| Title: | | | | | | | | | | Team Leader: | | | | | | | | | | Revision #: |
| Team: | | | | | | | | | | Lean Consultant: | | | | | | | | | | Last Update: |
| | 1. Background: What Problem are you talking about and why is it a problem? | | | | | | | | | | | 5. Experiments: What do you propose to eliminate/reduce the Key Root Causes? |
| | | | | | | | | | | | | List the Potential Solutions: |
| | | | | | | | | | | | | Potential Solutions | | | | | Expected Impact |
| | 2. Current Conditions: Where do things stand now, what is the Baseline? | | | | | | | | | | | 6. Action Plan: How will you implement the Top Solution(s)? |
| | | | | | | | | | | | | What | | | | Who | | When | | Status |
| | 3. Target Conditions (Goal(s)): What specific outcome/goal is desired? | | | | | | | | | | | 7. PDSA Plan Next Steps: What should you do next (i.e., what standardize work or what changes to the Plan ?) |
| | 4. Gap Analysis: Why does the problem occur? |
| | Root Cause Analysis and List of Key (top 2-4) Root Causes: |