59. Five Why’s –Benefits Flexibility. It works well alone and when combined with other Quality Improvement & Troubleshooting techniques. Engaging. By its very nature, it fosters and produces teamwork and teaming within and without the organization. Inexpensive. It is a guided, team focused exercise. There are no additional costs.
60. Five Why’s One final point to ponder: After root cause has been determined, move on to the corrective actions, preventive actions. You may follow up to verify the effectiveness of CAs and PAs as necessary. Close out OERs
61. Exercise, Duration 20min An error has occurred in your area(or outside); Use OER form to report the error. Hints: _ Describe the error; _ State your immediate action; _ Investigate, Use the 5Whys to find the root cause; _ Write down CAPAs;
62. Summary Errors are ways to improve. Errors in medical labs are systematic and/or human Identify the problem clearly and keep in mind why it happened? And why not detected? Report errors upon occurrence Use the 5whys efficiently & don’t jump into conclusions Knowing the Root cause = Implementing correct CAPAs