Root Cause Analysis, 5th Edition

5

Opportunity Analysis: “Mindfulness”

Mindfulness is about the ability of a system to concentrate on what is going on here and now¹.

With all the noise and distraction of a reactive work environment, it is sometimes easy to overlook the obvious. For instance, if we wanted to perform a Root Cause Analysis (RCA) on an event, would we know which event was the most significant or costly? Experience demonstrates that we would not. In a reactive environment, we naturally become focused on the short term. We tend to look at the problems or events that just happened and naturally think they are the most significant at the time. This is a problem because what happened yesterday, in most cases, is not the most significant or compelling issue today. ...