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  • 008 Root-Cause-Template - BQIS 01112018 Part2 Part1

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    Jonathan MELERO
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    The document outlines a root cause analysis template with sections for analyzing contributing environmental, human, and external factors. For each factor, it provides questions to consider at different levels of analysis and fields to record findings and opportunities for improvement. The template is intended to help users conduct a thorough review of all potential causes for an event and identify ways to enhance processes, training, and risk management.

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    008_Root-Cause-Template_-BQIS_01112018_Part2_Part1

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    The document outlines a root cause analysis template with sections for analyzing contributing environmental, human, and external factors. For each factor, it provides questions to consider at different levels of analysis and fields to record findings and opportunities for improvement. The template is intended to help users conduct a thorough review of all potential causes for an event and identify ways to enhance processes, training, and risk management.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    3 views2 pages

    008 Root-Cause-Template - BQIS 01112018 Part2 Part1

    Uploaded by

    Jonathan MELERO
    The document outlines a root cause analysis template with sections for analyzing contributing environmental, human, and external factors. For each factor, it provides questions to consider at different levels of analysis and fields to record findings and opportunities for improvement. The template is intended to help users conduct a thorough review of all potential causes for an event and identify ways to enhance processes, training, and risk management.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 2

    Root Cause Analysis Template Data Driven Review

    Page 6 of 8

    Contributing Factor - Environmental


    Level of Analysis Questions/Factors Findings and Opportunities to Improve
    Involved
    Why did it happen? What environmental
    factors directly affected
    the outcome?
    Why did that happen? Was the physical
    environment appropriate
    for the process to be
    carried out?
    Why did that happen? Are systems in place to
    identify environmental
    risks?
    Are responses to
    environmental risks
    planned and tested?

    Contributing Factor – Human Factors


    Level of Analysis Questions/Factors Findings and Opportunities to Improve
    Involved
    Why did it happen? What was the human
    factor?
    Why did that happen? Was staff performance in
    the process addressed?
    What is being done to
    prevent future
    occurrences?
    Why did that happen? Can orientation and
    training be improved?

    For assistance, please contact your DDR Specialist at 260-449-5455, or email: DataDrivenReview@fssa.in.gov
    01112018
    Root Cause Analysis Template Data Driven Review
    Page 7 of 8

    Contributing Factor – External Causes


    Level of Analysis Questions/Factors Findings and Opportunities to Improve
    Involved
    Why did it happen? Were there any
    uncontrollable external
    factors?
    Why did that happen? Are they truly beyond the
    organization’s control?
    Why did that happen? In what ways can your
    organization protect the
    consumer from these
    types of external factors?

    For assistance, please contact your DDR Specialist at 260-449-5455, or email: DataDrivenReview@fssa.in.gov
    01112018

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