Setting the Standard for Service 1 Analyze Root Causes Time Allotted: 2 Hours

Setting the Standard for Service 2 Norms Participate in a positive manner with a goal of consensusParticipate in a positive manner with a goal of consensus Honor timeHonor time Stay focused with results in mindStay focused with results in mind Listen respectfully with possibilityListen respectfully with possibility Maintain confidentiality and be trustworthyMaintain confidentiality and be trustworthy Give and be open to honest feedbackGive and be open to honest feedback Commit to actionCommit to action Inform others if you are struggling to meet your commitmentsInform others if you are struggling to meet your commitments

Setting the Standard for Service 3 A Root Cause Analysis is a problem solving method aimed at identifying the root causes of problems or events.

Setting the Standard for Service 4 This is NOT a time to brainstorm solutions.

Setting the Standard for Service 5 Benefits of Root Cause Analysis Helps minimize/eliminate the problem, not just the symptomHelps minimize/eliminate the problem, not just the symptom Ensures that conclusions are documented by evidence grounded in dataEnsures that conclusions are documented by evidence grounded in data Encourages discussion and reflectionEncourages discussion and reflection Eliminates “patching” and wasted effortEliminates “patching” and wasted effort Conserves scarce resourcesConserves scarce resources Provides rationale for strategy selection Provides rationale for strategy selection

Setting the Standard for Service 6 Steps 1.Develop a problem statement. 2.Gather and analyze data that provide additional insight about the problem. 3.Identify major categories in which potential causes may reside. 4.Identify potential causes in each category type. 5.Determine relationships. 6.Agree upon the most probable cause(s).

Setting the Standard for Service 7 Root Cause Analysis Cause/Effect