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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...
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...
You’ve been here before. A defect surfaces and brings a critical project to a halt.
The agency has released two new web resources to help stakeholders work with FDA as they develop best practices and implement root cause analyses.
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...
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:...
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...
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