[curryst]

Right, but those aren't things an RCA is meant to address. The RCA identifies the specific method of failure. It's the starting point on your process improvement. X failed because Y, why did we allow Y to occur? The answers to those questions become deliverables.

An RCA doesn't handle those things because another section does. That way each team involved can look at what the issue was and how their team can prevent that. The authors solution eeks of a central committee that tells you how you could have prevented it, and they're often ineffective.