By Nicolaas Du Plessis
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Map the process by moving the notes around until they reflect the most realistic picture of the process in question. 6. Butcher paper is helpful in case the flowchart of the process becomes too large to be easily readable on a standard page. Flowchart Symbols Different people use a range of different symbols when constructing flowcharts. Some are more universally agreed upon than others, and some are standardized in various software packages for flowcharting. While we encourage you to agree on a set of symbols understood in the organization, we provide some examples of common symbols below: Process step Display Decision Preparation Document Manual operation Data Internal storage 42 Chapter Four Flowchart Example In a case of frequent delays in discharging of patients after outpatient surgery, the RCA team realized that discharging required an interplay between several units in the hospital: the operating surgeon (writing prescriptions for any pain or other medication the patient should bring home), the lab (analyzing tests to determine whether the patient is ready for discharge), nurses (bringing tests results to and from the lab), administrative staff (to handle the discharge paperwork, and so on), and orderlies (to transport the patient out of the hospital).
The team’s work on the process may be protracted by additional factors such as reporting requirements and inspections. Chapter 2 The Root Cause Analysis Process This chapter introduces the overall process for conducting a root cause analysis. The main steps are outlined and described briefly, and a selection of examples that will appear throughout the book is presented. Finally, the comprehensive case used throughout the book will be introduced. 13 14 Chapter Two The Root Cause Analysis Process Define the event Find the root cause Step 1 Take action Step 3 Find causes Step 5 Find solution(s) Step 2 Measure and assess Step 4 Step 6 ?
This resulted in the chart shown on the next page, identifying a number of issues for further investigation.