root cause analysis

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cbzcbyb2000

Health Medical

Description

1.Identify a problem

2.Consider all factors of the problem, such as, “we do not perform adequate pain assessments because…”

3.Once all factors causing the problem are identified, it should be evaluated and grouped in categories

4.Then a “cause and effect” diagram, such as fishbone diagram, can be created.

5.General categories may include Environment, Equipment, People, Methods (process) and Materials

6.Attach your fishbone diagram to your discussion board post

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The root cause analysis allows Quality Improvement teams to identify the “root” of the problem; where and why the problem exists. Quality Improvement teams make decisions based on data rather than “hunches” and look for lasting solutions rather than relying on “quick fixes” and “band-aid” approaches. 1. Identify a problem 2. Consider all factors of the problem, such as, “we do not perform adequate pain assessments because…” 3. Once all factors causing the problem are identified, it should be evaluated and grouped in categories 4. Then a “cause and effect” diagram, such as fishbone diagram, can be created. 5. General categories may include Environment, Equipment, People, Methods (process) and Materials 6. Attach your fishbone diagram to your discussion board post Using the template found in "resources" tab, complete a fishbone diagram of your identified problem. The cause and effect diagram (fishbone) starts with a problem at the head of the fish. Under each general category of the fishbone, answer the questions, “Why?” in regard to the problem identified. Once the fishbone diagram is done, the various causes are discussed to determine the root of the problem. The results of this discussion drive the focus for the improvement plan. There may be several causes of the problem. The team should prioritize which one cause, if solved, would have the most positive impact on the largest number of residents. Process Analysis Tools Cause and Effect Diagram A cause and effect diagram, also known as an Ishikawa or “fishbone” diagram, is a graphic tool used to explore and display the possible causes of a certain effect. Use the classic fishbone diagram when causes group naturally under the categories of Materials, Methods, Equipment, Environment, and People. Use a process-type cause and effect diagram to show causes of problems at each step in the process. A cause and effect diagram has a variety of benefits: ƒ It helps teams understand that there are many causes that contribute to an effect. ƒ It graphically displays the relationship of the causes to the effect and to each other. ƒ It helps to identify areas for improvement. This tool contains: Directions for making a Cause and Effect Diagram Cause and Effect Diagram: “Fishbone” Cause and Effect Diagram: Process-Type 1 Institute for Healthcare Improvement Boston, Massachusetts, USA Copyright © 2004 Institute for Healthcare Improvement Cause and Effect Diagram Directions 1. Write the effect in a box on the right-hand side of the page. 2. Draw a horizontal line to the left of the effect. 3. Decide on the categories of causes for the effect. Useful categories of causes in a classic fishbone diagram include Materials, Methods, Equipment, Environment, and People. Another way to think of categories is in terms of causes at each major step in the process. 4. Draw diagonal lines above and below the horizontal line (these are the “fishbones”), and label with the categories you have chosen. 5. Generate a list of causes for each category. 6. List the causes on each fishbone, drawing branch bones to show relationships among the causes. 7. Develop the causes by asking “Why?” until you have reached a useful level of detail—that is, when the cause is specific enough to be able to test a change and measure its effects. 2 Copyright © 2004 Institute for Healthcare Improvement Cause and Effect Diagram Cause and Effect Diagram: “Fishbone” 3 Copyright © 2004 Institute for Healthcare Improvement Cause and Effect Diagram Cause and Effect Diagram: Process-Type 4 Copyright © 2004 Institute for Healthcare Improvement Title: Category Category Category cause Category cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause cause Category Author, Page Number, Date cause cause cause cause Category cause cause cause cause Category cause cause cause Category Effect
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Explanation & Answer

Attached.

Title: Incorrect Diagnostic- Fishbone Diagram

Hospital

People

Nurses
Ignorance
Lack of appropriate
training

Doctors
Heavy workload
Poor qualifications
Taking shortcuts
Ignorance

Lab Tech
Lack of appropriate
Education

Resources
Lack of enough staffs
Unqualified staffs
Lack of enough staffs

Poor management

Patients
Poor explanation
Embarrassment
Shyness
Lack of knowledge

Incorrect Diagnostic
Unnecessary steps used
Delays
Lack of enough
equipment

Use of speculations
and assumptions

Lack of medication
knowledge

Inappropriate equipment

Use of shortcuts
Lack of modern
equipment

Methods

(Insert your Name), 1, 10th Feb, 2018

Equipment

...


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Great content here. Definitely a returning customer.

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