This document discusses problem handling and organizational competence. It defines a problem as a discrepancy between what is and what should be. The problem phase involves finding problems, shaping problems, solving problems, and practicing problem solving. Problem finding leads to innovation. Problem shaping involves defining and restating the problem in terms of costs, environment, and public reaction. Problem solving techniques include trial and error, brainstorming, root cause analysis, and model simulation. Root cause analysis focuses on identifying the underlying causes rather than superficial solutions. System thinking notes that solutions can cause more problems if interrelatedness is not understood, and that simple questions require complex reflection to find good solutions. It is better to manage by design than default.
17. Root Cause Analysis
? All problems arise from their root cause.
? A high quality solution is one engineered to
resolve a specific correct root cause.
? Only high quality solutions can solve difficult
problems
? Only a formally defined process undergoing
continuous improvement can produce high
quality solutions consistently, economically,
and in short amount of time.
? Don’t focus on solutions. Focus on the process.
The right process will produce the right results.
18. Difficult Problem Analysis Map
Problem
Symptoms
Superficial
Layer
Fundamental
Layer
Intermediate
Causes
Root
Causes
Superficial
Solutions
Low
Leverage
Points
Fundamental
Solutions
High
Leverage
Points