GUTSAGA / PharmaBookInventory Root Cause Audit
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Inventory Root Cause Audit

Management tool: zero inventory and excess inventory can be opposite symptoms of the same decision-making process; the audit shifts the question from finding someone to blame to diagnosing a repeatable process.

PRACTICAL TOOL

How do you move from a deviation to the root cause?

Do not stop at the first answer. Go deeper until you find the process, rule, or parameter that created the problem.

STEP-BY-STEP APPROACH

1

DEVIATION

Record a specific fact.

Example:

Zero inventory for an SKU in the pharmacy.

2

FIRST ANSWER

Obtain an explanation.

Example:

The order was not placed in time.

3

NEW FACT

Verify it and ask “why?”

Example:

Why was the order not placed in time? Demand was high.

4

ANOTHER “WHY?”

Look for the next level of cause.

Example:

Why was high demand not taken into account? The reorder point was not configured.

5

ROOT CAUSE

Identify the process / rule / parameter.

Example:

Replenishment parameters are incorrectly configured for this category in pharmacies of this type.

WHERE THE INVESTIGATION MAY LEAD

DATA

forecast inaccuracy

data delay

master-data errors

PARAMETERS

incorrect thresholds

outdated rules

obsolete settings

PROCESSES

approval delays

manual operations

lack of execution control

ORGANIZATION

unclear roles

insufficient authority

no accountability for the result

The same symptom can have several causes.

Verify the facts. Do not draw conclusions without data. Look for a systemic cause, not an isolated case.

KEY IDEA

Reaching the root cause means finding what will create this deviation again if it is not changed.

FACTS INSTEAD OF ASSUMPTIONS. SYSTEM INSTEAD OF ISOLATED CASES.

NEXT

WHO SHOULD CONDUCT THE AUDIT

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PRACTICAL TOOL

Who should conduct the audit —
and what authority do they need?

An audit crosses organizational units. Knowledge of the company alone is not
enough. An independent perspective alone is not enough either. Method, access, and
a real mandate are required.

INTERNAL TEAM

Strong in:

context

data

decision history

process knowledge

Risk:

habit

established relationships

“we have always done it this way”

INDEPENDENT PERSPECTIVE

Strong in:

fresh perspective

experience with similar cases

capability to challenge established practice

persistent “why?”

Constraint:

without an internal mandate, recommendations may remain just recommendations.

INDEPENDENT
METHOD
+ EXECUTIVE
WITH A REAL
MANDATE

WORKING AUDIT MODEL

One helps reveal what the company has become accustomed to. The other ensures access, answers, and change.

FIVE RIGHTS OF THE AUDIT LEAD

DATA

Obtain the necessary data without separate approval for every request.

ACCESS

Engage any organizational unit involved in the causal chain.

QUESTIONS

Return with another “why?” if the first answer is not supported by facts.

DEADLINE

Obtain a specific answer and action deadline, not “we’ll look into it.”

ESCALATION

Escalate a systemic cause to an executive who can change the process.

Many people may participate in the investigation.
There must be one person accountable for the change.

Without a mandate, an audit collects observations. With a mandate, it changes the
system.

NEXT

THREE DAYS TO SEE THE CAUSE MAP

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Root-cause audit: a three-day sequence from specific cases to a cause map and then to decisions; precise monetary calculations come in the second stage.

THREE DAYS TO SEE THE FULL PICTURE

Why should you not immediately quantify every cause in monetary terms?

Until the cause map is visible, the team risks arguing about methodology and data accuracy instead of understanding the system of problems.

FIRST — THE CAUSE MAP. PRECISE CALCULATIONS ARE THE SECOND STAGE.

DAY 1

CASES

What do we see?

zero inventory

excess inventory

abnormal charts

manual intervention

DAY 2

CAUSE MAP

What keeps recurring?

recurring causes

system points

processes / rules / parameters

DAY 3

DECISIONS

What do we change?

priorities

one accountable owner

first action

deadline

result verification

IN MY EXPERIENCE — PROVIDED THERE IS ACCESS TO THE SYSTEM AND KEY
EMPLOYEES

In most companies, an initial map can be built in two to three working days. Validation continues on new SKUs until most new cases begin to fall into the categories already identified.

In three days, a company does not eliminate every cause. In three days, it understands exactly what must be eliminated.

The result of the audit is not a long report. It is a cause map and an agreed program of changes.

Day 3 turns the analysis into an agenda: cause · change · one accountable owner · action · deadline · verification.

Continuous improvement mechanism: after the audit and cause map, dominant causes are eliminated, the next layer of causes becomes visible, and another audit is conducted. The calendar is secondary.

WHY IS ONE AUDIT
NOT ENOUGH?

What happens after the dominant
causes are eliminated?

The company moves to a different level of operating maturity — and precisely for that reason begins to see causes that were previously hidden by larger problems.

After the agreed changes are implemented, the system does not become “error-free.” The dominant causes simply stop obscuring the others.

Part of the next level existed before but was hidden; part emerges after previous constraints are removed and the process begins to operate differently.

NOT A ONE-TIME CHECK, BUT A CYCLE

AUDIT

CAUSE MAP

ELIMINATION OF DOMINANT CAUSES

NEW OPERATING LEVEL

THE NEXT CAUSES BECOME VISIBLE

NEXT AUDIT

It is like climbing: from a new height, the next summit becomes visible.

THE CALENDAR IS SECONDARY

It is useful to review the full map at least once a year. But if the main changes have been implemented and the result stabilizes earlier, there is no need to wait for the calendar date — the next audit can be conducted immediately.

Eliminating root causes does not complete improvement. It moves the company to a higher level and makes the next layer of causes visible.

NEXT ONE POLICY. ONE HUNDRED DECISIONS.