RCA培训教材精选.pptxVIP

Root Cause Analysis 根源分析理论 ;;Introduction介绍 Principles原理 Cause Mapping – 3 steps CM 理论的3个步骤 Facilitation and Application便利性和适用性;Today今天 Challenge and ask questions挑战和提问 Practice实践 After the workshop了解理论之后 Practice the RCA process将RCA理论用于实践 Apply the RCA on your problems用RCA理论处理你的问题 Lead by example in Problem solving sessions以身作则的处理问题 Teach this to someone else将此理论教给别人;Process map流程图 A map of the specific steps of work process工作进程中具体步骤的流程图;Cause Maps A map of the causes of a problem问题起因的示意图 ;;Target: we would like to spend all of time executing work processes without errors. 目标:我们无差错的完成所有工作 Paradox矛盾点: we don’t want to become good at investigating problems so that we can investigate more and more problems 我们不是因为想善于探究问题，从而去探究越来???多的问题. We want to become good at investigating problems so that we can investigate fewer and fewer. 我们想善于探究问题，但能探究的问题越来越少 The Focus is on PREVENTION重点在于预防;Step 1 Problem问题 4 simple questions: what, when, where and the impact to the goals 4个简单的发问：什么问题、何时发生、在何地、以及影响如何 Step 2 Analysis分析 Break the problem down into its parts. It is driven by evidence based cause-and-effect relationships that are captured visually. 将整个问题分解成一些单个的局部问题，根据因果关系的佐证将问题直观展现出来。 Step 3 Solutions解决方案 once the analysis is completed, possible solutions are identified for specific causes. The possible solutions can be listed and from them we select the best solutions for the action plan. 完成分析之后，确立出解决问题的所有可选方案。列出所有可选方案，并从中选出可以落实最可行的方案。;?;Instead of attempting to change the culture, people, history and traditions, we simply start by working one problem. If that one problem goes well, if the analysis is thorough and easy to understand, then people will copy that works. 要想改变企业的文化、人力、历史和传统，我们要做的不是直接尝试去改变，而是通过解决某一个难题开始。如果此问题得到有效解决，人们也能够简单透彻的理解其分析过程，接下来人们就会去效仿，从而潜移默化的做出了改变。;Prevention Problem solving and reducing risk 预防措施 解决问题并降低风险 Overall goals Prioritize every issue and incident 整体目标 确定问题和事件的轻重缓急 Peop