However, regardless of the sophistication or complexity of the root cause
analysis methodology used, certain considerations must always be kept in mind.
We know of numerous analyses where the root cause
has been identified but not eliminated, so RCPE offers a better process.
But we do not believe that reforms such as caps on awards address the root cause
of malpractice crises.
The team identified the root cause
in 10 hours, which could have reduced iterations and the implementation of the solution by three weeks.
The centerpiece of the Root Cause
effort was a three-day, 34 mile march from Fort Lauderdale to Miami to precede the ministerial.
A team performed a RCFA for several weeks and discovered that the root cause
was worn out coupling bolts and missing bolts due to misalignment.
These steps lead to a more refined "understanding" of the exact nature and extent of the underlying disease that is the root cause
of the patient's symptoms.
While traditional Predictive Maintenance processes only predict machine failures, the Proactive Reliability Maintenance process identifies the root cause
of these failures and prescribes measures to prevent their reoccurrence.
I use the term RCPE because it is a waste of good initiatives and time to only find the root cause
of a problem, but not fix it.