Title: Result of Training Module: Fishbone Diagrams in Root Cause Analysis
1Result of Training Module Fishbone Diagrams in
Root Cause Analysis
- Dan Gilbert
- Training Specialist
2Instructional Design Model - ADDIE
Analysis Needs assessment Task inventories Determi
ne performance gaps Task analysis
Design Create learning objectives Create
performance tests Establish baseline SKAs Create
course outline
Evaluation Reaction Learning (knowledge) Behavior
(transfer) Results
Development Diagram activities to assist
learners Create materials or courseware Determine
technology Determine setting and style
Implementation Prepare to deliver
training Administer training (teach/facilitate) Cr
eate environment for learning
3Assessment
4Needs Assessment February 16, 2007
5Needs Assessment (cont.)
6Needs Assessment (cont.)
7Design
8DesignLearning Objectives
- The participant will discuss the advantages of
using the fishbone (Ishikawa) diagram to identify
possible root causes of recurring problems in a
workplace process. - The participant will develop keywords for use as
main labels in the diagram. - The participant will demonstrate brainstorming
and multivoting techniques to prioritize possible
root causes of recurring problems. - The participant will draw a properly labeled
Fishbone Diagram showing brainstormed diagram of
possible root causes of recurring problems. - The participant will identify sources of data to
be collected to verify the assumptions of the
root cause analysis.
9DesignCourse Outline
- A. Pre-test
- B. Background of Fishbone Diagram
- 1. Ishikawa or Cause-and-Effect Diagram
- 2. Problem identification and clarification
- 3. Identify key data to collect
- 4. Idea generation general? specific
- 5. Reaching a consensus using the fishbone
diagram - C. Directions for Use
- 1. Draw spine and main labels (bones)
- 2. Possible keywords for main labels
- a. Procedures, materials, measurements,
equipment, and processes - b. Issues with using people as main label
- 3. Brainstorm possible root causes of problems
- 4. Multi-vote to reach consensus and prioritize
- 5. Collect data to verify assumptions of root
causes
- D. Experiential Exercise
- 1. Use group case provided by the trainer to
- a. Draw fishbone diagram of possible root
causes of problems - b. Create main labels (bones) with appropriate
keywords - c. Brainstorm and multi-vote to identify and
prioritize root causes - d. Identify sources of data to be collected
- 2. Group presentation of fishbone diagram and
data to be collected - 3. Group Q A session with audience
- Course Wrap-Up
- Course Q A
- Post-test
10Development
11DevelopmentCourseware
- 1. Ishikawa or Cause-and-Effect Diagram
- 2. Problem identification and clarification
- 3. Identify key data to collect
- 4. Idea generation general ? specific
- 5. Reaching a consensus using the fishbone
diagram - 6. Suitable for individuals and teams
- 7. Non-supervisory staff and management can use
the Fishbone Diagram
12CoursewareDirections for Use
- 1. Draw spine and main labels (bones)
- 2. Possible keywords for main labels
- The four Ms Methods, Machines, Materials,
Manpower - Other labels Procedures, measurements,
equipment, and processes - What some researchers have said about using
people or manpower as a label - 3. Brainstorm possible root causes of problems
- 4. Multi-vote to reach consensus and prioritize
- 5. Collect data to verify assumptions of root
causes
13CoursewareExperiential Exercise
- 1. Use group case provided by the trainer to
- a. Draw fishbone diagram of possible root causes
of problems - b. Create main labels (bones) with appropriate
keywords - c. Brainstorm and multi-vote to identify and
prioritize root causes - d. Identify sources of data to be collected
14CoursewareExperiential Exercise (cont.)
- 2. Group presentation of fishbone diagram and
data to be collected - 3. Group Q A session with audience
15CoursewareExperiential Exercise (cont.)
16CoursewarePost-Test
17Implementation
18Implementation
- March 21, 2007
- 1100 a.m.
- Twelve participants
- Good participation
- Asked questions and discussed implications
- Fulfilled learning objectives
19Evaluation
20EvaluationKnowledge
Pretest/Posttest
21EvaluationKnowledge
22EvaluationReaction
23Q A