Accelerate root cause resolution to maximize results

From repeat deviations to recurring equipment alarms, from investigations dragging on for weeks to incomplete CAPAs, many issues in pharma are never solved fully. They simply resurface in the next batch or campaign. This edition explores why traditional problem-solving (5 Whys, fishbone, weve always done it this way) often fails in regulated environments. We introduce a rapid, cross-functional methodology for eliminating repeat failures with speed and discipline. The focus: freeing capacity, improving batch release cycle times, and giving leadership the headroom to think.

Jan 11, 2025

⏱️ 4 min read

Curated by Fabrice Gribon, founder and CEO of Gribon & Company. The CEO Shortlist - weekly briefing on the most actionable & tested ideas in operational excellence and business transformation for senior executives and leader of Change.

I wrote this article because I've seen far too many capable pharma organizations trapped in a cycle of recurring issues. The main insight? We often mistake symptom management for root cause elimination, leading to a constant drain on resources and a stifled ability to innovate. It’s time to break that cycle.

Setting the Stage

Walk into almost any pharma manufacturing facility, and you’ll feel the hum of intense activity. It’s a world of precision, regulation, and immense pressure to deliver life-saving products. In this environment, issues – deviations, alarms, quality excursions – are a fact of life. We all know that. What strikes me, however, is not the occurrence of issues, but their stubborn refusal to stay solved. They pop up again, often in the next batch, the next campaign, or a few months down the line, wearing a slightly different disguise. It's like Groundhog Day, but with higher stakes.

The Current Challenge

So, why don’t root causes stick in pharma? In my experience, it’s rarely about a lack of intelligence or effort. It’s often about how we approach problem-solving. We pull out the familiar tools – the 5 Whys, the fishbone diagram – but too often, they become a tick-box exercise. We scratch the surface, find a plausible cause, and slap on a CAPA. But do we really dig deep enough? Do we challenge the underlying assumptions, the systemic flaws, or the ingrained habits?

I’ve seen investigations drag on for weeks, becoming administrative burdens rather than genuine quests for understanding. CAPAs often address symptoms, not the true systemic vulnerabilities. This isn't just inefficient; it's crippling. It keeps your brightest minds firefighting, prevents meaningful process improvement, and eats away at your capacity. What’s keeping executives up at night? The constant audit risks, the slow batch release cycles, the unpredictable operational performance, and the gnawing feeling that their teams are running harder just to stay in the same place. It's a significant drag on both P&L and morale.

The Vision for Change

Imagine a different scenario. What if those repeat deviations became rare exceptions? What if equipment alarms were truly resolved, not just silenced until the next shift? Think about the capacity you'd free up. Your engineers, quality assurance specialists, and operators could focus on innovation, optimization, and strategic growth, instead of endlessly re-investigating the same problems.

The upside here is massive. We're talking about significantly improving batch release cycle times, dramatically reducing waste, and building a more predictable, robust operation. More importantly, it gives leadership the headroom to think strategically, to plan for the future, rather than being constantly pulled into operational crises. I believe that if you are serious about accelerating the pace of change within your organization, you need to consider how effectively you're truly solving problems at their root.

The Path Forward

So, how do we get there? We need to move beyond superficial fixes and embrace a rapid, cross-functional methodology for eliminating repeat failures with speed and discipline. Here are some actionable steps you can implement today:

  1. Define the Problem Sharply: Stop accepting vague problem statements. Push your teams to articulate the issue with precise data – what, when, where, how often, and impact. No "general feeling" allowed.

  2. Form Small, Empowered SWAT Teams: For recurring issues, don't rely on one department. Assemble a lean, cross-functional team (e.g., an operator, an engineer, a QA specialist, a data analyst) with the authority to investigate and implement. Keep it small, keep it focused.

  3. Go Beyond the "Why": While 5 Whys is a start, push for a deeper dive. Ask "Why did we accept that 'why' as the answer?" or "What system allowed this 'why' to exist?" Challenge the "we've always done it this way" mentality.

  4. Implement Robust, Verified CAPAs: Ensure CAPAs aren't just corrective actions, but preventative ones designed to truly eliminate recurrence. Crucially, establish a clear verification process to confirm their effectiveness over time.

  5. Foster a "Learn and Adapt" Culture: Shift from a blame culture to one of continuous learning. Celebrate when a true root cause is found and eliminated, even if it exposes past shortcomings.

Start by picking one stubborn, recurring issue that has been a consistent headache. Apply this focused, cross-functional approach. You'll be surprised at how quickly you can not only solve that specific problem but also build the muscle memory for truly effective problem-solving across your organization.

If your operations, processes & team have not reached peak performance, I would be happy to chat through some ideas.

+447376132579

fabrice@gribonconsulting.com