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Root cause analysis theory
Root cause analysis case studies
Root cause analysis theory
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1. What are the causes of the quality problems on the Greasex line? Categorize the problems as to whether they related to operations, marketing, management, or finance issues.
Operations:
• The operator of the filling machine has no formal training.
• The equipment they are using was not originally designed for the lower viscosity of Greasex.
• Venting the cans by hand does not tell you whether or not the pressure was at a safe level.
• No preventative maintenance for the equipment.
Marketing:
• The introduction of Greasex had been rushed to beat out the competitors.
• They did not create a proper advertising campaign prior to the launch of the product, and are trying to form it now to increase customer awareness of the product.
Management:
• Management has a “who cares” attitude and only cares about timeliness and quota.
• When mistakes are made no one takes care of them. Management tends to say they’ll take care of it, then never does. Management has a “lack of quality attitude”.
Finance:
• Having so many defects and the equipment breaking so often is costing them money they could be putting into producing.
2. Do you believe the organization is committed to quality? Why or why not?
No, I do not believe this organization is committed to quality. They demonstrated several times that they were not. They are all about
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He seemed to care a little about the quality of the plant and hasn’t done much to improve it. He told Hank that it was all up to him and fully in his hands to fix the quality problems at the plant. I think Hank Kolb will need to demonstrate transactional leadership in this situation. These workers need some motivation to improve the quality of their work. If they don’t believe in it already, why would they care if Hank believed in it. If they know that they are going to be punished or rewarded for keeping the quality of their work up to par, they are more likely to do
Quality which they demonstrate by continuing commitment to modernization, relevance, and continuing improvement in services, products, and programs.’
The consequences far outweigh the good intentions. But, sometimes the people who are thought to be knowledgeable and trustworthy may turn out to be irresponsible and poor decision makers.
Occasionally, management strife and issues will occur because basic human nature instinct calls for disagreements and social interferences. However, it depends on the upper level of management to deal with problems that occur in a timely and effective manner that benefits all parties involved. There are a number of reasons that management discrepancies may occur, with the leading being various attitude problems. If team members feel underappreciated or taken advantage of they will show their disgruntled feelings, and it can cause serious issues if not handled immediately. The second are communication issues, ...
...y they did this was by using hyperbole to such a point so as to make something stylish appear ludicrously funny. The repeated exposures to the service throughout the commercial also aids in selling the service. The time slot and channel for this commercial was also strategically planned so as to get the maximum exposure to the intended audience. There was no attempt to hide the blatant advertising. This was clearly meant to be seen as a commercial. However, the ethics were a bit on the shady side so as to make the deal seem better than it really was. The small print of the details makes it appear as though the company is trying to hide the truth and is shown only because it is mandatory. The rhetoric of this commercial is in short stating this commercial is meant to sell a service to young people through a comedic commercial while hiding the negative ethics.
Nowadays promoting products is more about selling the image than the actual product. It’s as if the idea of advertisement is completely disregarded. It’s outrages the way marketing has changed the concept of
Learning from failures is more important than fixing problems. It is crucial to address the system and process problems that cause the failure in the first place
...er when it comes to quality. Besides, the company is very competitive in the market, and this kind of competitiveness has been passed to its employees. The employees compete among themselves, which brings the best out of them.
...mistakes and they work hard to fix it they don’t really care at the end of the day because sooner or later they will be doing the same thing and are going to need the same help doing the same thing.
According to the Institute of Medicine (IOM) which has been on the forefront in undertaking research studies, pertaining to the prevalence of medical errors; systemic flaws are largely to be blamed for the high number of medical errors (BMJ Publishing Group Ltd 2011). The Hastings centre also shares the same sentiments when they state that “Many errors can be traced to flaws in complex systems of healthcare delivery, not flaws in individual performance” (The Hastings centre 2011, 5). These revelations come amid increased blame on healthcare workers for their apparent neglect of safe healthcare practices. IOM gives an example of poor communication between healthcare providers as one of the main problems associated with systemic flaws which consequently lead to medical errors. Because of this reason, the institute claims that focusing less on individuals and more on systems is likely to reduce the prevalence of medical errors.
The biggest challenge facing Harley-Davidson is poor quality. Beals and other mangers visited Japanese plants, as well as Honda's plant in Marysville, OH. There they learned that they were not being beat by automation or advanced manufacturing processes, but by a professional management team and motivated workers.
In healthcare systems, there is a concept of fair and just culture. That concept is important to manage the risk. In any organization, errors can happen. But, the best first tool to understand the error is to report it when it happens. Reporting error
When an error occurs, the first step usually taken is to identify the individual that is responsible for the mistake. Frontline providers in health care, like nurses and doctors, are usually held accountable when a mistake occurs that affects patient safety and care. While this is the easiest step, it is not the most effective. "When human error is viewed as a cause rather than a consequence, it serves as a cloak for our ignorance. By serving as an end point rather than a starting point, it retards further understanding [1]." Factors outlined in Henriksen 's hierarchy, e.g. individual characteristics, the nature of the work, human-system interfaces, work environment, and management, need to be taken into account to identify the source of the
Corporate social responsibility (CSR) is the other approach of their marketing. For example, they designed a poster recently about the Centennial Park trees cutting to make way for Sydney's tram project. It has some advantages. Firstly, it gave a opportunity in which recognition would be improved in the people who pay attention to the incident. Moreover, for now, they just a small studio, CSR will not influence them a lot. But if they want to enlarge the studio scale, CSR can build a good image to the public and increase popularity.
...am to ensure that simple mistakes such as not utilizing goal setting and having low levels of group cohesion are repeated.
Everyone, at some point in their lives, has made a mistake. Sometimes we get lucky and only falter a little, making it through the problem relatively intact. Other times, we mess up a lot and have to fix what was damaged over a long period of time. However, the same is true for most, if not all cases—those who make the mistake learn from it. Often times, our failures teach us valuable lessons that we only gain because of the experience we gain after messing up.