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分析根本原因的基本元素

(2007-08-01 09:08:24)
分类: 医院管理与医院信息化

Basic Elements of Root Cause

  • Materials
    • Defective Raw Material
    • Wrong type for job
    • Lack of raw material
  • Machine/Equipment
    • Incorrect tool selection
    • Poor maintenance or design
    • Poor equipment or tool placement
    • Defective Equipment or tool
  • Environment
    • Orderly workplace
    • Job design or layout of work
    • Surfaces poorly maintained
    • Physical demands of the task
    • Forces of Nature
  • Man
    • No or poor management involvement
    • Inattention to task
    • Task hazards not guarded properly
    • Other (horseplay, inattention....)
    • Stress demands
  • Methods
    • No or poor procedures
    • Practices are not the same as written procedures
    • Poor communication
  • Management System
    • Training or education lacking
    • Poor employee involvement
    • Poor recognition of hazard
    • Previously identified hazards were not eliminated

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