Oregon Root Cause Analysis

Resources (PDF)

Index
Generic RCA Pathway
Communication Model
Task Analysis
Events and Causal Factor Charting
RCA Summary Report
RCA Action Plan
RCA Method Selection
Barrier Analysis
Change Analysis
Human Error Types
Process Improvement Guide
Corrective Actions
Getting Started
Overview
Recommended Readings
Tab 1: Systems Thinking & Human Error
Tab 2: Fundamentals
Tab 3: RCA Tools
Tab 4: RCA Process

PowerPoint Presentations:

Overview
Tab 1: Systems Thinking & Human Error
Tab 2: Fundamentals
Tab 3: RCA Tools
Tab 4: RCA Process