Before identifying solutions to a problem it is important to investigate why the system is producing the problem. Identifying the root cause(s) of a problem enables you to make the right changes that lead to meaningful improvement.
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Introduction to Understanding the Problem
Introduction to Understanding the Problem
Root Cause Analysis (Cause & Effect)
Root Cause Analysis (Cause & Effect)
FISHBONE
FISHBONE
Understanding the Problem: Fishbone Protocol (Carnegie Foundation)
Fishbone Diagram Examples (Carnegie Foundation)
Impact/Control Matrix
Impact/Control Matrix
An improvement science approach to understanding a problem in your system. By taking the time to leary how your system is producing te problem you are trying to solve, you lay the foundation for focusing efforts and identifying the RIGHT changes that lead to improvement.
Three Layers of Understanding:
Data Analysis
Map the System
Understand the Users Experience
Why Does the Gap Exist - REL InfographicEngaging Users to Learn About Your System
Engaging Users to Learn About Your System
Empathy Interviews Protocol (Carnegie)
Empathy Interview Planning Tool (Community Design Partners)
Empathy Interview (SIL Video)
Student Surveys Protocols & Examples (Riverside COE)
Student Attendance Focus Groups (Attendance Works)
Understanding Root Causes for Absenteeism Editable Template (Attendance Works)
Investigating Problems (Carnegie Video)
Data Analysis (Analysis of Variation)
Data Analysis (Analysis of Variation)
Run Charts (I|S|C Video)
Pareto Chart (I|S|C)
Pareto Chart Template (I|S|C)
Ordered Bar Charts and Pareto (I|S|C Video)
Investigating Problems (Carnegie Video)
Process/System Mapping
Process/System Mapping
Process Map Basics (Carnegie Foundation)
Introduction to Process Maps (I|S|C Video)
Process Maps in Action (I|S|C Video)
Process Mapping Examples (SIL)
Process Failure Analysis (I|S|C)
Investigating Problems (Carnegie Video)
Systems Simulation Protocols
Systems Simulation Protocols
Equity Pause
Equity Pause
Things to Think About
In what ways do my identity and experiences influence how I see this problem and interpret the data related to it?
What are we doing that might be contributing to the problem?
Are those who directly experience the problem involved in the investigation? Are they in the room, and are we learning from their perspective?
Is data used to specifically call out disparities to address?
Something to Try
Use data and evidence to better understand the factors in the surrounding community that might be impacting the problem or key stakeholders.
Engage diverse stakeholders and those experiencing the problem in authentic ways.
*From: Centering Equity Throughout the Improvement Journey
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