  
Process Variability ◽  
Cause Analysis ◽  
Root Cause ◽  
Computation Efficiency ◽  
Analysis Technique ◽  
Monitoring Procedure ◽  
Multiple Characteristics ◽  
T2 Control Chart

In this paper, monitoring procedure for process variability in multivariate setting based on individual observations which is a combination of (i) Hotelling’s T2 control chart in detecting out of control signal and (ii) implementation of Mason, Young and Tracy (MYT) decomposition and structure analysis technique for root cause analysis is introduced. The advantages of this procedure will be shown by using the case of a paper box production process in one of the Malaysian manufacturing companies. The successful application of this multivariate approach could act as a stimulant for most industries to imitate in process monitoring. Moreover, the computation efficiency in root cause analysis enables quality’s multiple characteristics to be monitored simultaneously. Based on the findings, the core issue that needs to be a matter of concern by the management team is the closure tap of the box. This process variation should be solved immediately to avoid the products’ quality from further deteriorating.

Root Cause analysis of SG tube ODSCC indications within the tube sheets of NPP biblis unit A

2011 ◽  
pp. 78-86
Author(s):  
R. Kilian ◽  
J. Beck ◽  
H. Lang ◽  
V. Schneider ◽  
T. Schönherr ◽  
...  
Keyword(s):  
Root Cause Analysis ◽  
Cause Analysis ◽  
Root Cause
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