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Chapter 14. Develop a Thorough Understanding                 329


            It may helpful to think of these relationships in terms of the problem, symp-
        toms of the problem, and the causes of the problem.
            Using a medical condition as an analogy: Suppose you visit the doctor and
        complain of aches and fever. These are not the problem. They are symptoms of
        the problem. The problem is that you don’t feel well (and as a result may miss
        work or other activities). The doctor will take information and perform tests
        and gather facts (vital signs) that are part of the analysis, to find the cause of the
        aches and fever. Visually, the process looks like Figure 14-2.
            Symptoms are presented to the side of the problem, as in “I have this problem,
        and as a result I have these symptoms.” To get to the cause(s), the information
        is analyzed to evaluate all possibilities. The symptoms are an important piece in
        the overall understanding of the problem. They provide supporting evidence
        that a problem exists. They also provide quantifiable data showing the magnitude
        of the problem. In this case, a fever of 104 degrees is more significant than a
        fever of 100, thus increasing the need to treat the problem.
            The relationship of the three primary measures will follow the same model
        of Problems, Symptoms, and Causes, as shown in Figure 14-3.
            In this case, low productivity would be the problem, poor quality a cause, and
        high cost a symptom or result. Using this model is important because it forces con-
        sideration of the bigger picture. We may believe that a repetitive quality problem



                                                                    THESE
              PROBLEM                      AS A RESULT OF       SYMPTOMS
                                           THE PROBLEM
               (Don't feel well)                                     EXIST
                                                               (Aches and Fever)



                       ANALYSIS  LEADS TO









             ROOT CAUSES




        Figure 14-2. Illness symptoms versus root causes
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