8Root‐Cause Analysis

In this chapter, we discuss the importance of root‐cause analysis to better understand why the system produces the current outcomes. When you can target root causes, you can address them through strategic planning. Root cause analysis is a multistep process that requires identifying potential root causes, organizing root causes around control, and validating and verifying those causes. This chapter will prepare you to complete a root‐cause analysis after you organize the key findings from your self‐assessment process.

Down the River

Once upon a time, a group of adults enjoyed the sun on the bank of a river. Suddenly, they heard screaming. They whipped around and saw a teenager getting pulled down that river, splashing ...

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