Systems Analysis of Failures as a Quality Management Tool

Managers and quality practitioners are familiar with the linkage of the words quality and systems to denote a systematic approach to quality, as in BS5750 Quality Systems, say. There is, however, a more specialized use of the word systems that indicates the application of systems thinking and which gives rise to the adjective systemic (of, or pertaining to a system) rather than systematic (carrying out in a planned and orderly fashion). This paper examines the potential for applying systems thinking to the management of quality with particular reference to one branch of systems work: the study of failures. The paper draws comparisons between quality and systems analysis of failures and points out that some failures could equally well be described as quality problems and vice versa. The paper argues that problems at the system level are frequently overlooked or avoided by those undertaking quality improvement programmes, partly because individuals within an organization may experience only different, smaller aspects of a systemic problem and partly because the problem solvers may lack the means or motivation to tackle complex, poorly defined problem messes. It then goes on to suggest that use of a meta–method for problem analysis would enable such problems to be addressed. One such method that has been widely applied in the study of failures, the failures method, is described in detail and its application to a failure/quality problem is outlined.