Recently listened to on the gemba:
"We are fantastic problem solvers, but the same troubles keep coming back.".
When the countermeasures are off target, the issues return. If issues reoccur for the same source, we have not actually addressed the trouble. We have only temporarily contained it. Even if the exact same issue persists as a result of a various source, it is feasible that trouble addressing was done without a complete sufficient root cause evaluation action. Issue fixing has not efficiently occurred until we could validate that the root causes have been determined and that the countermeasures put on them are effective.
Taiichi Ohno wrote in Toyota Production System:.
When a problem happens, if the source evaluation wants, the focus of countermeasures can be off. That is why we ask 'why?' five times. This is the foundation of the clinica ... Read more »