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Practical Root Cause Analysis Using Cause Mapping
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GETTING TO THE ROOT OF ROOT CAUSE ANALYSES
•Having Filled Out The Fishbone Diagram And Identified Some Contributing Causes, Ask “Why” For Each Contributing Cause •"Why" Is Taken To Mean "What Were The Factors That Directly Resulted In Or Allowed The Issue To Exist?“ •Keep Asking “Why” Until You Have Reached The Most Basic Cause 28 4th, 2024
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