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Preface
What is Root Cause Analysis (RCA)? It seems like such an easy question to answer,
yet from novices to veterans and practitioners to providers, we cannot seem to agree
(nor come to consensus) on an acceptable denition for the industry. Why? We will
discuss our beliefs as to why it is so hard to get such consensus and why various
providers are reluctant for that to happen.
Many who will read this text are seeking to learn the basics about what is involved
with conducting an RCA. Many veterans will peruse this text seeking to see if they
can nd any pearls of conventional wisdom that they do not already know or to dis-
pute and debat ...