In all the years of facilitating RCFA, what seems like the easiest part has proven to be one of the most challenging.  Documenting the problem statement.  It is human nature is to immediately develop an opinion and provide a solution.  When a group of people are put in a room together for an RCFA they immediately believe they are there to solve THE problem.  This leads to a focus on solutions to the event as it occurred.  The team gathers in the room and the facilitator asks what the problem statement is, and the replies tell it all.  “Jane, the …Read more  »