Root Cause Analysis, 5th Edition

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The Role of Human Error in Root Cause Analysis: Understanding Human Behavior

While we have discussed human error sporadically thus far, we will expand on it in this chapter as its own entity. This is a book that describes our view of what effective Root Cause Analysis (RCA) is all about. This is not a book that focuses only on human error, but rather its contribution to how and why things don’t always go as planned. It is important for analysts to have a good understanding of human behavior when investigating an undesirable outcome. Understanding human behavior will help the analyst formulate interview questions. These questions will allow discussion by the employees about subjects that will give insight into the cultural norms present ...