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The post below was written by Gemba Academy Master Black Belt Candidate Noah Waech. Noah was also recently on our podcast. Thank you for sharing your knowledge with us, Noah! Roo...
You know the feeling in the conference room when the team finally lands it. The fishbone is covered in sticky notes. You've worked through five whys, or ten, or fifteen. Somebody o...
Here's the most famous example of root cause analysis in the Lean world, from Taiichi Ohno's book on the Toyota Production System. You've seen it in training decks, conference talk...
You’ve been here before. A defect surfaces and brings a critical project to a halt.
Earlier in the week, I met with Victoria (not her original name) who quit her seafaring career because she was traumatised by an accident. On the day of the accident, she was onboa...
В Incident Investigation: Learn From Today, Prevent TomorrowCaption:Every incident has a cause. Every cause can be prevented.В But only if we investigate it the right way.The 7-Ste...
The agency has released two new web resources to help stakeholders work with FDA as they develop best practices and implement root cause analyses.
Every engineering team I talk to has the same problem. When a P1 fires, coding stops. An engineer gets pulled in, spends 30 to 60 minutes hunting through logs, tracing requests acr...
LinkedIn Draft — Workflow (2026-05-19) A hard-earned rule from incident retrospectives: Incident RCA without a data-backed timeline is just a story you told yourself Most pos...
Most improvement work starts with a process someone can see: the steps their team follows, the metrics on their board, the problems in their inbox. That's where it should start....
Инциденты случаются у всех. Разница между командами — не в их отсутствии, а в том, повторяются ли одни и те же сбои снова и снова. Часто разбор заканчивается быстро и предсказуемо:...
Post-mortems are the closest thing software engineering has to a scientific method. Yet every structured inquiry into failure carries a quiet epistemological trap — one that most t...
If your Five Whys sessions feel like they’re going in circles, you’re not alone. What starts as a simple exercise often turns into a tangled mess of guesses, side paths, and compet...
Every improvement program has a version of this story. Someone identifies a change they want to make. They build the business case, get the resources, run the project. The resul...
Why Financial Risk Models Must Go Causal — And What the Industry Gains When They Do The financial i
KUALA LUMPUR, May 19 — Rapid Rail has initiated a comprehensive inspection of its train fleet in response to the s...
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