Root Cause, Corrective Action Process

Karak is one of food products favored by many indonesians. Demands for this traditional meals is still high especially in the rainy season, so this food is good to be developed. In some karak cottage industries especially in urban areas, their production process has advanced, but they are still unable to fulfill high demand. In this research, Toyota Business Practices (TBP) is used to identify the root cause problem and propose improvement actions for the problem. Based on TBP’s results, the problem occurs in the cutting station where there are 900 pieces of karak which are too small or large and sloping. The root cause problem identified are the lack of a standard size for karak and equipment used is still a regular knife. Accordingly, the proposed corrective action are the creation of standards karak size and design of cutting tools to increase productivity and neatness in the cutting station.

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Global corrective action preventive action process and solution: insights at the Nokia Devices operation unit

International Journal of Productivity and Quality Management ◽

10.1504/ijpqm.2017.080691 ◽

2017 ◽

Vol 20 (1) ◽

pp. 29

Author(s):

Anne Maarit Majanoja ◽

Linnéa Linko ◽

Ville Leppänen

Keyword(s):

Corrective Action ◽

Preventive Action ◽

Operation Unit ◽

Action Process

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Capability Resurrection of DC Sputtering Machine

International Journal of Surface Engineering and Interdisciplinary Materials Science ◽

10.4018/ijseims.2021010104 ◽

2021 ◽

Vol 9 (1) ◽

pp. 60-76

Author(s):

C. L. V. R. S. V. Prasad ◽

G. V. S. S. Sharma ◽

P. N. L. Pavani

Keyword(s):

Vapour Deposition ◽

Failure Modes ◽

Corrective Action ◽

Process Parameter ◽

Physical Vapour Deposition ◽

Laboratory Environment ◽

Root Cause ◽

Dc Sputtering ◽

Ishikawa Diagram ◽

Process Failure

Nanocoatings are gaining popularity owing to their widespread applications and the physical vapour deposition constitutes an effective method of deposition of coatings onto a suitable substrate. This work comprises of capability resurrection of a newly installed DC sputtering machine through troubleshooting, calibration, and establishment of process parameter mainly in terms of critical-to-performance (CTP) characteristic identified as the sputtering voltage. This work exercises the identification of potential causes for the breakdown of the sputtering machine through Ishikawa diagram and root cause is identified through the why-why analysis. Prioritization of corrective actions through process failure modes and effects analysis (PFMEA). Correct functioning of the DC sputtering machine after taking corrective action, is validated and confirmed through experimentation. This work shall serve as a reference to the maintenance and process personnel and guide them to perform the experiments related to DC sputtering in a laboratory environment.

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Using root cause analysis (RCA) to facilitate corrective actions, after action reports (AARs), and improvement plans

Journal of Emergency Management ◽

10.5055/jem.2012.0121 ◽

2018 ◽

Vol 10 (6) ◽

pp. 442

Author(s):

Ralph Renger, PhD, MEP ◽

Mary Davis, DrPH ◽

Brenda Granillo, MS

Keyword(s):

Homeland Security ◽

Research Evidence ◽

Root Cause Analysis ◽

Corrective Action ◽

Prevention Study ◽

Cause Analysis ◽

Root Cause ◽

Is Research ◽

Control And Prevention ◽

Facilitation Skills

Root cause analysis (RCA) is methodology recommended by the Homeland Security Exercise and Evaluation Program (HSEEP) for examining why exercise objectives were not met and providing specific recommendations for corrective action. The consequence of not completing the RCA as required by HSEEP is significant. In the absence of a RCA arriving at the best corrective action is less likely. Despite its importance, there is research evidence from a Centers for Disease Control and Prevention study that the RCA is seldom completed. Several reasons are presented as to why the RCA is not completed including a lack of guidance as to how to conduct a RCA. An example of how to complete a RCA is provided followed by a discussion of the benefits of using the approach over traditional exercise debriefing methods. Reasons why there may be continued resistance to using RCA despite having the necessary facilitation skills and dedicated time are also discussed.

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A retrospective study: root cause analysis of reported serious adverse event and development of corrective action and preventive action for deviated serious adverse event reports at a clinical trial site management office

International Journal of Clinical Trials ◽

10.18203/2349-3259.ijct20203106 ◽

2020 ◽

Vol 7 (3) ◽

pp. 194

Author(s):

Dayanand Raddi ◽

Revena S. Deveriniti ◽

M. S. Ganachari ◽

Geetanjali Salimath

Keyword(s):

Clinical Trials ◽

Adverse Event ◽

Retrospective Study ◽

Case Reports ◽

Corrective Action ◽

Preventive Action ◽

Initial Report ◽

Serious Adverse Event ◽

Root Cause ◽

Safety Reporting

Background: Serious adverse events (SAEs) are preventable if reported on time. Assessment of harm caused by clinical trials is difficult than assessing the benefits as it relied on the information as recorded by the study team. Hence it is important to have knowledge about quality safety reporting. The objectives of the study were to assess root cause for the timeline deviation found in SAE report and to develop the corrective action and preventive action to minimize deviation rate.Methods: A retrospective study was conducted in KLE’s Hospital and MRC, Belagavi. Data was collected from SAE documented trial study files. Between August 2016 to August 2019, 25 SAE occurred during clinical trials which were included in the study through complete enumeration and purposive sampling.Results: Data was analyzed for SAE reporting timeline where in no deviation was found in initial report. It was seen that all SAEs were not related to investigational product. The narrations of SAE were according to standardized format as per Ethics Committee review report. A gap was observed between onset of SAE and initial report in 16 case reports.Conclusions: The study concluded that there was a lag in reporting from onset of SAE to initial report even though there was no deviation observed in the initial report timeline. The main contributing factors were admitting in different hospital without information and lack of knowledge by subjects or their relatives which shows the need of awareness about quality safety reporting.

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